PDF(Pubmed)
Abstract：
Digitalization and the increasing availability of online information have changed the way in which information is searched for and retrieved by the public and by health professionals. The technical developments in the last two decades have transformed the methods of information retrieval. Although systematic evidence exists on the general information needs of specialists, and in particular, family physicians (FPs), there have been no recent systematic reviews to specifically address the needs of FPs and any barriers that may exist to accessing online health information.
This review aims to provide an up-to-date perspective on the needs of FPs in searching, retrieving, and using online information.
This systematic review of qualitative and quantitative studies searched a multitude of databases spanning the years 2000 to 2020 (search date January 2020). Studies that analyzed the online information needs of FPs, any barriers to the accessibility of information, and their information-seeking behaviors were included. Two researchers independently scrutinized titles and abstracts, analyzing full-text papers for their eligibility, the studies therein, and the data obtained from them.
The initial search yielded 4541 studies for initial title and abstract screening. Of the 144 studies that were found to be eligible for full-text screening, 41 were finally included. A total of 20 themes were developed and summarized into 5 main categories: individual needs of FPs before the search; access needs, including factors that would facilitate or hinder information retrieval; quality needs of the information to hand; utilization needs of the information available; and implication needs for everyday practice.
This review suggests that searching, accessing, and using online information, as well as any pre-existing needs, barriers, or demands, should not be perceived as separate entities but rather be regarded as a sequential process. Apart from accessing information and evaluating its quality, FPs expressed concerns regarding the applicability of this information to their everyday practice and its subsequent relevance to patient care. Future online information resources should cater to the needs of the primary care setting and seek to address the way in which such resources may be adapted to these specific requirements.
This review aims to provide an up-to-date perspective on the needs of FPs in searching, retrieving, and using online information.
This systematic review of qualitative and quantitative studies searched a multitude of databases spanning the years 2000 to 2020 (search date January 2020). Studies that analyzed the online information needs of FPs, any barriers to the accessibility of information, and their information-seeking behaviors were included. Two researchers independently scrutinized titles and abstracts, analyzing full-text papers for their eligibility, the studies therein, and the data obtained from them.
The initial search yielded 4541 studies for initial title and abstract screening. Of the 144 studies that were found to be eligible for full-text screening, 41 were finally included. A total of 20 themes were developed and summarized into 5 main categories: individual needs of FPs before the search; access needs, including factors that would facilitate or hinder information retrieval; quality needs of the information to hand; utilization needs of the information available; and implication needs for everyday practice.
This review suggests that searching, accessing, and using online information, as well as any pre-existing needs, barriers, or demands, should not be perceived as separate entities but rather be regarded as a sequential process. Apart from accessing information and evaluating its quality, FPs expressed concerns regarding the applicability of this information to their everyday practice and its subsequent relevance to patient care. Future online information resources should cater to the needs of the primary care setting and seek to address the way in which such resources may be adapted to these specific requirements.
摘要：
数字化和在线信息的日益普及改变了公众和卫生专业人员搜索和检索信息的方式。过去二十年的技术发展改变了信息检索的方法。尽管存在关于专家一般信息需求的系统证据，特别是,家庭医生（FP），最近没有专门针对FPs的需求以及获取在线健康信息可能存在的任何障碍的系统评价.
这篇评论旨在提供关于FP在搜索中的需求的最新观点，检索,并使用在线信息。
对定性和定量研究的系统综述搜索了2000年至2020年（搜索日期2020年1月）的大量数据库。分析FP在线信息需求的研究，任何阻碍信息获取的障碍，包括他们的信息寻求行为。两名研究人员独立审查标题和摘要，分析全文论文的资格，其中的研究，以及从他们那里获得的数据。
最初的搜索产生了4541个初始标题和摘要筛选的研究。在144项符合全文筛选条件的研究中，终于有41人了。总共开发了20个主题，并将其总结为5个主要类别：搜索前的个人需求；访问需求，包括可能促进或阻碍信息检索的因素；手头信息的质量需求；可用信息的利用需求；以及日常实践的隐含需求。
这篇评论表明，搜索，访问,使用在线信息，以及任何预先存在的需求，障碍,或要求，不应被视为单独的实体，而应被视为一个连续的过程。除了获取信息和评估其质量之外，FP对这些信息在日常实践中的适用性及其随后与患者护理的相关性表示担忧。未来的在线信息资源应满足初级保健环境的需求，并寻求解决此类资源适应这些具体要求的方式。
这篇评论旨在提供关于FP在搜索中的需求的最新观点，检索,并使用在线信息。
对定性和定量研究的系统综述搜索了2000年至2020年（搜索日期2020年1月）的大量数据库。分析FP在线信息需求的研究，任何阻碍信息获取的障碍，包括他们的信息寻求行为。两名研究人员独立审查标题和摘要，分析全文论文的资格，其中的研究，以及从他们那里获得的数据。
最初的搜索产生了4541个初始标题和摘要筛选的研究。在144项符合全文筛选条件的研究中，终于有41人了。总共开发了20个主题，并将其总结为5个主要类别：搜索前的个人需求；访问需求，包括可能促进或阻碍信息检索的因素；手头信息的质量需求；可用信息的利用需求；以及日常实践的隐含需求。
这篇评论表明，搜索，访问,使用在线信息，以及任何预先存在的需求，障碍,或要求，不应被视为单独的实体，而应被视为一个连续的过程。除了获取信息和评估其质量之外，FP对这些信息在日常实践中的适用性及其随后与患者护理的相关性表示担忧。未来的在线信息资源应满足初级保健环境的需求，并寻求解决此类资源适应这些具体要求的方式。
