Resumo
Background: Medical professionals nowadays must be well-versed in the most recent, scientifically confirmed facts on illness diagnosis, treatment, and patient care. Despite the fact that there are an increasing number and variety of information sources available to physicians, many questions remain concerning the authenticity, quality, and usefulness of medical information. With the goal of improving current medical information delivery, new methodologies are needed to assess doctors’ real-life demands. Objective: The goal of this study was to explore the information requirements and seeking behaviour of Portuguese’s neurologists treating patients with multiple sclerosis (MS) and migraine. Methods: An exploratory mixed methods (quantitative and qualitative) investigation of 15 consecutive days was conducted. It was necessary to recruit a total of 50 neurologists (25 MS experts and 25 migraine specialists). An instant messaging programme built for this study was used to gather data. Personal interviews were conducted by computer at each information-seeking session, which included semi structured interviews and closed-ended questions. Content analysis was used to identify emergent themes from the mobile app interactions and physician enquiries. Results: A total of 36/20, or 71 percent, of the questions posed by neurologists were linked to treatment management and pharmacological information, followed by diagnostic techniques and procedures. Online resources were preferred by doctors (48/50, 96 percent) over offline alternatives (24/50, 47 percent) in a quantitative study. In 33% of information-seeking activities, a multi-channel strategy was used, which included using both online and offline resources to address the same demand. Neurologists were more likely to use internet resources than offline ones (F=1.7; P=.01) to get information. Compared to migraine neurologists, MS specialists were 53% more likely to participate in a single information-seeking event (risk ratio 1.54; 95% CI 1.12 to 2.05). More than two-thirds of MS specialists (28 percent [7/25] vs. 10 percent [2/25], P=.06) were interested in patient-related material, whereas migraine physicians (85% [21/25] vs. 60% [15/25], P=.05) were more inclined to seek information on treatment management. Both online and offline information searching was more difficult for migraine experts (F=12.5, P=.01) and offline channels were utilised less often (30 percent [8/25] versus 60 percent of information-seeking events, P=.02). To get information from various sources, both migraine and MS experts reported lower satisfaction rates (single source vs multiple sources P=.003). Conclusion: Portuguese MS and migraine neurologists are described in great depth in this research, including their real-life search activity as well as educational requirements and information sources they use. Neurologist information demands and information-seeking behaviour are influenced by their professional field. Identifying the temporal and context-specific demands of physicians is essential for designing a successful medical information strategy, according to these results.
Referências
Bornmann L, Mutz R. Growth rates of modern science: a bibliometric analysis based on the number of publications and cited references. J Assn Inf Sci Tec 2015 Apr 29;66(11):2215-2222. [doi: 10.1002/asi.23329]
Smith R. What clinical information do doctors need? BMJ 1996 Oct 26;313(7064):1062-1068 [FREE Full text] [doi:10.1136/bmj.313.7064.1062] [Medline: 8898602]
The AOMS. Acad Med Sci. 2015 May 12. Stratified, personalised or P4 medicine: a new direction for placing the patientat the centre of healthcare and health education URL: https://acmedsci.ac.uk/file-download/38266-56e6d483e1d21.pdf [accessed 2020-02-18]
Avorn J. New York Times. 2013 Jun 12. Healing the overwhelmed physician URL: https://www.nytimes.com/2013/06/12/ opinion/healing-the-overwhelmed-physician.html?_r=0 [accessed 2020-02-18]
Tan SS, Goonewardene N. Internet health information seeking and the patient-physician relationship: a systematic review. J Med Internet Res 2017 Jan 19;19(1):e9 [FREE Full text] [doi: 10.2196/jmir.5729] [Medline: 28104579]
