Bowden V M, Kromer M E, Tobia R C
Briscoe Library, University of Texas Health Science Center at San Antonio 78284.
Bull Med Libr Assoc. 1994 Apr;82(2):189-96.
In 1990, a questionnaire was mailed to all physicians in four counties in the lower Rio Grande Valley of Texas and to a random sample of physicians in Bexar County, Texas (San Antonio). Two hundred and eighty of 573 Valley physicians (48.9%) and 162 of 273 Bexar County physicians (59.3%) responded to the survey, for an overall response rate of 52.2%. The two groups were compared primarily to determine differences between physicians who have access to established medical libraries and physicians who practice in remote areas without local access to medical information. Demographic variables, professional practice characteristics, and patient characteristics were compared. Information resource use, particularly reasons for use and non-use of MEDLINE, was explored. Questions also were asked about the availability of various types of information technology. The results indicated that differences in the health care profile did not affect the information usage of the physicians but that differences did exist between the two groups in the use of MEDLINE and libraries. There was no statistically significant difference in either group's rating of experience with using databases, with more than 40% in each group rating themselves as not at all experienced.
1990年,一份调查问卷被邮寄给了得克萨斯州里奥格兰德河谷下游四个县的所有医生,以及得克萨斯州贝克斯县(圣安东尼奥)的一个随机抽取的医生样本。里奥格兰德河谷的573名医生中有280名(48.9%)、贝克斯县的273名医生中有162名(59.3%)回复了调查,总体回复率为52.2%。主要对这两组进行比较,以确定能够使用现有医学图书馆的医生与在没有本地医学信息获取途径的偏远地区行医的医生之间的差异。比较了人口统计学变量、专业执业特征和患者特征。探讨了信息资源的使用情况,尤其是使用和不使用医学在线数据库(MEDLINE)的原因。还询问了各种类型信息技术的可用性问题。结果表明,医疗保健概况的差异并未影响医生的信息使用情况,但两组在医学在线数据库和图书馆的使用方面确实存在差异。两组在使用数据库的经验评级上没有统计学上的显著差异,每组中超过40%的人将自己评为完全没有经验。