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1.
Background and objectives: The main objective of this paper is to determine the frequency of doctors’ clinical information needs using Clinical Librarians as data collectors, focusing on the UK acute sector. Additionally, the frequency of questions followed‐up by Clinical Librarians was determined. The information needs of doctors have been investigated in other countries, particularly the USA, but not in the UK. Clinical Librarians have not been utilized as data collectors in any previous studies. Method: Clinical Librarians counted clinical questions posed by doctors in clinical settings. Results: The Clinical Librarians counted 286 questions from 655 doctors discussing 1210 patient cases. This represents approximately one question for every four patients. Conclusion: Clinical Librarians can collect data to identify the number of information needs doctors have, but this was more successful when the Clinical Librarian was experienced and an established part of the clinical team.  相似文献   

2.
AIMS: As part of the strategy to set up a new information service, including a physical Resource Centre, the analysis of information needs of clinical research professionals involved with clinical research and development in the UK and Europe was required. It also aimed to identify differences in requirements between the various roles of professionals and establish what information resources are currently used. METHODS: A user-needs survey online of the members of The Institute. Group discussions with specialist subcommittees of members. RESULTS: Two hundred and ninety members responded to the online survey of 20 questions. This makes it a response rate of 7.9%. Members expressed a lack of information in their particular professional area, and lack the skills to retrieve and appraise information. DISCUSSION: The results of the survey are discussed in more detail, giving indications of what the information service should collect, what types of materials should be provided to members and what services should be on offer. RECOMMENDATION: These were developed from the results of the needs analysis and submitted to management for approval. Issues of concern, such as financial constraint and staff constraints are also discussed. CONCLUSIONS: There is an opportunity to build a unique collection of clinical research material, which will promote The Institute not only to members, but also to the wider health sector. Members stated that the most physical medical libraries don't provide what they need, but the main finding through the survey and discussions is that it's pointless to set up 'yet another medical library'.  相似文献   

3.
A nationwide survey study was conducted to gain understanding as to how to prepare public librarians for consumer health information service. Findings indicate that the popular health information needs encountered by public librarians cover a wide variety of topics, including the human body, a medical/health condition, a disease, a medical concept, and fitness/diet/nutrition. The top two challenges faced by public librarians when providing consumer health information service are difficulty in interpreting patrons' questions and lack of knowledge about available and trusted/appropriate medical/health information sources. Public librarians wish to receive training on a number of topics that could help address the challenges they face, and the most favorable training format for them, among all the options provided in the survey, is the self-paced online tutorial. This study constitutes the basis for establishing training requirements and developing training programs to meet the needs of public librarians. Their mastery of the necessary skills, knowledge and competencies via training will lead to effective and efficient delivery of consumer health information service in public libraries, and ultimately generate optimal patron experiences.  相似文献   

4.
The paper describes a prototype information environment designed to link network-based information resources in an integrated fashion and thus enhance the information capabilities of an academic medical center. The prototype was implemented on a single Macintosh computer to permit exploration of the overall "information architecture" and to demonstrate the various desired capabilities prior to full-scale network-based implementation. At the heart of the prototype are two components: a diverse set of information resources available over an institutional computer network and an information sources map designed to assist users in finding and accessing information resources relevant to their needs. The paper describes these and other components of the prototype and presents a scenario illustrating its use. The prototype illustrates the link between the goals of two National Library of Medicine initiatives, the Integrated Academic Information Management System (IAIMS) and the Unified Medical Language System (UMLS).  相似文献   

5.
6.
介绍了解放军总参谋部总医院(原解放军第309医院)图书馆应对非战争军事行动医学信息服务工作的做法,提出了亟待加强和改进的地方,如增强主动服务意识,制定应急服务预案,加紧信息服务系统建设等。  相似文献   

7.
Objectives: For general practitioners (GPs), an important obstacle to practising evidence‐based medicine is lack of time. An evidence‐based answering service was developed that took over searching and appraisal of medical evidence from the GPs. GPs sent in questions, and the informationist formulated the answers. Our objectives were to find out if such an evidence‐based answering service was feasible, including assessing the effect of the answers on GPs and their patients, as reported by the GPs. Methods: After attending a workshop on building well‐formulated questions from daily practice, the GPs sent in questions to the informationist. The literature was searched, the relevant information was appraised, and the answers to the questions were formulated. With a questionnaire, the effect of the answers on the GP and the patient was assessed, as well as the perceived barriers to implementing the answers. Results: From 26 GPs, 61 questions were received. For 12% of questions, information was found with the highest evidence level, while for 36%, no information was found. However, for 89% of the questions for which no information could be found, the answer ‘no information found’ did have an effect on the GP concerned. In total, 81% of all the answers had an effect on the GP, and, according to the GP, 52% had an effect on the patient. Few barriers to implementing the evidence were perceived. Most of the answers were found in Pubmed/Medline, the Cochrane Library and Embase. Conclusions: This study indicates that an evidence‐based answering service can have an impact on GPs and their patients. Librarians can provide an evidence‐based answering service for GPs and their patients. The evidence‐based answering service for GPs in this study had an impact on 81% of the GPs and on 52% of their patients. Although for one‐third of the questions no evidence‐based answer was found, this message in itself had an impact on 89% of the GPs. An informationist as mediator between medical information and doctors can save doctors’ time.  相似文献   

