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首页> 外文期刊>Occupational and environmental medicine >Can online networks provide quality answers to questions about occupational safety and health?
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Can online networks provide quality answers to questions about occupational safety and health?

机译：在线网络能否为有关职业安全与卫生的问题提供高质量的答案？

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Objectives: To assess whether experts can provide highquality answers to occupational safety and health (OSH) questions in online Question & Answer (Q&A) networks. Methods: The authors evaluated the quality of answers provided by qualified experts in two Dutch online networks: ArboAntwoord and the Helpdesk of the Netherlands Center for Occupational Diseases. A random sample of 594 answers was independently evaluated by two raters using nine answer quality criteria. An additional criterion, the agreement of answers with the best available evidence, was explored by peer review of a sample of 42 answers. Reviewers performed an evidence search in Medline. Results: The median answer quality score of ArboAntwoord (N=295) and the Netherlands Center for Occupational Diseases Helpdesk (N=299) was 8 of 9 (IQR 2). The inter-rater reliability of the first nine quality criteria was high (κ 0.82 -0.90, p<0.05). A question answered by two or more experts had a greater probability of a high-quality score than questions answered by one expert (OR 4.9, 95% CI 2.7 to 9.0). Answers most often scored insufficient on the use of evidence to underpin the answer (36% and 38% for the networks, respectively) and on conciseness (35% and 31%, respectively). Peer review demonstrated that 43%e72% of the answers in both online networks were in complete agreement with the best available evidence. Conclusions: OSH experts are able to provide quality answers in online OSH Q&A networks. Our answer quality appraisal instrument was feasible and provided information on how to improve answer quality.
机译：目标：评估专家是否可以在在线问答（Q＆A）网络中为职业安全与卫生（OSH）问题提供高质量的答案。方法：作者评估了两个荷兰在线网络（ArboAntwoord和荷兰职业病中心的帮助台）中合格专家提供的答案的质量。两名评估者使用九种答案质量标准对594个答案的随机样本进行了独立评估。通过对42个答案的样本进行同行评审，探索了另一个标准，即答案与最佳证据的一致性。审阅者在Medline中进行了证据搜索。结果：ArboAntwoord（N = 295）和荷兰职业病中心帮助台（N = 299）的回答质量中位数是9中的8（IQR 2）。前九个质量标准的评分者间可靠性较高（κ0.82 -0.90，p <0.05）。由两名或多名专家回答的问题比由一名专家回答的问题更有可能获得高分（OR 4.9，95％CI 2.7至9.0）。在使用证据作为答案的基础上（答案分别为36％和38％）和简洁（分别为35％和31％），答案的得分通常不足。同行评审表明，两个在线网络中43％e72％的答案与现有最佳证据完全一致。结论：OSH专家能够在在线OSH问答网络中提供高质量的答案。我们的答案质量评估工具是可行的，并提供了有关如何提高答案质量的信息。

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