Stross J K, Harlan W R
JAMA. 1981;246(4):360-2.
The timely dissemination of new medical information to the practicing physician has been identified as a problem. To examine the magnitude of this problem and useful strategies for correction, we surveyed primary care physicians to determine their knowledge of the Hypertension Detection and Follow-up Program, a recent clinical trial with important treatment implications. Forty percent of family physicians (44/110) were aware of the study within two months of publication, and 63% of internists (114/182) learned of it within six months. Eighty percent of the family physicians and 50% of the internists listed medicine journals as the source of their knowledge, while 40% of the internists learned of it from continuing medical education (CME) courses. These findings indicate that rapid dissemination of new information can occur when relevant journals are used and that CME courses also provide a timely and effective means of dissemination.
及时向执业医师传播新的医学信息已被视为一个问题。为了研究这个问题的严重程度以及有效的纠正策略,我们对基层医疗医生进行了调查,以确定他们对高血压检测与随访项目的了解情况,该项目是一项近期具有重要治疗意义的临床试验。40%的家庭医生(44/110)在该研究发表后的两个月内知晓了此项研究,63%的内科医生(114/182)在六个月内了解到了该研究。80%的家庭医生和50%的内科医生将医学期刊列为他们获取知识的来源,而40%的内科医生是从继续医学教育(CME)课程中得知该研究的。这些发现表明,当使用相关期刊时,新信息能够迅速传播,并且继续医学教育课程也提供了一种及时且有效的传播方式。