Stephens Mark B, Von Thun Annette M
Department of Family Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Mil Med. 2009 Mar;174(3):259-64. doi: 10.7205/milmed-d-00-7108.
Physicians use multiple sources of information to search for answers to clinical questions. These sources include textbooks, journals, colleagues, and electronic resources, including the Internet.
To explore what sources are most commonly used by staff military physicians, we distributed a survey asking them to describe sources of medical information they used most frequently while in garrison and while on deployment.
Most military physicians use the Internet to access medical information every day while in garrison. The frequency and pattern of use of medical resources differs while on deployment. The most common sources of electronic medical information are general Internet search engines (Google). Open-domain sites (PubMed and MEDLINE) are more commonly used by military surgeons, while filtered secondary information sources (UptoDate, MD Consult) appear to be more commonly used by military primary care physicians. Younger physicians use electronic resources more commonly than do older physicians.
Knowing what sources of medical information military physicians use to search for answers to their clinical questions can help guide allocation of medical informatics resources, particularly to deployed military physicians providing in-theater care.
医生利用多种信息来源来寻找临床问题的答案。这些来源包括教科书、期刊、同事以及电子资源，包括互联网。
为探究军队在职医生最常使用哪些信息来源，我们开展了一项调查，要求他们描述在驻防和部署期间最常使用的医学信息来源。
大多数军队医生在驻防时每天都会使用互联网获取医学信息。在部署期间，医学资源的使用频率和模式有所不同。电子医学信息的最常见来源是通用互联网搜索引擎（谷歌）。军队外科医生更常使用开放领域网站（PubMed和MEDLINE），而军队初级保健医生似乎更常使用经过筛选的二级信息来源（UptoDate、MD Consult）。年轻医生比年长医生更常使用电子资源。
了解军队医生用于寻找临床问题答案的医学信息来源，有助于指导医学信息学资源的分配，特别是为战区提供现场医疗服务的部署军队医生。
