医学情報伝達と血の通った医療の接点:臨床医の求める情報と医学図書館への期待 (特集 医学情報)
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概要
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Evidence-based Medicine (EBM) is a major trend in current medical care and emphasizing EBM has caused a rapid movement toward creating a hierarchy of medical journals according to impact factors, which in turn has led to a reduction in the number of contributions and emasculation of some medical journals. EBM and DRG/PPS are excellent theories for ensuring the quality and efficiency of medicine, but insurance companies in the United States have been applying these theories to control medical expenses apart from their original purposes, and Japanese government intends to introduce and promote EBM as a measure to counter increasing health expenditures. The powerful recommendation of EBM in Japan seems to be leading to a remuneration system like that in the United States, which imposes homogenized medical care, such as "managed care, " and employs grant curtailment to medical practice that deviates from it. However, it is impossible to apply an approach used in the United States to Japan, where people's psychological background and disposition differ from those in the United States. Medicine is not a game that utilizes EBM. The source of information transfer in the medical field is face-to-face communication among people. Medical libraries exist not only for reference but for other tasks as well. What the clinician requests of the medical library is not simply access to abundant knowledge and information but having a clear view of the kind of information that is truly useful to clinicians.
- 特定非営利活動法人 日本医学図書館協会の論文
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