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EqimTa informaciuli moTxovnilebebis dakmayofilebis mcdeloba Richard Smith, britanuli samedicino Jurnalis redaqtori www.bmj.com/talks.

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Presentation on theme: "EqimTa informaciuli moTxovnilebebis dakmayofilebis mcdeloba Richard Smith, britanuli samedicino Jurnalis redaqtori www.bmj.com/talks."— Presentation transcript:

1 eqimTa informaciuli moTxovnilebebis dakmayofilebis mcdeloba Richard Smith, britanuli samedicino Jurnalis redaqtori

2 gansaxilveli sakiTxebis nusxa ra viciT eqimTa informaciuli moTxovnilebebis Sesaxeb? rogor vakmayofilebT Cven am moTxovnilebebs? rogor SeiZleba informaciis miwodebis gaumjobeseba?

3 raze metyveleben eqimTa informaciul moTxovnilebebze Catarebuli gamokvlevebi?

4 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985 sul Sinagan medicinaSi momuSave 47 eqimi, 12 zogadi praqtikis da 35 eqim-specialisti; TiToeulma maTganma naxevari dRis ganmavlobaSi gasinja 1-dan 16 avadmyofamde; konsultaciebis Catarebamde eqimebma upasuxes daxuruli saxis kiTxvars (A closed questionnaire); yoveli konsultaciis Semdeg eqimTan tardeboda interviu im kiTxvebis gamosavlenad, romelic wamoiWra avadmyofis gasinjvisas da romelzedac eqims pasuxi ar moepoveboda.

5 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985 eqimebma dasawyisSi ganacxades, rom maT damatebiTi informacia sWirdebodaT daaxloebiT erTxel kviraSi; sinamdvileSi ki 269 kiTxva wamoiWra 409 avadmyofis vizitis dros – daaxloebiT 2 kiTxva 3 avadmyofze; kiTxvebi exeboda: specifikuri daavadebebis mkurnalobas – 1/3 diagnozs – 1/4 medikamentebs - 14%

6 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985 samedicino saxis informacia - faqti, romelic rogorc wesi, sadavo ar aris. magaliTad, "ra gverdiTi movlenebia dakavSirebuli bromokriptinis gamoyenebasTan?" – 40%; samedicino sakiTxi, romelic rogorc wesi, iwvevs azrTa sxvadasxvaobas. magaliTad, "rogor vumkurnaloT labiluri hipertenziis mqone avadmyofs?" - 45%; arasamedicino saxis informacia ("rogor ganvaxorcieloT avadmyofis movla binaze?") – daaxloebiT 15-16%.

7 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Covell, 1985 mravali kiTxva Tavisi xasiaTiT iyo ara zogadi, aramed konkretuli. ara "ra SemTxvevebSia saWiro plazmaSi prokainamidis donis gansazRvra?", aramed "saWiroa Tu ara am konkretul avadmyofSi plazmaSi prokainamidis donis gansazRvra?"

8 informaciis wyaro eqimTa gancxadebiTa da dakvirvebis mixedviT informaciis wyaro eqimTa gancxadebiT dakvirvebis mixedviT beWdviTi gamocemebi 6227 specialuri an zogadi saxis saxelmZRvaneloebi 253 farmacevtuli saxelmZRvaneloebi 149 samedicino Jurnalebi 187 medikamentebis Semqmneli kompaniebis mier mowodebuli informacia 11 sakuTari Canawerebi 47 adamianebi 3353 eqim-specialistebi 1824 zogadi praqtikis eqimebi 11 sakuTari ofisis TanamSromeli (eqimi) 34 farmacevti 63 sxva 521

9 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Osheroff et al, 1991 pitsburgSi universitetTan arsebuli zogadi medicinis klinikaSi momuSave 24 eqimi da studenti. damkvirvebeli iyo anTropologi. anTropologis mier gakeTebuli Canawerebis safuZvelze zogadi medicinis specialistebma gamoavlines kiTxvebi, romlebic wamoiWra avadmyofTa gasinjvisa da mkurnalobis dros. dakvirvebis 17 saaTis ganmavlobaSi stacionarsa da ambulatoriaSi daaxloebiT 90 avadmyofis gamo wamoiWra 519 kiTxva.

10 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Osheroff et al, iyo "mkacrad klinikuri" saxis SekiTxva – saSualod 5 TiToeul avadmyofze; 75% exeboda daavadebaTa diagnostikas; 60% - specifikur avadmyofebs; 25% - mkurnalobas; 16% - medikamentebis gamoyenebas.

