Evidence map›Paper›PMID 15142920›Full record

ArticleBMJ (Clinical research ed.)2004

Doctors' experience with handheld computers in clinical practice: qualitative study.

Ann Scheck McAlearney, Sharon B Schweikhart, Mitchell A Medow

Abstract readMulticenter Study
In one paragraph

Article in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Ann Scheck McAlearneyDivision of Health Services Management and Policy, Ohio State University, School of Public Health, 1583 Perry Street, Atwell 246, Columbus, OH 43210-1234, USA. mcalearney.1@osu.edu
Sharon B Schweikhart
Mitchell A Medow

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine doctors' perspectives about their experiences with handheld computers in clinical practice.

designQualitative study of eight focus groups consisting of doctors with diverse training and practice patterns.

settingSix practice settings across the United States and two additional focus group sessions held at a national meeting of general internists.

participants54 doctors who did or did not use handheld computers.

resultsDoctors who used handheld computers in clinical practice seemed generally satisfied with them and reported diverse patterns of use. Users perceived that the devices helped them increase productivity and improve patient care. Barriers to use concerned the device itself and personal and perceptual constraints, with perceptual factors such as comfort with technology, preference for paper, and the impression that the devices are not easy to use somewhat difficult to overcome. Participants suggested that organisations can help promote handheld computers by providing advice on purchase, usage, training, and user support. Participants expressed concern about reliability and security of the device but were particularly concerned about dependency on the device and over-reliance as a substitute for clinical thinking.

conclusionsDoctors expect handheld computers to become more useful, and most seem interested in leveraging (getting the most value from) their use. Key opportunities with handheld computers included their use as a stepping stone to build doctors' comfort with other information technology and ehealth initiatives and providing point of care support that helps improve patient care.

Indexed as

Attitude of Health PersonnelAttitude to ComputersComputers, HandheldComputer SecurityFemaleFocus GroupsHumansMalePhysiciansProfessional PracticeUnited States

Identifiers

PMID15142920
PMCPMC411090

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.