eqimTa%20informaciuli%20moTxovnilebebis%20dakmayofilebis%20mcdeloba

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eqimTa informaciuli moTxovnilebebis
dakmayofilebis mcdeloba

• Richard Smith,
• britanuli samedicino Jurnalis redaqtori
• www.bmj.com/talks

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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?
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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.

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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

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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.

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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?"

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informaciis wyaro eqimTa gancxadebiTa da
dakvirvebis mixedviT
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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.

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gamokvleva eqimTa informaciuli moTxovnilebebis
Sesaxeb Osheroff et al, 1991

• 454 iyo "mkacrad klinikuri" saxis SekiTxva
  saSualod 5 TiToeul avadmyofze
• 75 exeboda daavadebaTa diagnostikas
• 60 - specifikur avadmyofebs
• 25 - mkurnalobas
• 16 - medikamentebis gamoyenebas.

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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.

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ramdeni kiTxva wamoiWreba eqimisa da avadmyofis
urTierTobisas?
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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.
  

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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.

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rogor vakmayofilebT Cven eqimTa informaciul
moTxovnilebebs?
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arsebuli problemebi

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

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arsebuli problemebi

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

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41 eqimis mier maTTvis miwodebuli samedicino
informaciis dasaxasiaTeblad gamoyenebuli sityvebi

• SeuZlebeli SeuZlebeli SeuZlebeli SeuZlebeli
  SeuZlebeli SeuZlebeli
• wamlekavi wamlekavi wamlekavi wamlekavi wamlekavi
  wamlekavi
• rTuli rTuli 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

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informaciuli paradoqsi

• informaciam eqimebi waleka, magram amasTanave
  isini ver pouloben sasurvel informacias
  saWiroebis SemTxvevaSi."
• Muir Gray

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informaciuli paradoqsi

• "wyali, yvelgan wyali da erTi wveTic ara
  wyurvilis mosaklavad"
• antikuri xanis mezRvauris leqsidan

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Sexeduleba informaciaze poetis Tvalsazrisi

• sad aris sibrZne codnaSi gacvlili?
• da TviT codna informaciaSi Cakarguli?
• T S Eliot

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gasul kviras ra dro dauTmeT literaturis kiTxvas
Tqveni pacientebis daavadebebTan dakavSirebiT?
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bristolSi zogadi praqtikis eqimebis mier
samedicino literaturis kiTxvaze daxarjuli dro
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rogoria CamorCena literaturis kiTxvaSi?

• Jurnalebis raodenoba 10 000
• axali statiebis raodenoba yovelkvireulad 40
  000
• erTi statiis wasakiTxad
• saWiro dro 30 wuTi
• Tu eqimi mTel dros
• kiTxvaSi atarebs, maSin 6 kviris Semdeg
  ramdeniT CamorCeba igi?
• mTeli erTi saukuniT

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informaciis sargeblianoba

• Sesaferisoba x marTebuloba x urTierTmoqmedeba
• sargeblianoba ___________________________________
  __________
• informaciis posapoveblad gaweuli Sroma

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informaciis sxvadasxva wyaros sargeblianoba
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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

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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

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samedicino JurnalebTan dakavSirebuli problemebi

• ver swvdeba ganviTarebad samyaros
• ver umklavdeba siyalbes
• uamravi ganmeorebaa
• ZiriTadad orientirebulia avtorze da ara
  mkiTxvelze
• maT aravin ar kiTxulobs.

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rogor gavaumjobesoT eqimebisaTvis informaciis
miwodebis procesi?
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sistemebi
sinTezi
sinopsi
gamokvlevebi
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"klinikuri mtkicebuleba"

• is Seicavs efeqturi jandacvisaTvis saWiro
  saukeTeso informacias
• cvlilebebis Setana xdeba yovel 6 TveSi
• me-3-14 gamocemebze xeli miuwvdeba aSS-Si 500 000
  eqims
• britaneTis erovnuli jandacvis sistemam (NHS)
  SeiZina 40 000 egzemplari.

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"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.

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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

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panacea, romelic gadagvarCens

• dakavSirebuli avadmyofis samedicino monacemTa
  bazasTan
• daxmareba rogorc avadmyofebisaTvis, aseve
  eqimTaTvis
• rogorc fsiqologiuri mxardaWeris, aseve
  moqmedebebze dasturis micemis SesaZlebloba.

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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

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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 malkhaz_j_at_hotmail.c
  om.