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The influence of a professional physician network on clinical decision making

机译：专业医师网络对临床决策的影响

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Objective: The aim of this study was to examine the role of physicians' professional networks in decision-making processes. Methods: A professional network was examined in three stages: content analysis and categorization of discussions concerning decision-making processes, in-depth interviews, and a questionnaire. Results: The RAMBAM network has professional as well as social roles. On a professional level, physicians seek approval of their initial line of reasoning regarding their clinical cases, but will consider other approaches if such are suggested by persons of professional repute or if answers are based on evidence-based medicine and include referral to a relevant source. On a social level, physicians want to be part of their professional community and share information and experiences. Conclusion: Physicians' professional networks have a social role that is expressed by a feeling of belonging to a community, as well as a professional role of capturing and disseminating medical knowledge during physicians' decision-making processes. Professional networks constitute a unique source of tacit knowledge that extends existing formal knowledge resources. Practice implications: The study can increase physicians' awareness of professional networks as a unique source of tacit knowledge and can assist in the future design of medical professional networks as knowledge resources for medical decision making.
机译：目的：本研究的目的是检验医师专业网络在决策过程中的作用。方法：在三个阶段检查了一个专业网络：内容分析和与决策过程有关的讨论的分类，深度访谈和问卷调查。结果：RAMBAM网络具有专业和社会角色。在专业水平上，医生寻求批准有关其临床案例的初步推理方法，但如果专业声誉卓著的人士提出建议，或者如果答案基于循证医学并且包括转介至相关资料来源，则医生将考虑其他方法。 。在社会层面，医生希望成为其专业社区的一部分，并分享信息和经验。结论：医师的专业网络具有社会作用，体现为对社区的归属感，并且在医师的决策过程中具有捕获和传播医学知识的专业作用。专业网络构成了隐性知识的唯一来源，它扩展了现有的形式知识资源。实践意义：该研究可以提高医师对专业网络作为隐性知识的唯一来源的认识，并可以协助将来设计医疗专业网络作为医学决策知识资源。

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