11 gamokvleva eqimTa informaciuli moTxovnilebebis Sesaxeb: Forsythe et al, 1992 wina dakvirvebis msgavsi, mxolod 35 saaTis ganmavlobaSi; mravali informaciuli saWiroeba ar vlindeba kiTxvebis saxiT, ufro metic, zogjer saerTod ar xdeba maTi verbalizacia; informaciis moZiebasTan dakavSirebuli mesijebis interpretacia xSirad SesaZlebelia mxolod konkretuli situaciis gaTvaliswinebiT; eqimebsa da studentebs zogjer sWirdebaT specifikur klinikur informaciaze meti. saqme exeba mxardaWeras, maTi saqmianobis warmarTvasa da dasturs am saqmianobisaTvis.

12 ramdeni kiTxva wamoiWreba eqimisa da avadmyofis urTierTobisas?

13 eqimTa informaciuli moTxovnilebebis Sesaxeb Catarebuli gamokvlevebidan gamomdinare daskvnebi damatebiTi informaciis saWiroeba warmoiqmneba regularulad roca eqimebi naxuloben avadmyofebs; kiTxvebis umravlesoba exeba mkurnalobis sakiTxebs, kerZod medikamentebs; kiTxvebi xSirad rTuli da mravalwaxnagovania; eqimTa moTxovnilebani mxolod informaciiT ar Semoifargleba. eqimebi eZeben fsiqologiur mxardaWerasa da TanagrZnobas, maT sWirdebaT rCeva, dasturi ama Tu im moqmedebisaTvis, am moqmedebebis gansja-garCeva da azrTa gaziareba.

14 eqimTa informaciuli moTxovnilebebis Sesaxeb Catarebuli gamokvlevebidan gamomdinare daskvnebi konsultaciebis dros wamoWrili kiTxvebis umravlesoba rCeba upasuxod; rogorc Cans, eqimebi yvelaze metad cdiloben TavianT kiTxvebze pasuxi miiRon kolegebisagan; kiTxvebis umravlesobas moepoveba pasuxi, magram maTi moZieba did TanxebTan da drois danakargebTanaa dakavSirebuli; rogorc Cans, eqimebi waleka informaciis nakadma.

15 rogor vakmayofilebT Cven eqimTa informaciul moTxovnilebebs?

16 arsebuli problemebi gTxovT, ifiqroT yvela im informaciaze, risi gacnobac dagexmarebaT Tqveni movaleobebis ukeTesad SesrulebaSi. am informaciis ramdeni procentis wakiTxvas axerxebT?

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19 arsebuli problemebi gTxovT, ifiqroT im samedicino informaciaze, romelsac Tqven RebulobT da ecadeT es informacia erTi sityviT daaxasiaToT.

20 41 eqimis mier maTTvis miwodebuli samedicino informaciis dasaxasiaTeblad gamoyenebuli sityvebi SeuZlebeli SeuZlebeli SeuZlebeli wamlekavi wamlekavi wamlekavi rTuli rTuli SiSis momgvreli SiSis momgvreli SiSis momgvreli momabezrebeli maxrCobela depresiis gamowvevi sasowarkveTilebis gamomwvevi SemaSfoTebeli damakmayofilebeli usazRvro damxmare gamomfitavi imedgacruebis gamomwvevi drois didi danakargebiT mimdinare Semzaravi saSineli brZolasTan asocirebuli damafrTxobeli ararealuri stresis gamomwvevi gamowveva gamowveva gamowveva amaRelvebeli sasicocxlo mniSvnelobis mqone

21 informaciuli paradoqsi “informaciam eqimebi waleka, magram amasTanave isini ver pouloben sasurvel informacias saWiroebis SemTxvevaSi." Muir Gray

22 informaciuli paradoqsi "wyali, yvelgan wyali da erTi wveTic ara wyurvilis mosaklavad" antikuri xanis mezRvauris leqsidan

23 Sexeduleba informaciaze poetis Tvalsazrisi sad aris sibrZne codnaSi gacvlili? da TviT codna informaciaSi Cakarguli? T S Eliot

24 gasul kviras ra dro dauTmeT literaturis kiTxvas Tqveni pacientebis daavadebebTan dakavSirebiT?

