Jones Teresa H, Hanney Stephen, Buxton Martin J
Health Economics Research Group, Brunel University, Uxbridge, Middlesex, UK.
Med Clin (Barc). 2008 Dec;131 Suppl 5:30-5. doi: 10.1016/S0025-7753(08)76404-2.
For biomedical research findings to contribute toward health gains they must reach clinicians. Academic journals have historically been considered important information sources. Birken and Parkin found seven journals to most consistently contain the best pediatric evidence and, of these seven, four were general medical journals.
We surveyed clinicians in three UK medical specialties (psychiatry, surgery and pediatrics), asking which journals they read and which they considered important to inform their clinical practice.
The readership of general medical journals, in comparison to specialty and sub-specialty journals, is widespread across the three UK medical specialties, although the importance of general medical journals varies widely. The BMJ is the most prominent general medical journal in terms of readership and importance but a dominant specialty or sub-specialty journal was usually more important for most groups. The Lancet is less widely read and less important, although more academics than non-academics consider it important.
Overall, key general medical journals play an important role. Journal availability and cost, particularly in relation to membership for UK clinicians, and the position of academics and non-academics have to be considered in any analysis. Three of the four general medical journals containing the best pediatric evidence were found to be widely read by UK pediatricians and two UK-based general medical journals, the BMJ and The Lancet, were also considered important in our survey. Further investigation of the reasons for the importance of a journal and studies that would allow international comparisons would provide greater input to the discussion.
为使生物医学研究成果有助于增进健康，这些成果必须传达给临床医生。学术期刊历来被视为重要的信息来源。伯肯和帕金发现，有七种期刊最常刊载最佳的儿科证据，其中四种是综合医学期刊。
我们对英国三个医学专业（精神病学、外科和儿科学）的临床医生进行了调查，询问他们阅读哪些期刊以及他们认为哪些期刊对其临床实践具有重要意义。
与专科和亚专科期刊相比，综合医学期刊在英国这三个医学专业中的读者群分布广泛，尽管综合医学期刊的重要性差异很大。就读者数量和重要性而言，《英国医学杂志》是最突出的综合医学期刊，但对于大多数群体来说，占主导地位的专科或亚专科期刊通常更为重要。《柳叶刀》的读者较少，重要性也较低，不过认为它重要的学者比非学者更多。
总体而言，关键的综合医学期刊发挥着重要作用。在任何分析中都必须考虑期刊的可得性和成本，特别是与英国临床医生的会员资格相关的方面，以及学者和非学者的立场。发现刊载最佳儿科证据的四种综合医学期刊中有三种被英国儿科医生广泛阅读，在我们的调查中，两种英国的综合医学期刊《英国医学杂志》和《柳叶刀》也被认为很重要。对期刊重要性原因的进一步调查以及能够进行国际比较的研究将为这一讨论提供更多信息。
