Ketchell Debra S, St Anna Leilani, Kauff David, Gaster Barak, Timberlake Diane
ML, Stanford University Medical Center, Lane Medical Library, 300 Pasteur Drive, Room L109, Stanford, CA, 94305-5123, USA.
J Am Med Inform Assoc. 2005 Sep-Oct;12(5):537-45. doi: 10.1197/jamia.M1601. Epub 2005 May 19.
This paper describes an institutional approach taken to build a primary care reference portal. The objective for the site is to make access to and use of clinical reference faster and easier and to facilitate the use of evidence-based answers in daily practice. Reference objects were selected and metadata applied to a core set of sources. Metadata were used to search, sort, and filter results and to define deep-linked queries and structure the interface. User feedback resulted in an expansion in the scope of reference objects to meet the broad spectrum of information needs, including patient handouts and interactive risk management tools. RESULTS of a user satisfaction survey suggest that a simple interface to customized content makes it faster and easier for primary care clinicians to find information during the clinic day and to improve care to their patients. The PrimeAnswers portal is a first step in creating a fast search of a customized set of reference objects to match a clinician's patient care questions in the clinic. The next step is developing methods to solve the problem of matching a clinician's question to a specific answer through precise retrieval from reference sources; however, lack of internal structure and Web service standards in most clinical reference sources is an unresolved problem.
本文描述了一种构建初级保健参考门户的机构性方法。该网站的目标是使临床参考的获取和使用更快、更便捷，并促进在日常实践中使用基于证据的答案。选择了参考对象，并将元数据应用于一组核心来源。元数据用于搜索、排序和筛选结果，定义深度链接查询并构建界面。用户反馈促使参考对象的范围得以扩展，以满足广泛的信息需求，包括患者手册和交互式风险管理工具。用户满意度调查结果表明，一个通向定制内容的简单界面使初级保健临床医生在门诊日查找信息以及改善对患者的护理变得更快、更容易。PrimeAnswers门户是创建对一组定制参考对象进行快速搜索以匹配临床医生在门诊中患者护理问题的第一步。下一步是开发方法，通过从参考来源进行精确检索来解决将临床医生的问题与特定答案相匹配的问题；然而，大多数临床参考来源缺乏内部结构和网络服务标准仍是一个未解决的问题。