8.
图书馆的基本功能是信息保障和信息服务。医院图书馆是医学科技文献的基地,是提高医院的医疗、教学、科研、管理水平的重要支柱,是医院文化建设和继续教育以及现代化建设的重要阵地,应从力争医院全方位的支持、加强学科建设、深化服务和数字化资源建设,引进复合型人才以及创新服务模式。  相似文献   

9.
区域性医学信息资源共享是国家信息资源共享的重要组成部分,如何对信息资源共享的经济效益进行测度一直是理论和学术界研究的难点。为合理配置资源,实现医学信息资源的共建共享提供参考,本文运用信息资源共享效益理论。从信息产品、信息服务的角度,分析了不同层面的信息资源共享的建设成本及产生的经济效益。  相似文献   

10.
Medical information needs were examined in a survey of sixty-seven physicians selected from the faculty and housestaff at Johns Hopkins Hospital. A standardized questionnaire was administered personally by a medical informatics physician to collect data on information needs, attitudes, and previous experience with computers. The types of information most frequently required by both faculty and housestaff were treatment recommendations and differential diagnosis. The sources of reference information most commonly used were textbooks and colleagues. The information needs of housestaff differed significantly in several categories from those of faculty physicians. Housestaff more frequently needed information for patient care (P less than 0.05), and preferred the use of textbooks (P less than 0.01) and handbooks (P less than 0.001) as information sources. Faculty more frequently needed information for activities unrelated to patient care (P less than 0.01) and placed greater importance on basic science information (P less than 0.01). When asked to suggest references for online access, the respondents named 143 journals and textbooks, with journals overwhelmingly preferred over textbooks. Only one reference, the New England Journal of Medicine, was requested by a majority of the respondents. The importance of a broad understanding of physician information needs through improved data-collection techniques is discussed as a means of increasing the use of medical information systems.  相似文献   

11.
概述了四川省医学情报研究所围绕卫生中心工作,加强医学信息学科建设、促进学科持续发展的创新实践过程,探讨了医学信息机构做好知识服务的具体途径和成果。  相似文献   

12.
Health InfoNet of Jefferson County is a new collaborative consumer health information service of the Jefferson County public libraries and the UAB Lister Hill Library of the Health Sciences. Working with the input and cooperation of local voluntary health agencies, health care professionals and other health information providers, the intent is to improve the efficiency with which consumers might access such information while avoiding duplication of effort on the part of the information providers. Various considerations in InfoNet's mission include providing service not only to established library and Internet users, but also those on the other side of the "digital divide" as well as those with low literacy skills or English as a second language. The role of health care professionals in guiding their patients to the best consumer health information resources is emphasized.  相似文献   

13.
The Vanderbilt University paper discusses how the Eskind Biomedical Library at Vanderbilt University Medical Center transitioned from a simplistic approach that linked resources to the institutional electronic medical record system, StarPanel, to a value-added service that is designed to deliver highly relevant information. Clinical teams formulate complex patient-specific questions via an evidence-based medicine literature request basket linked to individual patient records. The paper transitions into discussing how the StarPanel approach acted as a springboard for two additional projects that use highly trained knowledge management librarians with informatics expertise to integrate evidence into both order sets and a patient portal, tlibrednaV@htlaeHyM.The Vanderbilt University Eskind Biomedical Library (EBL) has a long history of integrating evidence into clinical teams. More recently it has adapted this expertise into a more scalable approach that allows the integration of evidence into existing medical informatics tools. This paper discusses the institution''s experiences in integrating librarian-filtered evidence into informatics tools and processes, using several examples to illustrate how its knowledge management (KM) team has proactively embedded evidence provision services into the clinical care environment.  相似文献   

14.
The purpose of this study was to determine if a computerized commercial selective dissemination of information service could contribute to the services offered to the patrons of a specific medical library who were already participating in a manual selective dissemination of information service. The citations generated by the two services were contrasted on the basis of literature coverage, timeliness of retrieval, and relevancy of output. Eighty-four percent of the discrete citations retrieved were from 664 periodicals subscribed to by both services. Only 16 percent of the total of 1,387 discrete citations were produced by both services. The manual service was more timely; and, although it produced fewer citations, a higher percentage of these were relevant. Numerically, a total of 346 useful citations were recovered by the manual service and 379 from the commercial service. It appears, therefore, that a computerized commercial SDI service could contribute to the services offered to the medical scientists participating in a manual SDI service.  相似文献   

15.
网络环境下预防医学专业图书馆信息资源建设和信息服务   总被引:20,自引:0,他引:20  
杜云祥  郝俊勤 《图书馆论坛》2003,23(1):73-75,78
我国预防医学专业图书馆馆藏资源严重不足,工作方式落后,信息资源的开发利用和信息服务缺乏规范和保障,严重制约了我国预防医学专业图书馆的信息资源建设,在网络化环境下,预防医学专业图书馆信息服务的特点是服务对象社会化,内容多样化和方式现代化,因此,预防医学专业图书馆的工作重点是信息资源建设和深化信息服务。  相似文献   

