Perceived influence of different information sources on the decision-making of internal medicine house staff and faculty.
Perceived influence of different information sources on the decision-making of internal medicine house staff and faculty.
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不同信息源对内科医务人员决策的感知影响。
DOI：
10.1016/0277-9536(82)90032-6
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发表时间：
1982
期刊：
影响因子：
--
通讯作者：
McDonald,CJ
中科院分区：
文献类型：
--
作者：
Cohen,SJ;Weinberger,M;Mazzuca,SA;McDonald,CJ
为了确定不同来源的信息对常见医疗决策的影响程度，10 名实习生、22 名高级住院医师和 9 名普通内科医生评估了院内工作人员、普通内科医生、亚专科医生、会议、期刊阅读和过去经验对其一级预防（疫苗接种）、二级预防（筛查）和药物治疗决策的影响程度。对其问卷数据的方差分析支持以下结论：不同培训阶段的医生依赖的信息来源不同；随着医生在培训方面的进步，通才的影响力减弱，而专科医生的影响力则增加；亚专科医生和过去的经验被认为主要影响治疗决策；初级预防似乎最不受主流信息来源的影响；人们对阅读的偏好很早就开始了，并随着医生培训的进步而增加。这些数据表明，设计有效的医学教育需要考虑医生的培训水平和医疗决策的性质。
To determine the extent to which different sources of information are perceived to influence common medical decisions, 10 interns, 22 senior residents and 9 faculty general internists rated the degree of influence of house staff, general internists, subspecialists, conferences, journal reading and past experience on their decisions concerning primary prevention (vaccination), secondary prevention (screening) and drug therapy. Analysis of variance of their questionnaire data supports the following conclusions: physicians at different stages of training rely on different sources of information; as physicians advance in training the influence of generalists wanes while that of subspecialists increases; subspecialists and past experience are perceived as primarily affecting therapeutic decisions; primary prevention appears least subject to influence by prevailing information sources; and the preference for reading begins early and increases as physicians advance in training. These data suggest that designing effective medical education requires considering the level of the physician's training and the nature of the medical decision.