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.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Magrabi F,Westbrook JI,Kidd MR,Day RO,Coiera Edoi
10.2196/jmir.974subject
Has Abstractpub_date
2008-03-19 00:00:00pages
e6issue
1eissn
1439-4456issn
1438-8871pii
v10i1e6journal_volume
10pub_type
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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abstract::[This corrects the article DOI: .]. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,已发布勘误
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pub_type: 杂志文章,meta分析
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