ArticleQuality in health care : QHC2001
A clinical informaticist to support primary care decision making.
Article in Quality in health care : QHC, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The emerging informationist specialty: a systematic review of the literature.Journal of the Medical Library Association : JMLA · 2008Pooled it
- Improved quality and more attractive work by applying EBM in disability evaluations: a qualitative survey.BMC medical education · 2016Trial
- A cost-consequences analysis of a primary care librarian question and answering service.PloS one · 2012Trial
- Just-in-time information improved decision-making in primary care: a randomized controlled trial.PloS one · 2008Trial
- Exploring the utility of Preevid, an evidence-based answer service to clinical questions, during the COVID-19 pandemic.Health information and libraries journal · 2025Article
- Article
- Clinical informationist participation in grand round sessions of gastroenterology department: An action research study.Journal of education and health promotion · 2021Article
- The educational role of clinical informationist on improving clinical education among medical students: Based on Kirkpatrick model.Journal of education and health promotion · 2020Article
- Article
- Formative evaluation of a patient-specific clinical knowledge summarization tool.International journal of medical informatics · 2016Article
- Determining primary care physician information needs to inform ambulatory visit note display.Applied clinical informatics · 2014Article
- Problem-oriented drug information: physicians' expectations and impact on clinical practice.European journal of clinical pharmacology · 2009Article
- [Implementation of evidence based medicine in primary care].Wiener medizinische Wochenschrift (1946) · 2009Article
- How do primary care physicians seek answers to clinical questions? A literature review.Journal of the Medical Library Association : JMLA · 2006Review
- Implementing evidence-based medicine in general practice: a focus group based study.BMC family practice · 2005Article
- A new impact assessment method to evaluate knowledge resources.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2005Review
- The ECHO project: (50th) proposal for IQCPOP.MedGenMed : Medscape general medicine · 2004Article
- Increasing the satisfaction of general practitioners with continuing medical education programs: a method for quality improvement through increasing teacher-learner interaction.BMC family practice · 2002Article
- A comparative case study of two models of a clinical informaticist service.BMJ (Clinical research ed.) · 2002Article
- Patient-care questions that physicians are unable to answer.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo develop and evaluate an information service in which a "clinical informaticist" (a GP with training in evidence-based medicine) provided evidence-based answers to questions posed by GPs and nurse practitioners.
designDescriptive pilot study with systematic recording of the process involved in searching for and critically appraising literature. Evaluation by questionnaire and semi-structured interview.
settingGeneral practice.
participants34 clinicians from two London primary care groups (Fulham and Hammersmith).
main outcome measuresNumber and origin of questions; process and time involved in producing summaries; satisfaction with the service.
resultsAll 100 clinicians in two primary care groups were approached. Thirty four agreed to participate, of whom 22 asked 60 questions over 10 months. Participants were highly satisfied with the summaries they received. For one third of questions the clinicians stated they would change practice in the index patient, and for 55% the participants stated they would change practice in other patients. Answering questions thoroughly was time consuming (median 130 minutes). The median turnaround time was 9 days; 82% of questions were answered within the timeframe specified by the questioner. Without the informaticist, one third of questions would not have been pursued.
conclusionThe clinical informaticist service increased access to evidence for busy clinicians. Satisfaction was high among users and clinicians stated that changes in practice would occur. However, uptake of the service was lower than expected (22% of those offered the service). Further research is needed into how this method of increasing access to evidence compares with other strategies, and whether it results in improved health outcomes for patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.