頁籤選單縮合
題 名 | 醫師對醫學資料庫的認識與使用調查=A Survey of Physicians' Knowledge and Usage of the Medical Database |
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作 者 | 游命可; 黃靜宜; 賴鈺嘉; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 11:3 2001.09[民90.09] |
頁 次 | 頁128-138 |
分類號 | 419.21 |
關鍵詞 | 醫師; 醫學資料庫; EBM; Evidence-Based medicine; Medical database; Clinical physicians; General practice; |
語 文 | 中文(Chinese) |
中文摘要 | 彰化基督教醫院自1996年7月成立“EBM推動小組”,1998年7月設立“證據醫學中心”,努力推廣證據醫學,至今已逾五年。本研究之目的是想要瞭解目前彰基院內醫師對醫學資料庫的認識與使用之情形,希望藉此調查本院推行醫學資料庫之教育是否有不足之處,據以改進檢討。 本研究採問卷方式進行,對象為全院之主治醫師、住院醫師及實習醫師共482人。由受訪者自行填寫問卷。問卷發放及回收期間自民國九十年三月一日至民國九十年五月三十一日止,共計三個月。問卷內容分三大部分:(一)基本資料:包括出生年月(年齡)、到職年月(年資)、科別、職級與性別。(二)資料庫:針對Internet及三個醫學資料庫Cochrane Library,PubMed-free Medline,OVID逐項詢問其認識與使用之情形。(三)證據醫學:瞭解受訪者對本院院內推行證據醫學相關組織與課程的認識及參與情況。 回收之有效問卷共247份,回覆率51%。研究結果:(1)針對Internet之使用狀況,有98.4%受訪者表示“會使用”,有97.6%表示“有辦法在醫院使用”。(2)使用PubMed-free Medline 的普及率、可近性與使用率都高於OVID與Cochrane Library。(3)年資五年及以上的受訪者回答“知道Cochrane Library”的比例顯著高於年資較少的受訪者。(4)年資五年及以上的受訪者,回答“使用過Cochrane Library”的比例顯著高於年資較少的受訪者。(5)對於“如果想使用時,有辦法使用到Cochrane Library ”,主治醫師回答“可以”的比例與住院醫師、實習醫師有顯著差異。(6)曾經上過證據醫學相關課程的受訪者,表示“有辦法在醫院使用Internet”的比例、表示“知道Cochrane Library”的比例、“想使用時,有辦法使用到Cochrane Library”的比例、“使用過Cochrane Library”的比例、“想使用時,有辦法使用到PubMed-free Medline”的比例,都顯著高於“不曾”上過課程的受訪者。 結論:一、本院的醫師大都具備網路醫學資料庫使用之能力。二、設備與政策之問題會影響醫學資料庫使用的可近性與認識。三、目前我們努力的方向:短程目標是提昇醫學資料庫使用的可近性;中長程目標則希望將來能發揮網路醫學資料庫,不易受空間、時間限制的特性,進一步作為基層醫療醫師繼續教育、遠距教學及自我進修的一大助力。 |
英文摘要 | The Evidence Based Medicine Promoting Group (July 1996) and the Evidence Medicine Center (July 1998) were founded to popularize Evidence-based Medicine in Changhua Christian Hospital. The purposes of this study were to observe doctors' understanding and use of the medical database, to discover any shortcomings in the education aspect of the database (i.e. Evidence-based Medicine related courses), to analyze the shortcomings, and to recommend improvements based on the analysis. Four-hundred-and-eighty-two subjects, including attending and resident physicians and interns, participated in this study. The subjects were issued a self-report questionnaire on March 1, 2000, and were asked to return it by May 31, 2000. The questionnaire was composed of three sections. The first section, demographics, was designed to obtain basic demographic information, such as birth month and year (age), duty month and year (past service), department, position, sex, and so on. The second section, popularity of databases, was designed to obtain information on subjects' use and preference of three databases (i.e., Cochrane Library, PubMed, and OVID) and the Internet. The third section was designed to obtain information on subjects' familiarity with the Evidence Medicine Center and their experience in taking Evidence Medicine-related courses to facilitate their use of the Cochrane Library, PubMed, and OVID medical databases. Two-hundred-forty-seven questionnaires were completed and collected, making the reply rate 51 percent. The results from the questionnaires showed that: (1) 98.4 percent of subjects considered themselves capable of using the Internet and 97.6 percent indicated that they “had the means to use the Internet in the hospital.” (2) The popularity, approachability, and usage rates of PubMed were higher than those for Ovid and Cochrane Library. (3) For the question of “know Cochrane Library,” the rate of subjects with longer past service was significantly higher than the rate of subjects with less past service. (4) For the question of “have experience using Cochrane Library,” the rate of subjects with longer past service was significantly higher than the rate of subjects with less past service. (5) For the question of “have access to Cochrane Library when needed,” the rate of the attending physicians replying “yes” was significantly higher than the rate of resident physicians and interns. (6) For the questions of “have means to use the Internet in the hospital,” “know Cochrane Library,” “have access to Cochrane Library when needed,”the rates were higher for subjects who had taken the Evidence-based Medicine related courses than the subjects who had not taken the courses. Conclusion: (1) Almost all of the doctors at Changhua Christian Hospital had access to and had the ability to use the Internet medical databases. (2) The matters of equipment and policy can influence the approachability and knowledge of the medical databases. (3) Our short-term goal is to make medical databases more easily accessible. Our median and longer-term goals are to use the characteristics of Internet medical databases unrestricted by space & time to enhance continuing education, tele-education, and self-training for primary level physicians. |
本系統中英文摘要資訊取自各篇刊載內容。