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Long-term patterns of online evidence retrieval use in general practice: a 12-month study.

Magrabi F, Westbrook JI, Kidd MR, Day RO, Coiera E - J. Med. Internet Res. (2008)

Bottom Line: The most frequent searches related to diagnosis (33.6%, 821/2291) and treatment (34.5%, 844/2291).GPs will use an online evidence retrieval system in routine practice; however, usage rates drop significantly after initial introduction of the system.Long-term studies are required to determine the extent to which GPs will integrate the use of such technologies into their everyday clinical practice and how this will affect the satisfaction and health outcomes of their patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Health Informatics, University of New South Wales, Sydney 2052, Australia. f.magrabi@unsw.edu.au

ABSTRACT

Background: Provision of online evidence at the point of care is one strategy that could provide clinicians with easy access to up-to-date evidence in clinical settings in order to support evidence-based decision making.

Objective: The aim was to determine long-term use of an online evidence system in routine clinical practice.

Methods: This was a prospective cohort study. 59 clinicians who had a computer with Internet access in their consulting room participated in a 12-month trial of Quick Clinical, an online evidence system specifically designed around the needs of general practitioners (GPs). Patterns of use were determined by examination of computer logs and survey analysis.

Results: On average, 9.9 searches were conducted by each GP in the first 2 months of the study. After this, usage dropped to 4.4 searches per GP in the third month and then levelled off to between 0.4 and 2.6 searches per GP per month. The majority of searches (79.2%, 2013/2543) were conducted during practice hours (between 9 am and 5 pm) and on weekdays (90.7%, 2315/2543). The most frequent searches related to diagnosis (33.6%, 821/2291) and treatment (34.5%, 844/2291).

Conclusion: GPs will use an online evidence retrieval system in routine practice; however, usage rates drop significantly after initial introduction of the system. Long-term studies are required to determine the extent to which GPs will integrate the use of such technologies into their everyday clinical practice and how this will affect the satisfaction and health outcomes of their patients.

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Percentage of GPs conducting QC searches over the 12-month study period, by number of searches (N = 59 GPs)
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figure3: Percentage of GPs conducting QC searches over the 12-month study period, by number of searches (N = 59 GPs)

Mentions: In total, participants conducted 2543 searches over the 12-month period (May 2005 to April 2006). The total number of searches conducted by each participant ranged from 1 to 240 over the trial (mean59 = 39.14, SD = 45.29; median59 = 23); 9 participants did not use QC after the first 2 months of the study (mean50 = 38.28, SD = 38.80; median50 = 28). Relatively higher rates of use were recorded in the initial 2 months of the study (Figure 2). On average, 9.1 to 10.8 searches were conducted by each GP during this period. After this, the usage rate dropped to 4.4 searches per GP in the third month and then levelled off to between 0.4 and 2.6 searches per GP per month. There was significant variation in individual use of the system (Figure 3). We compared the group of participants who used QC for less than 10 searches (36%, 21/59), the “low” use group, with those who used the resource 50 or more times (29%, 17/59), the “high” use group. There was no difference in the makeup of the high and low use groups by gender, years of general practice experience, place of graduation, practice type, RACGP fellowship status, or information-seeking behavior (Table 2). However, the low use group had a significant number of participants aged 45 years and older (χ 2 1= 4.8, P = .03).


Long-term patterns of online evidence retrieval use in general practice: a 12-month study.

Magrabi F, Westbrook JI, Kidd MR, Day RO, Coiera E - J. Med. Internet Res. (2008)

Percentage of GPs conducting QC searches over the 12-month study period, by number of searches (N = 59 GPs)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2483842&req=5

figure3: Percentage of GPs conducting QC searches over the 12-month study period, by number of searches (N = 59 GPs)
Mentions: In total, participants conducted 2543 searches over the 12-month period (May 2005 to April 2006). The total number of searches conducted by each participant ranged from 1 to 240 over the trial (mean59 = 39.14, SD = 45.29; median59 = 23); 9 participants did not use QC after the first 2 months of the study (mean50 = 38.28, SD = 38.80; median50 = 28). Relatively higher rates of use were recorded in the initial 2 months of the study (Figure 2). On average, 9.1 to 10.8 searches were conducted by each GP during this period. After this, the usage rate dropped to 4.4 searches per GP in the third month and then levelled off to between 0.4 and 2.6 searches per GP per month. There was significant variation in individual use of the system (Figure 3). We compared the group of participants who used QC for less than 10 searches (36%, 21/59), the “low” use group, with those who used the resource 50 or more times (29%, 17/59), the “high” use group. There was no difference in the makeup of the high and low use groups by gender, years of general practice experience, place of graduation, practice type, RACGP fellowship status, or information-seeking behavior (Table 2). However, the low use group had a significant number of participants aged 45 years and older (χ 2 1= 4.8, P = .03).

Bottom Line: The most frequent searches related to diagnosis (33.6%, 821/2291) and treatment (34.5%, 844/2291).GPs will use an online evidence retrieval system in routine practice; however, usage rates drop significantly after initial introduction of the system.Long-term studies are required to determine the extent to which GPs will integrate the use of such technologies into their everyday clinical practice and how this will affect the satisfaction and health outcomes of their patients.

View Article: PubMed Central - HTML - PubMed

Affiliation: Centre for Health Informatics, University of New South Wales, Sydney 2052, Australia. f.magrabi@unsw.edu.au

ABSTRACT

Background: Provision of online evidence at the point of care is one strategy that could provide clinicians with easy access to up-to-date evidence in clinical settings in order to support evidence-based decision making.

Objective: The aim was to determine long-term use of an online evidence system in routine clinical practice.

Methods: This was a prospective cohort study. 59 clinicians who had a computer with Internet access in their consulting room participated in a 12-month trial of Quick Clinical, an online evidence system specifically designed around the needs of general practitioners (GPs). Patterns of use were determined by examination of computer logs and survey analysis.

Results: On average, 9.9 searches were conducted by each GP in the first 2 months of the study. After this, usage dropped to 4.4 searches per GP in the third month and then levelled off to between 0.4 and 2.6 searches per GP per month. The majority of searches (79.2%, 2013/2543) were conducted during practice hours (between 9 am and 5 pm) and on weekdays (90.7%, 2315/2543). The most frequent searches related to diagnosis (33.6%, 821/2291) and treatment (34.5%, 844/2291).

Conclusion: GPs will use an online evidence retrieval system in routine practice; however, usage rates drop significantly after initial introduction of the system. Long-term studies are required to determine the extent to which GPs will integrate the use of such technologies into their everyday clinical practice and how this will affect the satisfaction and health outcomes of their patients.

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