DOI QR코드

DOI QR Code

Construction and Feedback of an Information System by Analyzing Physicians' Information-Seeking Behavior

의사들의 정보추구행태를 반영한 의학정보시스템 개발 및 평가

  • Kim, Na Won (Yonsei University Medical Library) ;
  • Lee, Jee Yeon (Department of Library and Information Science, Yonsei University)
  • Received : 2016.02.20
  • Accepted : 2016.03.14
  • Published : 2016.03.30

Abstract

Physicians have information needs related to academic research and clinical practice but encounter difficulties seeking appropriate medical resources and information. The goal of this study is to develop a search system to support Korean physicians' information needs. To access sources to meet the identified need, in-depth interviews were conducted, and MediSearching, a new search system, was developed accordingly. To verify its usefulness and to obtain users' suggestions, interviews were conducted and feedback was solicited via collected test searches. The initial set of interviews indicated that physicians' information needs and search behaviors differed by type of hospital and clinical department. Physicians in university hospitals with a greater need for research materials searched for academic articles, whereas physicians in specialty hospitals or primary care clinics with a stronger need for materials related to clinical practice asked their colleagues for information. Consequently, MediSearching was designed to satisfy both groups' needs, and the test search provided useful search results compared with existing services. Korean physicians have previously had to repeat their search process on separate sites that provide different services according to type of information and search method. MediSearching may reduce this inconvenience and add documents in various formats and languages.

의사들은 학술연구와 환자진료에 관한 정보요구를 가지고 있고, 전자정보원을 이용하여 해결하고 있으나 정보원의 선택이나 검색에서 어려움을 겪는다. 본 연구는 의사들의 연구와 진료정보요구를 지원할 수 있는 검색시스템을 설계하고 개발하는 것이 목적이다. 이를 위해 의사들의 정보요구에 적합한 정보원 개발을 위해서 정보이용행태에 관하여 심층인터뷰를 하였고, 그 결과를 바탕으로 검색 시스템인 MediSearching을 개발하였다. 개발된 시스템은 효용성 검증과 제안을 얻기 위해 추가 인터뷰와 테스트검색을 통하여 피드백을 받았다. 의사들의 정보이용행태에 관한 인터뷰 결과 소속병원의 종류나 진료 과목에 따라서 차이를 보였다. 대학병원 의사들은 연구와 관련된 정보요구가 컸으며 학술지 논문을 주로 이용하고 있었으나, 전문병원이나 개인병원 의사들은 진료와 관련된 정보요구가 대부분으로 동료와의 대화로 해결하는 형태를 보였다. MediSearching은 연구와 진료정보요구를 동시에 지원할 수 있는 검색시스템으로 개발되었고, 인터페이스와 검색효용성이 검증되었다. 기존의 한국 의학 정보 사이트에서는 제공 정보의 종류나 검색방법에 따라 서비스 범위가 모두 달라 의사들은 동일한 검색 과정을 반복하는 불편함이 있었으나 이를 해결한 것으로 파악되었다. 또한 파일 형태나 언어와 상관없이 정보원의 추가가 가능하도록 한 점에서 유용한 것으로 평가되었다.