Formoso G, Rizzini P, Bassi M, Bonfanti P, Rizzardini G, Campomori A, et al. Knowledge transfer: what drug information would specialist doctors need to support their clinical practice? Results of a survey and of three focus groups in Italy. BMC Med Inform Decis Mak 2016 Sep 01;16:1-9 [FREE Full text] [doi: 10.1186/s12911-016-0355-7] [Medline: 27581665]
Gray JA. Where’s the chief knowledge officer? To manage the most precious resource of all. BMJ 1998 Sep 26;317(7162):832-840 [FREE Full text] [doi: 10.1136/bmj.317.7162.832] [Medline: 9748173]
Ahmed K, Ashrafian H. Life-long learning for physicians. Science 2009 Oct 09;326(5950):227. [doi: 10.1126/science.326_227a] [Medline: 19815754]
Haines ST. It’s time to dismantle CE and build a CPI system. Am J Pharm Educ 2018 Jun;82(5):382-384 [FREE Full text] [doi: 10.5688/ajpe6985] [Medline: 30013249]
Cook DA, Sorensen KJ, Wilkinson JM, Berger RA. Barriers and decisions when answering clinical questions at the point of care: a grounded theory study. JAMA Intern Med 2013 Nov 25;173(21):1962-1969. [doi:10.1001/jamainternmed.2013.10103] [Medline: 23979118]
Masters K. For what purpose and reasons do doctors use the Internet: a systematic review. Int J Med Inform 2008Jan;77(1):4-16. [doi: 10.1016/j.ijmedinf.2006.10.002] [Medline: 17137833]
Bernard E, Arnould M, Saint-Lary O, Duhot D, Hebbrecht G. Internet use for information seeking in clinical practice: across-sectional survey among French general practitioners. Int J Med Inform 2012 Jul;81(7):493-499. [doi:10.1016/j.ijmedinf.2012.02.001] [Medline: 22425281]
Kritz M, Gschwandtner M, Stefanov V, Hanbury A, Samwald M. Utilization and perceived problems of online medical resources and search tools among different groups of European physicians. J Med Internet Res 2013;15(6):e122 [FREE Full text] [doi: 10.2196/jmir.2436] [Medline: 23803299]
von Muhlen M, Ohno-Machado L. Reviewing social media use by clinicians. J Am Med Inform Assoc 2012;19(5):777-781 [FREE Full text] [doi: 10.1136/amiajnl-2012-000990] [Medline: 22759618]
Heilman JM, Kemmann E, Bonert M, Chatterjee A, Ragar B, Beards GM, et al. Wikipedia: a key tool for global public health promotion. J Med Internet Res 2011;13(1):e14 [FREE Full text] [doi: 10.2196/jmir.1589] [Medline: 21282098]
TenBarge AM, Riggins JL. Responding to unsolicited medical requests from health care professionals on pharmaceutical industry-owned social media sites: three pilot studies. J Med Internet Res 2018 Oct 29;20(10):e285 [FREE Full text] [doi: 10.2196/jmir.9643] [Medline: 30373730]
Fung SM, Sud C, Suchodolski M. Survey of customers requesting medical information: preferences and information needs of patients and health care professionals to support treatment decisions. Drug Inf J 2019 Jan 02:216847901881545. [doi:10.1177/2168479018815455] [Medline: 30602300]
Giffin S, Shah R, Soloff A, Vaysman A, Oreper J, Gažo A, et al. Pharma Collaboration for Transparent Medical Information (phactMI) Benchmark Study: trends, drivers, success factors, and value of globalization in medical information. Ther Innov Regul Sci 2019 May;53(3):332-339. [doi: 10.1177/2168479018779920] [Medline: 29916261]https://www.jmir.org/2020/4/e14979 J Med Internet Res 2020 | vol. 22 | iss. 4 | e14979 | p. 12
Ziemssen T, Derfuss T, de Stefano N, Giovannoni G, Palavra F, Tomic D, et al. Optimizing treatment success in multiple sclerosis. J Neurol 2016 Jun;263(6):1053-1065 [FREE Full text] [doi: 10.1007/s00415-015-7986-y] [Medline: 26705122]
Río J, Comabella M, Montalban X. Multiple sclerosis: current treatment algorithms. Curr Opin Neurol 2011 Jun;24(3):230-237. [doi: 10.1097/WCO.0b013e328346bf66] [Medline: 21499098]
Weatherall MW. The diagnosis and treatment of chronic migraine. Ther Adv Chronic Dis 2015 May;6(3):115-123 [FREE Full text] [doi: 10.1177/2040622315579627] [Medline: 25954496]
Bartleson J, Cutrer F. Migraine update: diagnosis and treatment. Minn Med 2010 May;93(5):36-41. [Medline: 20572569]
Gilmore B, Michael M. Treatment of acute migraine headache. Am Fam Physician 2011 Feb 01;83(3):271-280 [FREE Full text] [Medline: 21302868]
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