Department of Medical Library and Information Sciences, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Med Inform. 2020 Jul;139:104144. doi: 10.1016/j.ijmedinf.2020.104144. Epub 2020 Apr 18.
Physicians encounter a large number of questions during patient care. Therefore, finding high-quality evidence provides a good opportunity to improve patient care and continue learning.
The present study aims to obtain a comprehensive understanding of the physicians' clinical information-seeking behavior.
A systematic review was conducted according to the PRISMA guidelines. The Web of Science, PubMed, Scopus, ProQuest, Emerald, Wiley Online Library, Science Direct, Cochrane Library, and Embase databases were systematically searched based on the defined criteria. The inclusion criteria were the original articles in the context of patient care and full-text articles published in English from 2002 to 2017. The articles were reviewed, selected, and analyzed in group discussions.
Seventy-three articles met the study criteria. Therapy, diagnosis, and epidemiology ranked the highest ones among physicians' information needs. The mean frequency of questions raised during patient care was varied from 0.18 to 1.5 per patient, and the percentage of questions answered ranged between 22.8 and 93 %. The time taken to find the answers to the questions was between 2 to 32 min. Consultation with colleagues, alongside reviewing journal articles, Internet websites, textbooks, and MEDLINE/PubMed were the most frequently used sources reported in the retrieved articles. Further, common search strategies used by physicians included keywords, Boolean operators, similar medical terms, and advanced search. In addition, lack of time, and information searching skills and the unawareness of accessible sources were the most frequent barriers while easily searching and finding information and summaries and synthesized evidence-based materials mainly facilitated information seeking.
Physicians increasingly encounter clinical point-of-care questions. However, the facilitation of accessing online information sources has not enabled the physicians to find answers to many of their questions. Considering the fact that they often refer to colleagues, Internet websites, and databases to find answers, the quality of information should be improved by evaluating the physicians' information-seeking behavior in the first stage, and developing information technology in a point-of-care environment, integrating EHR systems to communicate with colleagues, and accessing databases in the second stage.
在患者护理过程中，医生会遇到大量问题。因此，寻找高质量的证据为改善患者护理和持续学习提供了良好的机会。
本研究旨在全面了解医生的临床信息检索行为。
根据 PRISMA 指南进行系统评价。根据既定标准，系统地检索了 Web of Science、PubMed、Scopus、ProQuest、Emerald、Wiley Online Library、Science Direct、Cochrane Library 和 Embase 数据库。纳入标准为患者护理背景下的原始文章和 2002 年至 2017 年发表的全文英文文章。对文章进行了回顾、选择和小组讨论分析。
73 篇文章符合研究标准。治疗、诊断和流行病学是医生信息需求中最高的。在患者护理过程中提出问题的平均频率从每位患者 0.18 到 1.5 不等，回答问题的百分比在 22.8%至 93%之间。找到问题答案所需的时间在 2 到 32 分钟之间。在检索文章中，与同事协商、查阅期刊文章、互联网网站、教科书和 MEDLINE/PubMed 是最常使用的来源。此外，医生常用的搜索策略包括关键词、布尔运算符、相似的医学术语和高级搜索。此外，缺乏时间、信息搜索技巧以及对可访问资源的不了解是常见的障碍，而方便地搜索和查找信息以及摘要和综合基于证据的材料主要促进了信息检索。
医生越来越多地遇到临床即时问题。然而，在线信息源访问便利性并没有使医生能够找到许多问题的答案。考虑到他们经常参考同事、互联网网站和数据库来寻找答案，因此在第一阶段应通过评估医生的信息检索行为来提高信息质量，并在第二阶段开发即时护理环境中的信息技术，整合电子健康记录系统与同事进行沟通，并访问数据库。
