Literature DB >> 2909205

Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders.

J W Williamson1, P S German, R Weiss, E A Skinner, F Bowes.   

Abstract

PURPOSE: To identify self-perceived problems in managing science information needs of U.S. primary practitioners and their opinion leaders. SAMPLE: A two-stage random sample of the American Medical Association's "Masterlist of Physicians" to identify 625 office-based physicians, including general practice, family practice, internal medicine, obstetrics and gynecology, and pediatrics, and 100 physician opinion leaders. DATA COLLECTION: A formal telephone survey was completed for 79% of practitioners and 90% of opinion leaders sampled, using a pretested instrument applied by trained telephone surveyors. RESULTS OF DATA ANALYSIS: Both practitioners and opinion leaders claimed that published reviews were the most useful means of identifying their information needs. When asked about use of six recent clinical advances, that is, "markers," for example, hemoglobin-A1C for diabetic control, as many as one fifth to one half were not using or were not aware of such an advance. Less than 1 in 3 practitioners personally searched the literature when information was needed; 2 in 3 claimed literature volume was unmanageable; 9 of 10 practitioners and opinion leaders assessed the scientific value of literature obtained, primarily from their own experience, with less than 1 in 10 contacting research methods specialists. Respondents suggested various innovations to better manage their science information needs in the future.
CONCLUSIONS: Primary practitioners require substantial help in meeting current science information needs. Increase in such resources as "validated reviews" or "expert networks" might help meet these needs.

Entities:  

Mesh:

Year:  1989        PMID: 2909205     DOI: 10.7326/0003-4819-110-2-151

Source DB:  PubMed          Journal:  Ann Intern Med        ISSN: 0003-4819            Impact factor:   25.391


  93 in total

1.  Automation and integration of components for generalized semantic markup of electronic medical texts.

Authors:  J M Dugan; D C Berrios; X Liu; D K Kim; H Kaizer; L M Fagan
Journal:  Proc AMIA Symp       Date:  1999

2.  Medcast: evaluation of an intelligent pull technology to support the information needs of physicians.

Authors:  J G Anderson; L L Casebeer; R E Kristofco
Journal:  Proc AMIA Symp       Date:  1999

3.  An information retrieval service to support clinical decision-making at the point of care.

Authors:  F Sullivan; M Gardner; K van Rijsbergen
Journal:  Br J Gen Pract       Date:  1999-12       Impact factor: 5.386

4.  Bayesian communication: a clinically significant paradigm for electronic publication.

Authors:  H P Lehmann; S N Goodman
Journal:  J Am Med Inform Assoc       Date:  2000 May-Jun       Impact factor: 4.497

5.  The evolving role of the librarian in evidence-based medicine.

Authors:  C S Scherrer; J L Dorsch
Journal:  Bull Med Libr Assoc       Date:  1999-07

Review 6.  Information needs of rural health professionals: a review of the literature.

Authors:  J L Dorsch
Journal:  Bull Med Libr Assoc       Date:  2000-10

7.  Clinical decision support systems for the practice of evidence-based medicine.

Authors:  I Sim; P Gorman; R A Greenes; R B Haynes; B Kaplan; H Lehmann; P C Tang
Journal:  J Am Med Inform Assoc       Date:  2001 Nov-Dec       Impact factor: 4.497

8.  Information needs of clinical teams: analysis of questions received by the Clinical Informatics Consult Service.

Authors:  R N Jerome; N B Giuse; K W Gish; N A Sathe; M S Dietrich
Journal:  Bull Med Libr Assoc       Date:  2001-04

Review 9.  An industrial process view of information delivery to support clinical decision making: implications for systems design and process measures.

Authors:  R B Elson; J G Faughnan; D P Connelly
Journal:  J Am Med Inform Assoc       Date:  1997 Jul-Aug       Impact factor: 4.497

10.  Influence of information sources on the adoption of uterine fibroid embolization by interventional radiologists.

Authors:  Kalyani Ankem
Journal:  J Med Libr Assoc       Date:  2003-10
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