Evidence map›Paper›PMID 16404470›Full record

ReviewJournal of the Medical Library Association : JMLA2006

How do primary care physicians seek answers to clinical questions? A literature review.

Herma C H Coumou, Frans J Meijman

Abstract readReview
In one paragraph

Review in Journal of the Medical Library Association : JMLA, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 6 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

105 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Barriers and facilitators to clinical information seeking: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Effects of librarian-provided services in healthcare settings: a systematic review.Journal of the American Medical Informatics Association : JAMIA
    Pooled it
  7. Trial
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  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Perceptions of digital medical information services applying new technologies.Journal of the Medical Library Association : JMLA · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Literature search: Simple rules for confronting theMedical journal, Armed Forces India · 2022
    Review

45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Herma C H CoumouAGIS Zorgverzekeringen and Second Opinion Practice, Zaanstraat 137, 1013 RW Amsterdam, The Netherlands. hcoumou@xs4all.nl
Frans J Meijman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe authors investigated the extent to which changes occurred between 1992 and 2005 in the ways that primary care physicians seek answers to clinical problems. What search strategies are used? How much time is spent on them? How do primary care physicians evaluate various search activities and information sources? Can a clinical librarian be useful to a primary care physician?

methodsTwenty-one original research papers and three literature reviews were examined. No systematic reviews were identified.

resultsPrimary care physicians seek answers to only a limited number of questions about which they first consult colleagues and paper sources. This practice has basically not changed over the years despite the enormous increase in and better accessibility to electronic information sources. One of the major obstacles is the time it takes to search for information. Other difficulties primary care physicians experience are related to formulating an appropriate search question, finding an optimal search strategy, and interpreting the evidence found. Some studies have been done on the supporting role of a clinical librarian in general practice. However, the effects on professional behavior of the primary care physician and on patient outcome have not been studied. A small group of primary care physicians prefer this support to developing their own search skills. DISCUSSION: Primary care physicians have several options for finding quick answers: building a question-and-answer database, consulting filtered information sources, or using an intermediary such as a clinical librarian.

Indexed as

AustraliaHumansInformation Storage and RetrievalInternetInterprofessional RelationsLibrary ServicesNetherlandsNew ZealandOnline SystemsOutsourced ServicesPeriodicals as TopicPractice Patterns, Physicians'Primary Health CareReference Books, MedicalUnited States

Identifiers

PMID16404470
PMCPMC1324772

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.