医生利用路边咨询来满足信息需求：集体案例研究报告。
Physician use of the curbside consultation to address information needs: report on a collective case study.
作者信息
Perley Cathy M
机构信息
School of Library and Information Management, Emporia State University, 1200 Commercial Street, Emporia, Kansas 66801, USA.
出版信息
J Med Libr Assoc. 2006 Apr;94(2):137-44.
PURPOSE
The author reports key findings from a doctoral dissertation investigating what the curbside consultation is, how and why physicians use it, and what the implications for health sciences library services might be. SETTINGS/INFORMANTS: Primary informants included sixteen primary care physicians at six sites in one Midwestern state. Additional informants included twenty-eight specialists and subspecialists identified by the primary informants as colleagues who provided curbside consultations.
METHODS
Qualitative research methods were used, including field observations, formal and informal interviews, and conversations with peer review physicians.
RESULTS
Despite a lack of consensus about what constitutes a "good" curbside consultation, physician informants reported that curbside consultations were part of their medical education and that they continued to take part in them for a number of reasons. Tacit rules govern curbside consultation interactions, and negative consequences result when the rules are misunderstood or not observed.
DISCUSSION/CONCLUSION: Acknowledging and understanding physicians' use of the curbside consultation to obtain and construct knowledge may suggest new ways for health sciences librarians to work with physicians in locating, diffusing, and disseminating clinical information.
目的
作者报告了一篇博士论文的主要研究结果，该论文调查了床边会诊是什么、医生如何以及为何使用床边会诊，以及这对健康科学图书馆服务可能有何影响。
研究地点/受访者：主要受访者包括中西部一个州六个地点的16名初级保健医生。其他受访者包括28名专家和亚专科医生，这些人是主要受访者认定的提供床边会诊的同事。
方法
采用定性研究方法，包括实地观察、正式和非正式访谈，以及与同行评审医生的交流。
结果
尽管对于什么构成“良好的”床边会诊缺乏共识，但作为受访者的医生表示，床边会诊是他们医学教育的一部分，并且由于多种原因他们仍继续参与其中。默契规则支配着床边会诊互动，当这些规则被误解或未被遵守时会产生负面后果。
讨论/结论：认识并理解医生利用床边会诊获取和构建知识的方式，可能为健康科学图书馆员与医生合作查找、传播和推广临床信息提供新途径。
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