Haynes R B, McKibbon K A, Fitzgerald D, Guyatt G H, Walker C J, Sackett D L
Ann Intern Med. 1986 Nov;105(5):810-6. doi: 10.7326/0003-4819-105-5-810.
Access to the medical literature through personal computers is now readily available and can greatly reduce logistical barriers to using recently published journal articles to support clinical decisions. In this article, we describe many of the options available to clinicians who wish to do their own computer searching of MEDLINE, the largest of the electronic services for the biomedical literature. The "bare bones" computer equipment needed includes a terminal or personal computer, a modern and telephone line, and a printer. Access to MEDLINE is then gained through subscribing to any of a burgeoning number of database vendors. A comparison of 17 permutations and combinations of software and vendors shows that the software and vendors vary substantially in efficiency, cost, and ease of use. Direct subscription to MEDLINE is least expensive, PaperChase is the simplest service to use, and Colleague and Medis provide both MEDLINE access plus full-text journals online. Basic search techniques are illustrated for three clinical problems.
现在通过个人电脑获取医学文献很容易，这可以大大减少获取最近发表的期刊文章以支持临床决策的后勤障碍。在本文中，我们描述了许多可供希望自己在MEDLINE（最大的生物医学文献电子服务）上进行计算机检索的临床医生使用的选项。所需的“基本”计算机设备包括一台终端或个人电脑、一个调制解调器和电话线以及一台打印机。然后通过订阅众多新兴的数据库供应商中的任何一家来访问MEDLINE。对17种软件和供应商的排列组合进行比较表明，软件和供应商在效率、成本和易用性方面有很大差异。直接订阅MEDLINE最便宜，PaperChase是最容易使用的服务，而Colleague和Medis既提供MEDLINE访问，又提供在线全文期刊。针对三个临床问题阐述了基本的检索技术。
