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T-Space at The University of Toronto Libraries >
Journal of Medical Internet Research >
Volume 10 (2008)  >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/16657

Title: Long-Term Patterns of Online Evidence Retrieval Use in General Practice: A 12-Month Study
Authors: Magrabi, Farah
Westbrook, Johanna I
Kidd, Michael R
Day, Richard O
Coiera, Enrico
Keywords: Original Paper
Clinical informatics
information retrieval
evidence-based medicine
family practice
evaluation studies
Issue Date: 19-Mar-2008
Publisher: Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada
Citation: Farah Magrabi, Johanna I Westbrook, Michael R Kidd, Richard O Day, Enrico Coiera. Long-Term Patterns of Online Evidence Retrieval Use in General Practice: A 12-Month Study. J Med Internet Res 2008;10(1):e6 <URL: http://www.jmir.org/2008/1/e6/>
Abstract: [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2008/1/e6/ ] 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.
Description: Reviewer: Little, David
URI: http://dx.doi.org/ 10.2196/jmir.974
ISSN: 1438-8871
Rights: © Farah Magrabi, Johanna I Westbrook, Michael R Kidd, Richard O Day, Enrico Coiera. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.03.2008. Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited, including full bibliographic details and the URL (see "please cite as" above), and this statement is included.
Appears in Collections:Volume 10 (2008)

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