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信息处方:实现的障碍。

Information prescriptions: a barrier to fulfillment.

作者信息

Leisey Monica R, Shipman Jean P

机构信息

VCU Libraries, Virginia Commonwealth University, 509 North Twelfth Street, P.O. Box 980582, Richmond, VA 23298-0582, USA.

出版信息

J Med Libr Assoc. 2007 Oct;95(4):435-8. doi: 10.3163/1536-5050.95.4.435.

DOI:10.3163/1536-5050.95.4.435
PMID:17971891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2000786/
Abstract

OBJECTIVES

The aim of this project was to identify and compare physician-perceived versus patient-experienced barriers to filling information prescriptions.

METHODS

Physicians participated in a focus group designed to identify any issues linked to the implementation of the project. Telephone interviews were conducted with patients to gather details of the challenges encountered as well as to collect general health information-seeking practices.

RESULTS

Although physicians identified several obstacles patients may encounter, it was not possible to identify patient barriers as no patient indicated having received an information prescription. In the focus group, physicians reported not using the term "information prescription," thus undermining one of the intrinsic tenets of the project.

CONCLUSIONS

Although designed with the physicians' input, the study results demonstrated a disconnect in the information prescription process. The addition of intervention fidelity measures may have ensured a more positive outcome.

摘要

目的

本项目旨在识别并比较医生所认知的与患者所经历的在执行信息处方时遇到的障碍。

方法

医生参加了一个焦点小组,旨在识别与项目实施相关的任何问题。对患者进行了电话访谈,以收集所遇到挑战的详细信息,并收集一般的健康信息寻求行为。

结果

尽管医生识别出了患者可能遇到的几个障碍,但由于没有患者表示收到过信息处方,所以无法识别出患者方面的障碍。在焦点小组中,医生报告未使用“信息处方”这一术语,从而破坏了项目的一个内在原则。

结论

尽管该研究是在医生的参与下设计的,但研究结果表明信息处方过程中存在脱节。增加干预保真度措施可能会确保取得更积极的结果。

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本文引用的文献

1
Information Rx: Evaluation of a new informatics tool for physicians, patients, and libraries.信息处方:对一种面向医生、患者和图书馆的新型信息学工具的评估。
Inf Serv Use. 2006;26(1):1-10. doi: 10.3233/isu-2006-26101.
2
A randomized controlled trial of an information prescription for pediatric patient education on the Internet.一项关于互联网上儿科患者教育信息处方的随机对照试验。
Arch Pediatr Adolesc Med. 2004 Sep;158(9):857-62. doi: 10.1001/archpedi.158.9.857.
3
Patient Internet use for health information at three urban primary care clinics.在三家城市基层医疗诊所中患者利用互联网获取健康信息的情况。
J Am Med Inform Assoc. 2004 Nov-Dec;11(6):499-504. doi: 10.1197/jamia.M1460. Epub 2004 Aug 6.
4
Doctor patient relationship: changing dynamics in the information age.
J Postgrad Med. 2004 Apr-Jun;50(2):120-2.
5
Predictors of women's Internet access and Internet health seeking.女性互联网接入及网络求医行为的预测因素
Health Care Women Int. 2003 Dec;24(10):940-51. doi: 10.1080/07399330390244130.
6
The impact of health information on the internet on the physician-patient relationship: patient perceptions.互联网上的健康信息对医患关系的影响:患者认知
Arch Intern Med. 2003 Jul 28;163(14):1727-34. doi: 10.1001/archinte.163.14.1727.
7
The Patient Informatics Consult Service (PICS): an approach for a patient-centered service.患者信息咨询服务(PICS):一种以患者为中心的服务方法。
Bull Med Libr Assoc. 2001 Apr;89(2):185-93.