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英国临床医生在护理点何处寻找信息?一项务实的探索性研究。

Where do UK clinicians find information at the point of care? A pragmatic, exploratory study.

机构信息

School of Medicine, University of St Andrews, St Andrews, KY16 9TF, UK.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Oxford, Observatory Quarter, Woodstock Rd, OX2 6GG, UK.

出版信息

BMC Prim Care. 2024 Oct 23;25(1):376. doi: 10.1186/s12875-024-02627-7.

Abstract

AIM

To describe where clinical information is contemporarily and commonly found in UK primary care, what is favoured by clinicians, and whether this is (1) publicly funded (2) has commercial potential conflicts of interest.

DESIGN AND SETTING

A mixed methods study, consisting of (1) site visits to general practices in Scotland, (2) online questionnaire, focused on UK general practice (3) analysis of materials cited by professionals.

METHODS

Data about sources of clinical information used was obtained verbally, visually and via search histories on computers from visits. This was used to inform a questionnaire in which primary care clinicians in the four nations of the UK were invited to participate. This obtained data about the information sources used and preferred by clinicians. This information was searched for data about funding and conflicts of interest.

RESULTS

Over 2022, four practices were visited. 337 clinicians, 280 of whom were general practitioners completed an online questionnaire. 136 different resources were identified. These were mainly websites but sources of information included colleagues, either in practice or through online networks, apps, local guidelines, health charities, and learning resources aimed at GPs. Of these, 70 were not publicly funded, and were a mixture of membership organisations, charities, or sponsored venues.

CONCLUSIONS

Primary care clinicians obtain information for themselves and patients from a wide variety of sources. Funding is from a variety of sources and some contain advertising and/or sponsorship, risking commercial bias.

PROTOCOL

Pre-published at https://osf.io/wrzqk .

摘要

目的

描述临床信息在英国初级保健中当前和常见的位置,临床医生偏好哪些信息,以及这些信息是否(1)由公共资金资助,(2)存在商业利益冲突。

设计和设置

一项混合方法研究,包括(1)对苏格兰的普通实践进行现场访问,(2)在线问卷调查,重点是英国的普通实践,(3)对专业人员引用的材料进行分析。

方法

通过现场访问,口头、视觉和计算机搜索历史记录获取有关使用的临床信息来源的数据。这被用于为一个问卷提供信息,邀请英国四个国家的初级保健临床医生参与。该问卷获取了临床医生使用和偏好的信息来源的数据。这些信息被搜索有关资金和利益冲突的数据。

结果

在 2022 年期间,访问了四家实践。337 名临床医生,其中 280 名为全科医生,完成了在线问卷。确定了 136 种不同的资源。这些资源主要是网站,但信息来源包括同事,无论是在实践中还是通过在线网络、应用程序、当地指南、健康慈善机构和针对全科医生的学习资源。其中,70 种资源不由公共资金资助,是会员组织、慈善机构或赞助场所的混合体。

结论

初级保健临床医生从各种来源为自己和患者获取信息。资金来源多种多样,其中一些包含广告和/或赞助,存在商业偏见的风险。

协议

https://osf.io/wrzqk 上预先发布。

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