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首页> 外文期刊>BMC Medical Informatics and Decision Making >An evaluation of the content and quality of tinnitus information on websites preferred by General Practitioners
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An evaluation of the content and quality of tinnitus information on websites preferred by General Practitioners

机译：对全科医生偏爱的网站上耳鸣信息的内容和质量的评估

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Background Tinnitus is a prevalent and complex medical complaint often co-morbid with stress, anxiety, insomnia, depression, and cognitive or communication difficulties. Its chronicity places a major burden on primary and secondary healthcare services. In our recent national survey of General Practitioners (GPs) from across England, many reported that their awareness of tinnitus was limited and as a result were dissatisfied with the service they currently provide. GPs identified 10 online sources of information they currently use in clinical practice, but welcomed further concise and accurate information on tinnitus assessment and management. The purpose of this study was to assess the content, reliability, and quality of the information related to primary care tinnitus assessment and management on these 10 websites. Methods Tinnitus related content on each website was assessed using a summative content analysis approach. Reliability and quality of the information was assessed using the DISCERN questionnaire. Results Quality of information was rated using the validated DISCERN questionnaire. Significant inter-rater reliability was confirmed by Kendall’s coefficient of concordance (Wt) which ranged from 0.48 to 0.92 across websites. The website Map of Medicine achieved the highest overall DISCERN score. However, for information on treatment choice, the British Tinnitus Association was rated best. Content analysis revealed that all websites lacked a number of details relating to either tinnitus assessment or management options. Conclusions No single website provides comprehensive information for GPs on tinnitus assessment and management and so GPs may need to refer to more than one if they want to maximise their coverage of the topic. From those preferred by GPs we recommend several specific websites as the current ‘best’ sources. Our findings should guide healthcare website providers to improve the quality and inclusiveness of the information they publish on tinnitus. In the case of one website, our preliminary findings are already doing so. Such developments will in turn help facilitate best practice in primary care.
机译：背景技术耳鸣是一种普遍而复杂的医学疾病，通常与压力，焦虑，失眠，抑郁以及认知或沟通困难并存。它的长期性给初级和二级医疗保健服务带来了沉重负担。在我们最近来自英格兰各地的全科医生的全国调查中，许多人报告说他们对耳鸣的认识是有限的，因此对他们目前提供的服务不满意。全科医生确定了他们目前在临床实践中使用的10种在线信息源，但是他们欢迎进一步简洁，准确的耳鸣评估和管理信息。本研究的目的是评估这10个网站上与初级保健耳鸣评估和管理相关的信息的内容，可靠性和质量。方法使用汇总性内容分析方法评估每个网站上与耳鸣有关的内容。使用DISCERN调查表评估信息的可靠性和质量。结果使用经过验证的DISCERN问卷对信息质量进行了评估。肯德尔的一致性系数（Wt）在各个网站上的范围从0.48到0.92，证实了评估者之间的显着可靠性。医学网站Map的DISCERN总体得分最高。但是，有关治疗选择的信息，英国耳鸣协会被评为最佳。内容分析显示，所有网站都缺乏大量有关耳鸣评估或管理选项的细节。结论没有一个单一的网站可以为全科医生提供有关耳鸣评估和管理的全面信息，因此，如果全科医生想最大程度地了解其主题，可能需要参考多个。从GP所偏爱的网站中，我们建议几个特定的​​网站作为当前的“最佳”资源。我们的发现应指导医疗保健网站提供商提高他们在耳鸣上发布的信息的质量和包容性。对于一个网站，我们的初步调查结果已经在这样做。这样的发展反过来将有助于促进初级保健的最佳实践。

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