Analysis of questions asked by family doctors regarding patient care
Analysis of questions asked by family doctors regarding patient care
复制标题
DOI：
10.1136/bmj.319.7206.358
复制
发表时间：
1999-08-07
影响因子：
--
通讯作者：
Evans, ER
中科院分区：
文献类型：
--
作者：
Ely, JW;Osheroff, JA;Evans, ER
目的通过收集家庭医生在会诊期间询问的关于病人护理的问题来描述家庭医生的信息需求特征，并以对知识库开发人员有用的方式对这些问题进行分类。设计观察性研究，研究人员访问医生两天半天，收集他们的问题。分类法被开发来描述临床主题和为每个问题寻求的一般类型的信息。爱荷华州东部。研究对象随机抽取103名家庭医生。提出、追求和回答的问题数量；为每个问题寻求的主题和一般类型的信息；花在寻求答案上的时间；使用的信息资源。结果参与者共问了1101个问题。关于药物处方、妇产科和成人传染病的问题最为常见，占所有问题的36%。通用性问题的分类包括69类；三种最常见的类型，占所有问题的24%，是“症状X的原因是什么？”“X的剂量是多少？”以及“我应该如何处理疾病或找到X?”大多数问题（702,64%）没有立即得到答案，但在这些问题中，大多数（318,80%）得到了答案。医生平均花费不到2分钟的时间来寻找答案，他们使用了现成的打印材料和人力资源。只有两个问题导致了正式的文献检索。结论本研究中的家庭医生对他们的大部分问题没有追求答案。关于病人护理的问题可以被组织成有限数量的通用类型，这可以帮助指导知识库开发人员的工作。
Objectives To characterise the information needs of: family doctors by collecting the questions they asked about patient care during consultations and to classify these in ways that would be useful to developers of knowledge bases.Design Observational study in which investigators visited doctors for two half days and collected their questions. Taxonomies were developed to characterise the clinical topic and generic type of information sought for each question.Setting Eastern Iowa.Participants Random sample of 103 family doctors.Main outcome measures Number of questions posed, pursued, and answered; topic and generic type of information sought for each question; time spent pursuing answers; information resources used.Results Participants asked a total of 1101 questions. Questions about drug prescribing obstetrics and gynaecology, and adult infectious disease were most common and comprised 36% of all questions. The taxonomy of generic questions included 69 categories; the three most common types, comprising 24% of all questions, were "What is the cause of symptom X?" "What is the dose of drug X?" and "How should I manage disease or finding X?" Answers to most questions (702, 64%) were not immediately pursued, but, of those pursued, most (318, 80%) were answered. Doctors spent an average of less than 2 minutes pursuing an answer, and they used readily available print and human resources. Only two questions led to a formal literature search.Conclusions Family doctors in this study did not pursue answers to most of their questions. Questions about patient care can be organised into a limited number of generic types, which could help guide the efforts of knowledge base developers.