Document Detail


Use of point-of-care online clinical evidence by junior and senior doctors in New South Wales public hospitals.
MedLine Citation:
PMID:  15958109     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The Clinical Information Access Program (CIAP), an online evidence retrieval system, provides NSW health professionals in public hospitals with 24 h access to information supporting evidence-based practice. AIM: To assess the frequency and type of CIAP usage by senior and junior medical staff and doctors' attitudes to CIAP. METHODS: A convenience sample of 25% of doctors from 65 randomly selected public hospitals completed a survey. Junior (n = 392) and senior (n = 684) doctors' responses were compared using chi2 analyses and t-tests. RESULTS: Most doctors had heard of CIAP (71.8%) and 60.6% had used it. More junior (72.4%) than senior (53.8%) doctors had used CIAP and junior doctors found it easier to use. Of the users 93.5% believed CIAP had the potential to improve patient care; 55.2% had directly experienced this. Most usage (61.5%) occurred at point-of-care; 74% of users found all/most of the information they sought and 71.6% found the search time to be 'good/excellent'. Users had increased their usage in the past year and predicted increased future usage. The most popular databases were Medline and MIMS. Age, access to other evidence, and lack of training, time and computer skills were associated with non-usage. Junior and senior users differed in 4 of 15 reasons for using CIAP. CONCLUSIONS: CIAP is used and valued by the majority of doctors. Patterns of usage, online experiences and the attitudes toward CIAP of senior doctors who use CIAP are relatively similar to those of junior doctors.
Authors:
J I Westbrook; A S Gosling; M T Westbrook
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Internal medicine journal     Volume:  35     ISSN:  1444-0903     ISO Abbreviation:  Intern Med J     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-16     Completed Date:  2005-09-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  399-404     Citation Subset:  IM    
Affiliation:
Centre for Health Informatics, University of New South Wales, Kensington, New South Wales, Australia. j.westbrook@unsw.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Attitude to Computers
Databases, Bibliographic / utilization*
Decision Making, Computer-Assisted*
Female
Hospitals, Public*
Humans
Male
Middle Aged
New South Wales
Online Systems / utilization*
Patient Care / methods*
Physicians*
Point-of-Care Systems / utilization*
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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