PILOT SITE STUDY OF A JOURNAL ARTICLE MANAGEMENT SYSTEM

医生面临着超负荷的医疗信息。 数量 医学期刊，这是大多数人首选的信息来源， 在过去的世纪里， 尽管如此 数量增加，没有商业上可用的信息 期刊论文管理系统。 国家创新系统开发了一套管理系统，包括指标体系、 存档系统，以及最近出版的持续订阅服务， 八种主要内科期刊的加密重印本 的 服务为医生创建了一个个人参考图书馆， 按主题排列的文章。 然后可以检索相关文章 当医生需要阅读患者的 问题. 原型NIS主系统尚未经过实地测试。 我们提出了一个 在六个试点地点进行阶段可行性研究，包括内科 居住计划和忙碌的医生在农村和城市地区的做法。 具体目标是确定该系统是否可作为“独立”系统使用， 在没有计算机技术的实际地点，或作为桥梁， 在可访问电子文献目录的站点进行MEDLINE检索 感恩医学（Grateful Med） 我们还计划研究信息获取和 医生在各种实践场所的使用行为。

Physicians are faced with an overload of medical information. The number of medical journals, which are the preferred source of information for most physicians, has grown exponentially over the past century. Despite this increase in volume, there is no commercially available information management system for journal articles. NIS has developed a management system that consists of an index system, a filing system, and an on-going subscription service to recently published, coded reprints from the eight major journals in internal medicine. The service creates a personal reference library for the physician, with articles arranged by topic. Relevant articles can then be retrieved quickly and easily when the physician needs to read about a patients's problem. The Prototype NIS Master System has not been field-tested. We propose a Phase feasibility study at six pilot sites, comprised of internal medicine residency programs and busy physician practices in rural and urban areas. Specific aims are to determine if the system may be used as a "stand-alone" in practice locations without access to computer technology, or as a bridge to MEDLINE searches at sites with access to electronic bibliographic systems (Grateful Med). We also plan to study the information access and usage behavior of physicians in a variety of practice locations.