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Modeling the consumer health information-seeking behaviors of primary care physicians who treat elderly depressed patients and their caregivers.

机译：对治疗老年抑郁症患者及其护理人员的初级保健医生的消费者健康信息寻求行为进行建模。

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Objective. Physicians' clinical information-seeking behaviors have been a major target of investigation among the LIS, IS, and biomedical informatics professions for the past twenty or more years. Practicing evidence-based medicine (EBM) has become an expected standard in current health care with EBM curricula incorporated with the didactics in medical school education. This project focuses on the point where evidence-based medicine integrates with the delivery of information to the senior patient in a way that is meaningful to the patient. This study investigates the information-seeking behaviors that seniors' primary care physicians exhibit in order to educate themselves about current consumer health information (reading materials, websites, news, educational narratives) and how they currently disseminate educational information to patients and their caregivers.;Methods. A grounded theory framework was conceived to administer a multimodal method of data collection. Primary care physicians who see elderly patients primarily in a large urban academic setting were recruited to participate in semi-structured interviews, a self-evaluative confidence scale, and an environmental office scan.;Results. The consumer health information-seeking model indicates three information-seeking stages. Each stage is indicative of unique sets of events which occur (1) prior to a patient visit when physicians exhibit self-study exercises such as reading journal and news articles, receiving web updates or listening to television or radio health news stories; (2) during a patient encounter when the physician actively assesses the ability of the patient and/or caregiver to receive and assess information regarding a health topic; and, (3) after the patient visit when the physician may refer a patient and caregiver to websites, written literature or to a follow-up appointment with another health clinician for further information counseling.;Conclusion. The proposed model suggests that physicians of a similar demographic setting exhibit similar patterns of consumer health information-seeking behavior. This study proposes an ISB model of the series of behaviors of a specific group of physicians that suggests how they collect and distribute consumer health information to their elderly patients and caregivers.
机译：目的。在过去的二十多年中，医师的临床信息搜寻行为一直是LIS，IS和生物医学信息学专业研究的主要目标。实践性的循证医学（EBM）已成为当前医疗保健的预期标准，其循证医学课程与医学院教育中的教学法相结合。该项目的重点是循证医学以对患者有意义的方式与向高级患者传递信息相结合。这项研究调查了老年人的初级保健医生表现出的寻求信息的行为，以便对自己当前的消费者健康信息（阅读材料，网站，新闻，教育叙述）进行教育，以及他们目前如何向患者及其护理人员传播教育信息。方法。构思了一个扎根的理论框架来管理数据收集的多模式方法。招募了主要在大型城市学术机构就诊的老年患者的基层医疗医生，参加了半结构化访谈，自我评估置信量表和环境办公室扫描。消费者健康信息搜索模型表明了三个信息搜索阶段。每个阶段都表明发生了一系列独特的事件（1）在患者就诊之前，当医生展示自学练习时，例如阅读日记和新闻文章，接收网络更新或收听电视或广播健康新闻报道； （2）在患者相遇期间，当医师积极评估患者和/或护理人员接收和评估有关健康主题信息的能力时； （3）在患者拜访之后，医生可以将患者和护理人员转介到网站，书面文献或与另一位健康临床医生进行后续约会以进行进一步的信息咨询。提出的模型表明，人口统计背景相似的医生表现出相似的消费者健康信息搜寻行为模式。这项研究提出了一组特定医师一系列行为的ISB模型，该模型建议了他们如何收集和向老年患者和护理人员分发消费者健康信息。

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