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医生对在线临床决策支持价值的看法。

The perspective of physicians on the value of online clinical decision support.

作者信息

Walsh Kieran

机构信息

BMJ LearningLondonUK.

出版信息

Proc (Bayl Univ Med Cent). 2019 Jan 7;32(1):58-60. doi: 10.1080/08998280.2018.1521189. eCollection 2019 Jan.

DOI:10.1080/08998280.2018.1521189
PMID:30956582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6442882/
Abstract

Online clinical decision support has been shown to help physicians improve the quality of care that they provide. However, there is little evidence as to how individual physicians perceive the utility of clinical decision support considering its cost. This article evaluates the perceptions of physicians who are part of a user group at BMJ about the cost and utility of an online clinical decision support resource, BMJ Best Practice. These physicians saw value in being able to link their usage of online clinical decision support to improved clinical practice. The evidence-based credentials, convenience, and time efficiency of the online clinical decision support were the most valued features. Users also valued the fact that the content was continually updated. Most thought that their institution should pay but were willing to use their personal devices to access the content. Physicians also valued being able to claim continuing professional development credits for their use of the resource.

摘要

在线临床决策支持已被证明有助于医生提高他们提供的医疗服务质量。然而,关于个体医生如何看待临床决策支持的效用及其成本,几乎没有相关证据。本文评估了英国医学杂志(BMJ)用户群体中的医生对在线临床决策支持资源BMJ最佳实践的成本和效用的看法。这些医生认为能够将他们对在线临床决策支持的使用与改善临床实践联系起来是有价值的。在线临床决策支持的循证资质、便利性和时间效率是最受重视的特征。用户还重视其内容不断更新这一事实。大多数人认为他们的机构应该付费,但愿意使用个人设备访问该内容。医生们也重视能够因使用该资源而获得继续职业发展学分。

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本文引用的文献

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Cost and value in e-learning: the perspective of the learner.电子学习中的成本与价值:学习者的视角
BMJ Simul Technol Enhanc Learn. 2018 Oct 4;4(4):201-202. doi: 10.1136/bmjstel-2017-000239. eCollection 2018.
2
The Prato Statement on cost and value in professional and interprofessional education.《普拉托关于专业及跨专业教育中的成本与价值的声明》
J Interprof Care. 2017 Jan;31(1):1-4. doi: 10.1080/13561820.2016.1257255.
3
Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries.为医生提供高质量信息:基于网络的即时医疗信息摘要的最新评估
J Med Internet Res. 2016 Jan 19;18(1):e15. doi: 10.2196/jmir.5234.
4
Clinical decision support systems.临床决策支持系统
Swiss Med Wkly. 2014 Dec 23;144:w14073. doi: 10.4414/smw.2014.14073. eCollection 2014.
5
Cost analyses approaches in medical education: there are no simple solutions.医学教育中的成本分析方法:没有简单的解决方案。
Med Educ. 2013 Oct;47(10):962-8. doi: 10.1111/medu.12214.
6
What is an adequate sample size? Operationalising data saturation for theory-based interview studies.什么是足够的样本量?基于理论的访谈研究中数据饱和的操作化。
Psychol Health. 2010 Dec;25(10):1229-45. doi: 10.1080/08870440903194015.