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Health care workers in Africa access a broad range of topics using evidence-based online medical information

机译:非洲的医护人员使用基于证据的在线医疗信息来访问广泛的主题

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Health care workers (HCW) rely on Internet-based medical resources to obtain current evidence-based clinical guidelines. While such resources are being used with increasing frequency in developed countries, they have not been broadly employed in resource-limited settings (RLS). To investigate the feasibility and the types of medical content used by HCW in RLS, we studied one Internet-based medical resource used in the United States, (UpToDate©) in four hospitals in Africa. Health care workers were trained on how to use this resource and surveyed over a six month study period. Automated topic tracking found that HCW searched a variety of medical topics. About 78% of HCW reported daily or weekly use of the Internet-based medical resource and 70% felt the tool was very useful for teaching. All users report the tool increased their clinical knowledge. This descriptive study suggests that Internet-based medical information resources are feasible in RLS and are accessed for a broad variety of medical topics. Supplemental content providing guidance when minimal diagnostic and therapeutic options exist could increase its relevance in RLS. With increased availability, Internet-based medical information could enhance current global health care initiatives to improve providers' knowledge, clinical practice and potentially patient outcomes.
机译:医护人员(HCW)依靠基于Internet的医疗资源来获取当前基于证据的临床指南。尽管发达国家越来越多地使用这种资源,但它们并未在资源有限的环境中广泛使用。为调查HCW在RLS中使用的医疗内容的可行性和类型,我们在非洲的四家医院研究了一种在美国使用的基于互联网的医疗资源(UpToDate©)。医护人员接受了如何使用该资源的培训,并在六个月的研究期内进行了调查。自动主题跟踪发现HCW搜索了各种医学主题。大约78%的HCW报告每天或每周使用基于Internet的医疗资源,而70%的人认为该工具对于教学非常有用。所有用户报告该工具增加了他们的临床知识。这项描述性研究表明,基于Internet的医学信息资源在RLS中是可行的,可用于各种医学主题。当存在最少的诊断和治疗选择时,提供指导的补充内容可能会增加其在RLS中的相关性。随着可用性的提高,基于Internet的医学信息可以增强当前的全球医疗保健计划,以改善提供者的知识,临床实践以及潜在的患者结果。

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