ArticleBMJ (Clinical research ed.)2002
A comparative case study of two models of a clinical informaticist service.
Article in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors affecting the mature use of electronic medical records by primary care physicians: a systematic review.BMC medical informatics and decision making · 2021Pooled it
- The emerging informationist specialty: a systematic review of the literature.Journal of the Medical Library Association : JMLA · 2008Pooled it
- 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
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- A core competency model for clinical informationists.Journal of the Medical Library Association : JMLA · 2021Article
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- Evolution, revolution, or obsolescence: an examination of writings on the future of health sciences libraries.Journal of the Medical Library Association : JMLA · 2012Article
- The informationist: building evidence for an emerging health profession.Journal of the Medical Library Association : JMLA · 2010Article
- [Patient safety based on computer-assisted drug therapy. Electronic check-up of the patient].Der Internist · 2009Review
- Informationist programme in support of biomedical research: a programme description and preliminary findings of an evaluation.Health information and libraries journal · 2008Article
- Bringing evidence to practice: a team approach to teaching skills required for an informationist role in evidence-based clinical and public health practice.Journal of the Medical Library Association : JMLA · 2008Article
- German national drug information service: user satisfaction and potential positive patient outcomes.Pharmacy world & science : PWS · 2007Article
- Implementing evidence-based medicine in general practice: a focus group based study.BMC family practice · 2005Article
- The ECHO project: (50th) proposal for IQCPOP.MedGenMed : Medscape general medicine · 2004Article
- Risk management in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- Personpower planning.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- War or health?--humanitarian crisis worsens in war-torn Congo.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Article
- Informaticist services for policymakers will differ from those studied.BMJ (Clinical research ed.) · 2002Article
- Answering physicians' clinical questions: obstacles and potential solutions.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe and evaluate two different models of a clinical informaticist service.
designA case study approach, using various qualitative methods to illuminate the complexity of the project groups' experiences.
settingUK primary health care.
interventionsTwo informaticist projects to provide evidence based answers to questions arising in clinical practice and thereby support high quality clinical decision making by practitioners.
resultsThe projects took contrasting and complementary approaches to establishing the service. One was based in an academic department of primary health care. The service was academically highly rigorous, remained true to its original proposal, included a prominent research component, and involved relatively little personal contact with practitioners. This group achieved the aim of providing general information and detailed guidance to others intending to set up a similar service. The other group was based in a service general practice and took a much more pragmatic, flexible, and facilitative approach. They achieved the aim of a credible, acceptable, and sustainable service that engaged local practitioners beyond the innovators and enthusiasts and secured continued funding.
conclusionAn informaticist service should be judged on at least two aspects of quality---an academic dimension (the technical quality of the evidence based answers) and a service dimension (the facilitation of questioning behaviour and implementation). This study suggests that, while the former may be best achieved within an academic environment, the latter requires a developmental approach in which pragmatic service considerations are addressed.
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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.