Winkler J D, Lohr K N, Brook R H
Arch Intern Med. 1985 Feb;145(2):314-7.
Assessments of medical technologies with respect to their efficacy, safety, and cost-effectiveness are expected to influence clinical practice, but they are often lost in an avalanche of medical information. We developed a conceptual model that may aid understanding of the potential impact on clinical practice of new medical information in general and assessment information in particular. The model identifies aspects of medical communication that may influence an assessment's subsequent impact, including sources, messages, channels, audiences, and settings. We reviewed the literature on how medical information diffuses to physicians and highlighted those factors likely to heighten physicians' awareness and decisions to incorporate recommended medical advances. We outlined implications for educational interventions and promising research directions.
对医疗技术的疗效、安全性和成本效益进行评估，旨在影响临床实践，但这些评估往往淹没在海量的医学信息中。我们开发了一个概念模型，该模型可能有助于理解新的医学信息，尤其是评估信息对临床实践的潜在影响。该模型确定了医疗沟通中可能影响评估后续影响的各个方面，包括信息来源、信息内容、传播渠道、受众和环境。我们回顾了关于医学信息如何传播给医生的文献，并强调了那些可能提高医生对推荐的医学进展的认识并促使他们做出采用决策的因素。我们概述了对教育干预措施的启示以及有前景的研究方向。