16.
As a basis for thoughts on the roles of reference books and computerized information services in general, a comparison is made of the value to medical libraries of a comprehensive reference tool (the new dual media publication Biomedical Research in Progress) and a comprehensive information center file (the Smithsonian Science Information Exchange, the national resource for information on research in progress). It is concluded that a detailed reference tool which is physically present for library users has several advantages, in particular the provision of both detailed and comprehensive retrieval of all biomedical research information at substantially less annual cost and with faster access time than is possible with comparable questions put to an information center. On the other hand, the information center is able to provide more up-to-date material in more flexible combinations. The recommendation is made that medical libraries avoid treating the comprehensive reference tool and the computerized information file as alternatives and instead view both as necessary and complementary to each other.  相似文献   

17.
AIM OF STUDY: The primary focus of this pilot study was to gain a better understanding of the information needs of emergency-care clinicians. The secondary focus was to compare the traditional current practice of information provision within other emergency departments in Greek hospitals, with the new model of clinical librarianship (CL). RATIONALE: Clinical staff in the emergency department deal with a variety of cases, they have no time to visit the library, but need information instantly in their place of work. Clinical decision making in the emergency department setting frequently requires the clinician to obtain additional sources of information and clinical librarians may facilitate this. STUDY DESIGN: The present study focused on two professional groups: medical librarians (group A) and clinicians (consultants, senior registrars, registrars, nurses (group B), working in the emergency departments of two Greek hospitals. The study was organized through a questionnaire survey and some in-depth interviews. RESULTS: This study showed that, for 100% of the clinicians in daily practice, the main information needs arise while treating patients, and that information would help in making patient-care decisions. Clinicians made little use of hospital libraries because they are usually under tremendous time pressure. The main outcome of the study was the use of a clinical librarian as an information provider. Clinical librarians supply information to assist decisions, based on this model. This extends the librarian's role in evidence-based medicine, giving much stronger attention to the relevant evidence in clinical practice. CONCLUSIONS: Nowadays, health services are facing organizational change. The introduction of new technology, and rapid growth of medical knowledge creates a demand for new ways of providing information. Clinical librarian programmes may deliver patients specific information in a timely manner. The mission of the clinical librarian is to facilitate access to quality information which is necessary for improving health, and to act as an informationist in the emergency department.  相似文献   

18.
军队医院图书馆在突发事件中的图书情报作用日益重要,本文结合兰州军区乌鲁木齐总医院的实践介绍了开展突发事件中医学图书情报工作的前期准备,阐述了开展突发事件中医院图书情报工作的具体方案和信息服务的具体措施。  相似文献   

19.
A recent line of e-government research has emphasized the importance of interorganizational information sharing in the public domain. This research extends these information-sharing dimensions to explore information sharing relative to service performance. It utilizes a time-critical information services (TCIS) conceptual framework as an analytical lens. TCIS highlights multiple dimensions of information sharing, including operational, organizational, and governance factors as well as timeliness and quality as key performance metrics. A case study approach was employed to examine the exchange of performance-related information in a key time information critical service: a county-wide emergency medical services (EMS) system. The paper first explains the theoretical foundations for the study, stemming from interorganizational systems (IOS) literature, e-government IOS, and even more specifically, IOS in emergency medical services (EMS). The paper discusses performance measures in EMS, describes the TCIS analytical lens, the study methodology, and the case study under investigation. Case study findings are reported along operational, organizational, and governance dimensions. In general, the case study illustrates promising factors that can enhance information sharing across organizations, while noting that considerable gaps remain in achieving an end-to-end IT-enabled performance approach. Future research should aim to better understand how to overcome these gaps, including addressing the usability constraints that can confront professionals working in time information critical circumstances, such as trauma conditions.  相似文献   

20.
OBJECTIVES: Despite the growing use of online databases by clinicians, there has been very little research documenting how effectively they are used. This study assessed the ability of medical and nurse-practitioner students to answer clinical questions using an information retrieval system. It also attempted to identify the demographic, experience, cognitive, personality, search mechanics, and user-satisfaction factors associated with successful use of a retrieval system. METHODS: Twenty-nine students completed questionnaires of clinical and computer experience as well as tests of cognitive abilities and personality type. They were then administered three clinical questions to answer in a medical library setting using the MEDLINE database and electronic and print full-text resources. RESULTS: Medical students were able to answer more questions correctly than nurse-practitioner students before and after searching, but both had comparable improvements in the number of correct questions before and after searching. Successful ability to answer questions was also associated with having experience in literature searching and higher standardized test-score percentiles. CONCLUSIONS: Medical and nurse-practitioner students obtained comparable benefits in the ability to answer clinical questions from use of the information retrieval system. Future research must examine strategies that improve successful search and retrieval of clinical questions posed by clinicians in practice.  相似文献   

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