25 bristolSi zogadi praqtikis eqimebis mier samedicino literaturis kiTxvaze daxarjuli dro

26 rogoria CamorCena literaturis kiTxvaSi? Jurnalebis raodenoba axali statiebis raodenoba yovelkvireulad erTi statiis wasakiTxad saWiro dro 30 wuTi Tu eqimi mTel dros kiTxvaSi atarebs, maSin 6 kviris Semdeg ramdeniT CamorCeba igi? mTeli erTi saukuniT

27 informaciis sargeblianoba Sesaferisoba x marTebuloba x urTierTmoqmedeba sargeblianoba= _____________________________________________ informaciis posapoveblad gaweuli Sroma

28 informaciis sxvadasxva wyaros sargeblianoba

29 samedicino JurnalebTan dakavSirebuli problemebi am JurnalebSi mocemuli informacia ar akmayofilebs mkiTxvelTa moTxovnilebebs; Zalian bevria; bevri sisulele iwereba; maTi kiTxva Zalian mZime Sromaa; araa Sesaferisi; Zalian mosawyenia; Zalian Zviria;

30 samedicino JurnalebTan dakavSirebuli problemebi arafer mniSvnelovans ar sZenen mkiTxvels; nebismieri saqme gadahyavT nel ritmSi; adgili aqvs mikerZoebas; mravali maTgani mtruladaa ganwyobili axali azris mimarT; Zalian cudi Sesaxedavia; Zalian pompezuria; orientirebulia istebliSmentze;

31 samedicino JurnalebTan dakavSirebuli problemebi ver swvdeba ganviTarebad samyaros; ver umklavdeba siyalbes; uamravi ganmeorebaa; ZiriTadad orientirebulia avtorze da ara mkiTxvelze; maT aravin ar kiTxulobs.

32 rogor gavaumjobesoT eqimebisaTvis informaciis miwodebis procesi?

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34 sistemebi sinTezi sinopsi gamokvlevebi

35 "klinikuri mtkicebuleba" is Seicavs efeqturi jandacvisaTvis saWiro saukeTeso informacias; cvlilebebis Setana xdeba yovel 6 TveSi; me-3-14 gamocemebze xeli miuwvdeba aSS-Si eqims; britaneTis erovnuli jandacvis sistemam ( NHS ) SeiZina egzemplari.

36 "klinikuri mtkicebulebis" damaxasiaTebeli Tvisebebi "Cven gawvdiT faqtebs, Tqven da Tqvenma avadmyofebma ki unda miiRoT gadawyvetileba"; saWirboroto sakiTxebisa Tu kiTxvebis wamoyeneba xdeba TviT eqimebisa da avadmyofebis mier; WeSmariti, faqtebze dafuZnebuli meTodologia; avlens xarvezebs, faqtebis deficits; gvawvdis faqtebs ama Tu im Carevis sargeblisa da zianis Sesaxeb; arsebobs internetis versia.

37 panacea, romelic gadagvarCens Zalian rTul kiTxvebze pasuxis gacemis unari; dakavSirebuli sarwmuno informaciis monacemTa did bazasTan; eleqtruli, portatuli, swrafi da advilad gamosayenebeli; eqimebisaTvis daxmarebis gawevis SesaZlebloba maTi grZnobebis Seuracxyofis gareSe;

38 panacea, romelic gadagvarCens dakavSirebuli avadmyofis samedicino monacemTa bazasTan; daxmareba rogorc avadmyofebisaTvis, aseve eqimTaTvis; rogorc fsiqologiuri mxardaWeris, aseve moqmedebebze dasturis micemis SesaZlebloba.

39 daskvnebi mravali kiTxva wamoiWreba eqimebis mier konsultaciebis Catarebisas; kiTxvaTa umravlesoba rCeba upasuxod; Cven eqimebs kargad ver vawvdiT saWiro informacias; informaciam eqimebi waleka, magram amasTanave isini ver pouloben sasurvel informacias saWiroebis SemTxvevaSi; axali teqnologiebi gvaZlevs SesaZleblobas, rom informacia eqimebs gacilebiT ukeTesad mivawodoT; es procesi ar iqneba advili da dakavSirebuli iqneba did TanxebTan da drois danaxarjebTan, aseve igi moiTxovs Cveni azrovnebis Secvlas;

40 leqciis Sefaseba Tqveni Sefasebebi Zalian mniSvnelovania superkursis Semdgomi ganviTarebisaTvis. gTxovT SeavsoT leqciis bolo gverdze (review) moyvanili forma da daaWiroT submit button -s. Tu inglisuri ena giqmniT problemas, gamoagzavneT Tqveni komentarebi Semdeg misamarTze:


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