General practitioners' use of online evidence during consultations

Farah Magrabi, Enrico W. Coiera, Johanna I. Westbrook, A. Sophie Gosling, Victor Vickland

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Clinicians have many unanswered questions during clinical encounters which may impact on the quality and outcomes of decisions made. Provision of online evidence at the point of care is one strategy that provides clinicians with easy access to up-to-date evidence in clinical settings to support evidence-based decision-making. To determine if and when general practitioners use an online evidence system in routine clinical practice, the type of questions for which clinicians seek evidence and the extent to which the system provides clinically useful answers. A prospective cohort study which involved a 4-week clinical trial of Quick Clinical, an online evidence system specifically designed around the needs of general practitioners. Two hundred and twenty-seven clinicians who had a computer with Internet access in their consulting rooms. Computer logs and survey analysis. One hundred and ninety-three general practitioners used the online evidence system to conduct on average 8.7 searches/month. The majority of these (81%) were conducted from consulting rooms and carried out between 9 a.m. and 7 p.m. (83%). The most frequent searches conducted related to diagnosis (40%) and treatment (35%). 83% of clinicians believed that Quick Clinical (QC) had the potential to improve patient care, and one in four users reported direct experience of improvements in care. In 73% of queries with clinician feedback participants reported that they were able to find clinically useful information during their routine work. General practitioners will use an online evidence retrieval system in routine practice, and report that its use improves the quality of patient care.

LanguageEnglish
Pages1-12
Number of pages12
JournalInternational Journal of Medical Informatics
Volume74
Issue number1
DOIs
Publication statusPublished - Jan 2005
Externally publishedYes

Fingerprint

Online Systems
General Practitioners
Referral and Consultation
Patient Care
Point-of-Care Systems
Quality of Health Care
Internet
Decision Making
Cohort Studies
Clinical Trials
Prospective Studies
Therapeutics

Cite this

@article{0f3619e8876d4368b2dbe6e7151ba50a,
title = "General practitioners' use of online evidence during consultations",
abstract = "Clinicians have many unanswered questions during clinical encounters which may impact on the quality and outcomes of decisions made. Provision of online evidence at the point of care is one strategy that provides clinicians with easy access to up-to-date evidence in clinical settings to support evidence-based decision-making. To determine if and when general practitioners use an online evidence system in routine clinical practice, the type of questions for which clinicians seek evidence and the extent to which the system provides clinically useful answers. A prospective cohort study which involved a 4-week clinical trial of Quick Clinical, an online evidence system specifically designed around the needs of general practitioners. Two hundred and twenty-seven clinicians who had a computer with Internet access in their consulting rooms. Computer logs and survey analysis. One hundred and ninety-three general practitioners used the online evidence system to conduct on average 8.7 searches/month. The majority of these (81{\%}) were conducted from consulting rooms and carried out between 9 a.m. and 7 p.m. (83{\%}). The most frequent searches conducted related to diagnosis (40{\%}) and treatment (35{\%}). 83{\%} of clinicians believed that Quick Clinical (QC) had the potential to improve patient care, and one in four users reported direct experience of improvements in care. In 73{\%} of queries with clinician feedback participants reported that they were able to find clinically useful information during their routine work. General practitioners will use an online evidence retrieval system in routine practice, and report that its use improves the quality of patient care.",
author = "Farah Magrabi and Coiera, {Enrico W.} and Westbrook, {Johanna I.} and Gosling, {A. Sophie} and Victor Vickland",
year = "2005",
month = "1",
doi = "10.1016/j.ijmedinf.2004.10.003",
language = "English",
volume = "74",
pages = "1--12",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier",
number = "1",

}

General practitioners' use of online evidence during consultations. / Magrabi, Farah; Coiera, Enrico W.; Westbrook, Johanna I.; Gosling, A. Sophie; Vickland, Victor.

In: International Journal of Medical Informatics, Vol. 74, No. 1, 01.2005, p. 1-12.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - General practitioners' use of online evidence during consultations

AU - Magrabi, Farah

AU - Coiera, Enrico W.

AU - Westbrook, Johanna I.

AU - Gosling, A. Sophie

AU - Vickland, Victor

PY - 2005/1

Y1 - 2005/1

N2 - Clinicians have many unanswered questions during clinical encounters which may impact on the quality and outcomes of decisions made. Provision of online evidence at the point of care is one strategy that provides clinicians with easy access to up-to-date evidence in clinical settings to support evidence-based decision-making. To determine if and when general practitioners use an online evidence system in routine clinical practice, the type of questions for which clinicians seek evidence and the extent to which the system provides clinically useful answers. A prospective cohort study which involved a 4-week clinical trial of Quick Clinical, an online evidence system specifically designed around the needs of general practitioners. Two hundred and twenty-seven clinicians who had a computer with Internet access in their consulting rooms. Computer logs and survey analysis. One hundred and ninety-three general practitioners used the online evidence system to conduct on average 8.7 searches/month. The majority of these (81%) were conducted from consulting rooms and carried out between 9 a.m. and 7 p.m. (83%). The most frequent searches conducted related to diagnosis (40%) and treatment (35%). 83% of clinicians believed that Quick Clinical (QC) had the potential to improve patient care, and one in four users reported direct experience of improvements in care. In 73% of queries with clinician feedback participants reported that they were able to find clinically useful information during their routine work. General practitioners will use an online evidence retrieval system in routine practice, and report that its use improves the quality of patient care.

AB - Clinicians have many unanswered questions during clinical encounters which may impact on the quality and outcomes of decisions made. Provision of online evidence at the point of care is one strategy that provides clinicians with easy access to up-to-date evidence in clinical settings to support evidence-based decision-making. To determine if and when general practitioners use an online evidence system in routine clinical practice, the type of questions for which clinicians seek evidence and the extent to which the system provides clinically useful answers. A prospective cohort study which involved a 4-week clinical trial of Quick Clinical, an online evidence system specifically designed around the needs of general practitioners. Two hundred and twenty-seven clinicians who had a computer with Internet access in their consulting rooms. Computer logs and survey analysis. One hundred and ninety-three general practitioners used the online evidence system to conduct on average 8.7 searches/month. The majority of these (81%) were conducted from consulting rooms and carried out between 9 a.m. and 7 p.m. (83%). The most frequent searches conducted related to diagnosis (40%) and treatment (35%). 83% of clinicians believed that Quick Clinical (QC) had the potential to improve patient care, and one in four users reported direct experience of improvements in care. In 73% of queries with clinician feedback participants reported that they were able to find clinically useful information during their routine work. General practitioners will use an online evidence retrieval system in routine practice, and report that its use improves the quality of patient care.

UR - http://www.scopus.com/inward/record.url?scp=11144222215&partnerID=8YFLogxK

U2 - 10.1016/j.ijmedinf.2004.10.003

DO - 10.1016/j.ijmedinf.2004.10.003

M3 - Article

VL - 74

SP - 1

EP - 12

JO - International Journal of Medical Informatics

T2 - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

IS - 1

ER -