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How clinicians use information resources at the point of care–a grounded theory study

An interesting study by clinicians of how clinicians use information resources has appeared in a recent issue of JAMA Internal Medicine:

Cook DA; Sorensen KJ; Wilkinson JM; and Berger RA. “Barriers and decisions when answering clinical questions at the point of care: A grounded theory study.” JAMA Intern Med, published online August 26, 2013. [epub ahead of print PMID: 23979118] This article provides details about steps that the researchers took in their qualitative study of how 50 primary care and subspecialist internal medicine and family medicine physicians use online information resources (such as UpToDate, MD Consult, Micromedex, and publicly available Internet resources) to answer clinical questions at the point of care. You can find details here about how the focus groups were conducted, how the participants were selected, and how data was collected and analyzed. This article provides a great template for an approach to collecting qualitative information via focus groups, and ends with an unsurprising conclusion:

“Physicians perceive that insufficient time is the greatest barrier to point-of-care learning, and efficiency is the most important determinant in selecting an information source.”

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