Salinas Gregory D
J Contin Educ Health Prof. 2014 Spring;34 Suppl 1:S11-6. doi: 10.1002/chp.21224.
Recent information on the preferences and trends of medical information sources for US practicing physicians in the past several years is lacking. The purpose of this study was to identify current format preferences and attitudes of physicians as well as trends over time to provide timely information for use in educational planning.
A survey instrument was developed and distributed in 2013 to US practicing physicians in several specialties. Data were aggregated and analyzed to understand trends across these physicians. Differences between and among demographic subsets of physicians, such as practice type and location, were observed by the use of inferential statistics. Additionally, using a similar survey fielded in 2009, these findings were analyzed to observe potential changes in the past 4 years.
Peer-reviewed journal articles and continuing medical education (CME) are reported to be the most useful sources of medical information by physicians. Non-CME promotional meetings, pharmaceutical sales representatives, and managed care organizations are least useful or influential. Physicians are receiving more clinical questions from patient encounters in 2013 compared to 2009, and spend more time searching for information online. The use of many formats to receive medical information is increasing, including both technology-derived and traditional formats.
Increases in clinical questions and time spent online indicate a heightened need for efficiencies in searching for medical information. New uses of technology in medical information delivery may allow educators an avenue to meet the rising needs of physicians.
过去几年中,缺乏关于美国执业医师医学信息来源偏好和趋势的最新信息。本研究的目的是确定医师当前的形式偏好和态度以及随时间的趋势,以便为教育规划提供及时的信息以供使用。
2013年开发了一种调查问卷并分发给美国多个专业的执业医师。对数据进行汇总和分析以了解这些医师的趋势。通过使用推断统计观察医师人口统计学子集之间的差异,如执业类型和地点。此外,利用2009年进行的类似调查,对这些结果进行分析以观察过去4年中的潜在变化。
医师报告称,经过同行评审的期刊文章和继续医学教育(CME)是最有用的医学信息来源。非CME推广会议、药品销售代表和管理式医疗组织最没用或影响力最小。与2009年相比,2013年医师从患者问诊中收到的临床问题更多,并且花更多时间在线搜索信息。接收医学信息的多种形式的使用正在增加,包括技术衍生形式和传统形式。
临床问题的增加和在线花费时间的增加表明在搜索医学信息方面对效率的需求更高。医学信息传递中技术的新用途可能为教育工作者提供一条途径来满足医师不断增长的需求。