Gavino Alex I, Ho Beverly Lorraine C, Wee Pura Angela A, Marcelo Alvin B, Fontelo Paul
National Library of Medicine, Bethesda, MD, USA.
Health Info Libr J. 2013 Dec;30(4):303-17. doi: 10.1111/hir.12032. Epub 2013 Jul 23.
Increased emphasis has been given to the practice of evidence-based medicine (EBM) worldwide. Access to quality health information is essential to the practice of EBM in developing countries.
To understand the information needs and sources of information of physicians from low- and middle-income countries (LMICs).
Medical doctors and students participated in an 18-question online or paper study.
Of the 156 respondents from six LMICs, 146 (94%) came from the Philippines. Eighty-eight per cent encountered at least one clinical question daily, while 58% were very likely to search for answers. A basic mobile phone was the most used device at home (94%) and at work (82%). More than half had Internet connectivity at home (62%) and just under half at work (46%). In decreasing order, short messaging services (SMS), email, instant messaging and multimedia messaging services (MMS) were the most commonly used messaging tools at home and at work. The primary source for medication questions was a formulary, but for diagnostic dilemmas, colleagues were consulted first. PubMed use was high for therapy and management questions.
The use of health information from the Internet through mobile devices may be increasing. Access to health information was higher at home than at work. These results may be useful when planning resources for healthcare givers in resource-poor settings.
全球范围内对循证医学(EBM)实践的重视程度日益提高。获取高质量的健康信息对于发展中国家的循证医学实践至关重要。
了解低收入和中等收入国家(LMICs)医生的信息需求和信息来源。
医生和医学生参与了一项包含18个问题的在线或纸质研究。
来自六个低收入和中等收入国家的156名受访者中,146名(94%)来自菲律宾。88%的人每天至少遇到一个临床问题,而58%的人很可能会寻找答案。基本移动电话是在家(94%)和工作场所(82%)最常用的设备。超过一半的人在家中有互联网连接(62%),在工作场所有不到一半的人有互联网连接(46%)。按使用频率从高到低排序,短消息服务(SMS)、电子邮件、即时通讯和多媒体消息服务(MMS)是在家和工作场所最常用的消息工具。用药问题的主要信息来源是处方集,但对于诊断难题,首先会咨询同事。在治疗和管理问题上,PubMed的使用率很高。
通过移动设备从互联网获取健康信息的情况可能正在增加。在家中获取健康信息的比例高于工作场所。这些结果在为资源匮乏地区的医疗服务提供者规划资源时可能会有所帮助。