Access & Training for Rural and Inner City Practitioners

描述(由申请人提供)： 纽约州西部农村地区健康教育中心(R-AHEC)将与罗切斯特大学的Edward G.Miner图书馆和罗切斯特综合医院的Werner健康服务图书馆合作，促进6个县地区13家诊所的农村和市中心从业者获取医疗信息。目标是确保卫生保健专业人员能够访问并知道如何使用NLM数据库和数字图书馆，以便他们能够为患者提供高质量的护理。具体目标包括：1)如果需要，提供设备、安装和互联网接入；2)为每个诊所提供Loansome Doc账户，由Miner或Werner免费提供；3)为每个诊所的卫生保健专业人员和管理人员提供实践培训和后续支持，使用PubMed、Loansome Doc和MedlinePlus，以及使用当地数字图书馆的额外培训；4)通过教育处方分配，鼓励诊所导师和医学生之间就医疗信息的实际使用进行交流；5)在2个地点开展试点项目，向完成数字图书馆培训课程的医师讲师提供个人数字助理(PDA)、PDA软件及其使用指导。农村和服务不足地区的卫生服务提供者可能会与同事和当前的医疗信息隔绝。根据他们的情况，在线获取信息是理想的。参与该项目的13家诊所要么在卫生专业人员短缺地区(5家诊所)，要么为医疗补助客户或其他保险不足或未参保的患者提供服务；11家诊所在农村地区，2家在市中心。虽然这些诊所有用于行政管理的计算机，但很少有提供者能够访问计算机来查找医疗信息。尽管7家诊所是罗切斯特综合医院巡回图书馆计划的成员，7家诊所的医生为罗切斯特大学医科学生提供服务，但大多数接受调查的提供商并不知道可用的信息选项。所有参与的诊所都致力于为提供者提供必要的时间，让他们学习如何使用这些资源。

DESCRIPTION (provided by applicant): The Western NY Rural Area Health Education Center (R-AHEC) will collaborate with University of Rochester's Edward G. Miner Library and Rochester General Hospital's Werner Health Services Library to facilitate access to medical information for rural and inner-city practitioners at 13 clinics in a 6-county region. The goal is to ensure that health care professionals have access to and know how to use NLM databases and digital libraries, so that they can provide quality care for patients. Specific aims include: 1) provide equipment, installation, and Internet access, if needed; 2) provide a Loansome Doc account for each clinic with free delivery from Miner or Werner; 3) provide hands-on training and follow-up support for health care professionals and administrative staff onsite at each clinic in the use of PubMed, Loansome Doc, and MedlinePlus, as well as additional training in using local digital libraries; 4) encourage communication about the practical use of medical information between the clinics' preceptors and medical students, using an Educational Prescription assignment; 5) conduct a pilot project at 2 sites by providing Personal Digital Assistants (PDAs), PDA software, and instruction in their use to physician preceptors who complete the digital library training session. Health providers in rural and underserved areas can become isolated from colleagues and current medical information. Accessing information online is ideal for their situation. The 13 clinics participating in this project are either in Health Professional Shortage Areas (5 clinics), or serve Medicaid clients or other underinsured or uninsured patients; 11 clinics are in rural areas, and 2 in the inner city. Although these clinics have computers for administrative uses, very few providers have computer access for finding medical information. Although 7 clinics are members of Rochester General Hospital's Circuit Librarian program, and physicians at 7 clinics precept University of Rochester medical students, most providers surveyed were not aware of the available information options. The participating clinics all are committed to dedicating the necessary time for providers to learn how to use these resources.