Thompson M L
Institute for Academic Informatics, Allegheny University of the Health Sciences, Philadelphia, Pennsylvania 19102-1192, USA.
Bull Med Libr Assoc. 1997 Apr;85(2):187-92.
Primary care physicians use patient data, medical knowledge, logistic information, and population statistics. They rely on their personal knowledge to care for their patients, their top priority. When they seek information beyond this personal knowledge base, they frequently want information in the context of the care of a specific patient. They also continually add to their personal knowledge base. Less frequently, they seek logistic information and population statistics. For patient-specific questions, physicians most often seek medical facts or medical opinions. A physician may be persistent in seeking information if the patient's problem is perceived to be urgent and the doctor believes a definitive answer exists. Information resources for answering clinical questions should be readily available, familiar, and quick to use. Lifelong learning activities should also be readily available, and they should require a minimum of time, effort, and expense. Minimal cost in time and effort is particularly important when knowledge is sought as a part of ongoing medical learning, since there is less immediate benefit to balance the time and effort invested in information seeking.
初级保健医生会使用患者数据、医学知识、后勤信息和人口统计数据。他们依靠自身的知识来照顾患者,这是他们的首要任务。当他们寻求超出这个个人知识库的信息时,他们通常希望在特定患者的护理背景下获取信息。他们也在不断扩充自己的个人知识库。较少情况下,他们会寻求后勤信息和人口统计数据。对于特定患者的问题,医生最常寻求医学事实或医学观点。如果认为患者的问题很紧急且医生相信存在明确答案,医生可能会坚持不懈地寻求信息。用于回答临床问题的信息资源应该随时可用、熟悉且使用便捷。终身学习活动也应该随时可得,并且应该只需要最少的时间、精力和费用。当知识作为持续医学学习的一部分被寻求时,时间和精力成本最低尤为重要,因为在寻求信息时投入的时间和精力所获得的即时收益较少,难以平衡。