Keywords

References

  1. Choe, Jung Tai, Lee, Jae Whoan, & Choe, Key Seok (2001). Quality evaluation on user interface of websites: The cases of Kosef's RICs. Journal of Korean Library and Information Science Society, 32(4), 197-228.
  2. Davies, K., & Harrison, J. (2007). The information-seeking behaviour of doctors: A review of the evidence. Health Information and Libraries Journal, 24(2), 78-94. http://dx.doi.org/10.1111/j.1471-1842.2007.00713.x
  3. Fenton, S. H., & Badgett, R. G. (2007). A comparison of primary care information content in UpToDate and the National Guideline Clearinghouse. Journal of Medical Library Association, 95, 255-259. http://dx.doi.org/10.3163/1536-5050.95.3.255
  4. Fourie, I. (2009). Learning from research on the information behaviour of healthcare professionals: A review of the literature 2004-2008 with a focus on emotion. Health Information and Libraries Journal, 26(3), 171-186. http://dx.doi.org/10.1111/j.1471-1842.2009.00860.x
  5. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory-strategies for qualitative research. New York: Aldine publishing.
  6. Haines, L. L., Light, J., O'Malley, D., & Delwiche, F. A. (2010). Information-seeking behavior of basic science researchers: Implications for library services. Journal of the Medical Library Association, 98(1), 73-81. http://dx.doi.org/10.3163/1536-5050.98.1.019
  7. Han, Seung Hee, & Lee, Jee Yeon (2006). Searching behavior of scientists and technologists based on their information needs. Proceeings of the Korean Society for information Management, 8, 17-22.
  8. Hersh, W. R., Crabtree, M. K., Hickam, D. H., Sacherek, L., Friedman, C. P., Tidmarsh, P., Mosbaek, C., & Kraemer, D. (2002). Factors associated with success in searching MEDLINE and applying evidence to answer clinical questions. Journal of the American Medical Information Association, 9(3), 283-293. http://dx.doi.org/10.1197/jamia.m0996
  9. Herskovic, J. R. , Tanaka, L. Y., Hersh, W., & Bernstam, E. V. (2007). A day in the life of PubMed: Analysis of a typical day's query log. Journal of the American Medical Informatics Association, 14(2), 212-220. http://dx.doi.org/10.1197/jamia.m2191
  10. Hong, Ki Sun (2008). A study on information need and use behavior of doctors. Journal of Korean Library and Information Science Society, 39(1), 33-50. http://dx.doi.org/10.16981/kliss.39.1.200803.33
  11. Hughes, D., Wareham, J., & Joshi, I. (2010). Doctors' online information needs, cognitive search strategies, and judgments of information quality and cognitive authority: How predictive judgments introduce bias into cognitive search models. Journal of the American Society for Information Science and Technology, 61(3), 433-452. http://dx.doi.org/10.1002/asi.21245
  12. Ketchell, D. S., Anna, L. St., Kauff, D., Gaster, B., & Timberlake, D. (2005). Prime answers: A practical interface for answering primary care questions. Journal of Information Technology, 12(5), 537-545. http://dx.doi.org/10.1197/jamia.m1601
  13. KGC: Korea Guideline Clearinghouse (2015). Retrieved from http://www.cpg.or.kr/
  14. Kim, Na Won, & Park, Ji Hong (2009). Exploring medical doctor's medical information seeking behaviors. Journal of the Korean Society for information Management, 26(3), 435-449. http://dx.doi.org/10.3743/kosim.2009.26.3.435
  15. KoMgI : Korean Medical Guideline Information Center (2015). Retrieved from http://www.guideline.or.kr/
  16. Kostagiolas, P., Korfiatis, N., Kourouthanasis, P., & Alexias G. (2015). Work-related factors influencing doctors search behaviors and trust toward medical information resources. International Journal of Information Management, 34(2), 80-88. http://dx.doi.org/10.1016/j.ijinfomgt.2013.11.009
  17. Kourouthanassis, P. N., Mikalef, P., Ioannidou, M., & Pateli, A. (2015). Exploring the online satisfaction gap of medical doctors: An expectation-confirmation investigation of information needs. Advances in Experimental Medicine and Biology, 820, 217-228. http://dx.doi.org/10.1007/978-3-319-09012-2_15
  18. Kules, B., & Shneiderman, B. (2008). Users can change their web search tactics: Design guidelines for categorized overviews. Information Processing & Management, 44(2), 463-484. http://dx.doi.org/10.1016/j.ipm.2007.07.014
  19. Leckie G. J., Pettigrew, K. E., & Sylvain, C. (1996). Modeling the information seeking of professionals: A general model derived from research on engineers, health care professionals, and lawyers. The Library Quarterly, 66(2), 161-193. http://dx.doi.org/10.1086/602864
  20. Lu, Z., Kim, W., & Wilbur, W. J. (2009). Evaluation of query expansion using MeSH in PubMed. Information Retrieval, 12(1), 69-80. http://dx.doi.org/10.1007/s10791-008-9074-8
  21. Markey, K. (2007). Twenty five years of end user searching, part 1: Research findings. Journal of the American Society for Information Science and Technology, 58(8), 1071-1081. http://dx.doi.org/10.1002/asi.20462
  22. McKibbon, K. A., Fridsma, D. B., & Crowley, R. S. (2007). How primary care physicians' attitudes toward risk and uncertainty affect their use of electronic information resources. Journal of the Medical Library Association, 95(2), 138-146, e149. http://dx.doi.org/10.3163/1536-5050.95.2.138
  23. Medicine (2015). Oxford Dictionaries Online. Oxford University Press.
  24. Ministry of Health & Welfare, and Korean Academy of Medical Sciences (2009). Trends in the development and emerging tasks of clinical practice guidelines in Korea. Seoul: Ministry of Health & Welfare.
  25. Ministry of Health & Welfare, and Korean Academy of Medical Sciences (2012). Development of quality evaluation system on clinical practice guidelines and strategies for dissemination and implementation of the developed guidelines in Korea. Seoul: Ministry of Health & Welfare.
  26. Osheroff, J., Forsythe, D., Buchanan, B., Bankowitz, R., Blumenfeld, B., & Miller, R. (1991). Physicians' information needs: An analysis of questions posed during clinical teaching. Annals of Internal Medicine, 114(7), 576-581. http://dx.doi.org/10.7326/0003-4819-114-7-576
  27. Park, Eal Whan (2000a). Teaching evidence-based medicine in primary health setting. Journal of the Korean Academy of Family Medicine, 21(12), 1511-1523.
  28. Park, Eal Whan (2000b). Evidence-based medicine education for first-line doctors. Journal of the Korean Academy of Family Medicine, 21(12), 1511-1523.
  29. PubMed (2015). Retrieved from http://www.ncbi.nlm.nih.gov/
  30. Revere, D., & Fuller, S. (2008). Building a customizable knowledge management environment to support public? Health practice: Design strategies. Proceedings of the 41th Hawaii International Conference on System Sciences, IEEE Computer Society, pp. 252. http://dx.doi.org/10.1109/hicss.2008.78
  31. Scott H., & Norman L. C. (1981). Evaluating information system effectiveness - part I: Comparing evaluation approaches. MIS Quarterly, 5(3), 55-69. http://dx.doi.org/10.2307/249291
  32. Slawson, D. C., Shaughnessy, A. F., & Bennett, J. H. (1994). Becoming a medical information master: Feeling good about not knowing everything. Journal of Family Practice, 38(5), 505-513.
  33. Smith, R. (1996). "What clinical information do doctors need?" British Medical Journal, 313(7064), 1062. http://dx.doi.org/10.1136/bmj.313.7064.1062
  34. Tang, H., & Ng, J. H. (2006). Googling for a diagnosis--use of Google as a diagnostic aid: Internet based study. British Medical Journal, 333, 1143-1145. http://dx.doi.org/10.1136/bmj.39003.640567.AE
  35. Tang, M. C. (2007). Browsing and searching in a faceted information space: A naturalistic study of PubMed users' interaction with a display tool. Journal of the American Society for Information Science and Technology, 58(13), 1998-2006. http://dx.doi.org/10.1002/asi.20689
  36. Wilson, T. D. (1999). Models in information behaviour research. Journal of Documrntation, 55(3), 249-270. http://dx.doi.org/10.1108/eum0000000007145