Siegel Elliot R, Logan Robert A, Harnsberger Robert L, Cravedi Kathleen, Krause Jean A, Lyon Becky, Hajarian Karen, Uhl Jonathan, Ruffin Angela, Lindberg Donald A B
U.S. National Library of Medicine, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20894, USA.
Inf Serv Use. 2006;26(1):1-10. doi: 10.3233/isu-2006-26101.
This paper reports selected results from two comprehensive evaluation studies of the Information Prescription (or "Information Rx") Program implementation conducted from 2002-05 by the American College of Physicians Foundation (ACPF) and the U.S. National Library of Medicine (NLM). In this Program physicians are provided with Information Prescription pads, analogous to pads used to prescribe medications, that are used to direct patients to the MedlinePlus web site and its contents that are applicable to a patient's health condition. The results describe the Program's potential to enhance patient education and interpersonal communication from physician and patient perspectives. The findings suggest once physicians adopt the use of an information prescription, they perceive they are providing an additional clinical service that enhances patient education and interpersonal communication. For physicians, participation in information prescription may improve patient communication, encourage information seeking, and lessen the number of poor quality Internet searches that patients frequently self-perform and bring to a doctor's office. Similarly, once patients receive a recommendation from a physician to seek health information on the web, patients may be more comfortable with health seeking on the Internet and discussing their findings with their doctor. The conclusions of the two evaluation studies imply an Information Prescription fosters a dialogue between providers and patients, helps patients use the Internet more effectively and seems to favorably impact patient education. As the medical community and patient advocacy groups continue to emphasize the importance of evidence-based information as the gold standard for accepted care, it can be expected that informatics tools such as Information Rx will come to play an increasingly important role as a vehicle to help identify and access high quality health information on the Internet.
本文报告了美国医师学会基金会（ACPF）和美国国立医学图书馆（NLM）在2002年至2005年期间对信息处方（或“信息处方”）计划实施情况进行的两项综合评估研究的部分结果。在该计划中，医生会获得类似于用于开处方的便笺簿的信息处方便笺簿，用于指导患者访问MedlinePlus网站及其与患者健康状况相关的内容。结果从医生和患者的角度描述了该计划在加强患者教育和人际沟通方面的潜力。研究结果表明，一旦医生采用信息处方，他们认为自己提供了一项额外的临床服务，可加强患者教育和人际沟通。对医生来说，参与信息处方可能会改善与患者的沟通，鼓励患者寻求信息，并减少患者经常自行进行并带到医生办公室的低质量互联网搜索的数量。同样，一旦患者收到医生关于在网上寻求健康信息的建议，他们可能会更自在地在互联网上寻求健康信息并与医生讨论他们的发现。两项评估研究的结论表明，信息处方促进了医患之间的对话，帮助患者更有效地使用互联网，似乎对患者教育产生了积极影响。随着医学界和患者权益倡导组织继续强调循证信息作为公认医疗黄金标准的重要性，可以预期，诸如信息处方之类的信息学工具将作为一种帮助识别和获取互联网上高质量健康信息的手段，发挥越来越重要的作用。
