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Biomedical subjects

M Nylenna

Publications and source records attributed to M Nylenna.

At least 37 records · Page 2Linked to original sources
PubMed2000

[The "two cultures" in medicine].

"The two cultures", a concept launched by C.P. Snow in 1959, points to the schism between science and the humanities, two distinct professional cultures which not only has gone separate ways, but also developed deep tensions between them. Historically, medicine is part of the scientific culture as well as that of the humanities. However, contemporary doctors see themselves first and foremost as scientists, and modern medicine leaves little scope for the tradition of the humanities. Including humanities in medical undergraduate, graduate and continuous education does not necessarily make doctors more humane, but insight in these disciplines may stimulate reflection and broaden their perspective on the practice of medicine. Given the expectations and pressures for efficiency to which doctors and other health care workers are subjected, a greater emphasis on the humanities in medicine may be of help to doctors in coping with their patients, society--and themselves.

Biological Science Disciplines↗
PubMed2000

[Nine out of ten Norwegian physicians have access to the Internet].

BACKGROUND: Access to the Internet increases rapidly among physicians as well as in the general populations. We have monitored Norwegian physicians' use of the Internet over several years. MATERIALS AND METHOD: During the spring of 2000, 1,318 out of 1,589 (83%) Norwegian physicians answered a questionnaire which included several questions on their use of the Internet. RESULTS: Nine out of ten Norwegian physicians have Internet access and one out of four finds the Net useful or very useful in keeping professionally updated or in their daily work. Half of the physicians read e-mail several times per week, but only one out of ten receive e-mail from patients, most of them only occasionally. Physicians' access to the Internet has increased from 38% to 90% since 1997, particularly access from home. Two out of three general practitioners only have access to the Internet from home. Physicians with Internet access both from home and from work use the net more frequently for professional purposes than others and report a higher degree of usefulness of the Internet. INTERPRETATION: The Internet is now an integrated part of physicians' daily life. Electronic communication between doctors and patients is, however, still infrequent and there may be a potential for improved doctor-patient-communication over the Internet.

Adult↗
PubMed2000

Physicians' Internet activities and their perceived coping with the medical information.

OBJECTIVE: To describe and analyze physicians' Internet activities and how this relates to their coping with medical information. METHODS: Postal survey among 1276 Norwegian physicians (response rate 78%). RESULTS: Seventy-two percent of all physicians had access to the Internet in 1999, up from 38% in 1997. One out of two physicians use the Internet for professional purposes. Web-based search is the dominant activity and Internet use is closely related to other ways of information-seeking (reading and attending professional meetings). A total of 70% of the respondents reported ability to obtain sufficient information for keeping updated in their daily work. "Internet-active"-physicians reported a higher rate of such ability than physicians without Internet access (74% vs 65%). CONCLUSION: The Internet plays an increasingly important role in physicians' professional updating. The impact of new information technology on the medical community should be carefully monitored in the future.

Adult↗
PubMed2000

Primary care physicians and their information-seeking behaviour.

OBJECTIVE: To investigate primary care physicians' continuing medical education (CME) and their information-seeking behaviour and to compare it with that of hospital doctors DESIGN: Postal survey of Norwegian physicians. SUBJECTS: 1276 physicians (response rate 78%), 283 primary care physicians, 741 hospital doctors. MAIN OUTCOME MEASURES: Self-perceived ability to cope with medical knowledge and self-reported CME activities. RESULTS: Two out of three doctors thought they could cope with the increasing flow of medical information. Courses, meetings and congresses were considered the most important CME activities. Primary care physicians spent less than 3 hours per week on medical reading, compared with more than 4.5 hours among hospital doctors; 59% of primary care physicians had access to the Internet compared with 76% among hospital doctors. Time spent on medical reading and formalized courses decreased from 1993 to 1999 for all groups of physicians. CONCLUSION: Primary care physicians rely on several information sources in their professional updating. They pay less attention to informal ways of learning than their hospital colleagues do.

Adult↗
PubMed1999

[Internet and the physician-patient relationship--from "thank you" to "why"?].

The combination of modern information technology and an increasing awareness if consumer rights in the general population has lead to more demanding patients and new challenges for doctors. By using a questionnaire we explored the extent to which doctors feel that their clinical work is influenced by quality-demanding and well-informed patients, and how the internet influences the communication between doctor and patient. A representative sample of 1,276 Norwegian doctors doing clinical work responded to the survey. A great majority of the doctors expressed that "the informed patient" is becoming an integral part of their regular workday. Three out of four Norwegian doctors had experience with patients bringing internet information to the consultation setting. Most of these doctors found this natural and unobtrusive; a few felt it influenced the doctor-patient relationship in a negative way, while one out of every four doctors found meeting "the informed patient" a positive challenge. One out of seven doctors with e-mail access sporadically receives electronic mail from their patients, a few doctors get such messages often. So far Norwegian doctors are of the opinion that the new information technology has not introduced major changes or created unexpected difficulties in the doctor-patient relationship.

Communication↗
PubMed1999

[The use of Internet among Norwegian physicians].

Access to the Internet increases rapidly, also among physicians. Little is known, however, of to what extent this tool is actually used among various groups of medical professionals, and how it compares to the use of more traditional ways of professional development such as reading of medical literature or participation in continuing medical education (CME) activities. In December of 1998, a 10% random sample of all Norwegian doctors, 1,646 in all, were mailed a questionnaire regarding their use of the Internet. 78% responded. 72% of Norwegian doctors had Internet access, 24% respectively had access either at work, at home or at both places. Doctors with access both at work and at home used the Internet significantly more often and found it of greater professional value than did the other groups. A smaller proportion of general practitioners than of other groups in the profession, had access. About half (48%) of Norwegian doctors use the Internet in a professional context. Research-oriented, male doctors, 30-49 years of age, indicated the highest activity on the net. Doctors using the Internet professionally had longer working hours, read more medical literature and participated more often in CME activities than did non-users. With its universal accessibility, the Internet has been seen as a major force in making medical knowledge available to all doctors. This is not yet the case; for the time being, it appears that the net widens the gap between doctors who actively seek new professional knowledge and those who do not.

Adult↗