J. Med. Internet Res. - Do family physicians retrieve synopses of clinical research previously read as email alerts?

Tópicos

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Resumo

CKGROUND: A synopsis of new clinical research highlights important aspects of one study in a brief structured format. When delivered as email alerts, synopses enable clinicians to become aware of new developments relevant for practice. Once read, a synopsis can become a known item of clinical information. In time-pressured situations, remembering a known item may facilitate information retrieval by the clinician. However, exactly how synopses first delivered as email alerts influence retrieval at some later time is not known.OBJECTIVES: We examined searches for clinical information in which a synopsis previously read as an email alert was retrieved (defined as a dyad). Our study objectives were to (1) examine whether family physicians retrieved synopses they previously read as email alerts and then to (2) explore whether family physicians purposefully retrieved these synopses.METHODS: We conducted a mixed-methods study in which a qualitative multiple case study explored the retrieval of email alerts within a prospective longitudinal cohort of practicing family physicians. Reading of research-based synopses was tracked in two contexts: (1) push, meaning to read on email and (2) pull, meaning to read after retrieval from one electronic knowledge resource. Dyads, defined as synopses first read as email alerts and subsequently retrieved in a search of a knowledge resource, were prospectively identified. Participants were interviewed about all of their dyads. Outcomes were the total number of dyads and their type.RESULTS: Over a period of 341 days, 194 unique synopses delivered to 41 participants resulted in 4937 synopsis readings. In all, 1205 synopses were retrieved over an average of 320 days. Of the 1205 retrieved synopses, 21 (1.7%) were dyads made by 17 family physicians. Of the 1205 retrieved synopses, 6 (0.5%) were known item type dyads. However, dyads also occurred serendipitously.CONCLUSION: In the single knowledge resource we studied, email alerts containing research-based synopses were rarely retrieved. Our findings help us to better understand the effect of push on pull and to improve the integration of research-based information within electronic resources for clinicians.

Resumo Limpo

ckground synopsi new clinic research highlight import aspect one studi brief structur format deliv email alert synops enabl clinician becom awar new develop relev practic read synopsi can becom known item clinic inform timepressur situat rememb known item may facilit inform retriev clinician howev exact synops first deliv email alert influenc retriev later time knownobject examin search clinic inform synopsi previous read email alert retriev defin dyad studi object examin whether famili physician retriev synops previous read email alert explor whether famili physician purpos retriev synopsesmethod conduct mixedmethod studi qualit multipl case studi explor retriev email alert within prospect longitudin cohort practic famili physician read researchbas synops track two context push mean read email pull mean read retriev one electron knowledg resourc dyad defin synops first read email alert subsequ retriev search knowledg resourc prospect identifi particip interview dyad outcom total number dyad typeresult period day uniqu synops deliv particip result synopsi read synops retriev averag day retriev synops dyad made famili physician retriev synops known item type dyad howev dyad also occur serendipitouslyconclus singl knowledg resourc studi email alert contain researchbas synops rare retriev find help us better understand effect push pull improv integr researchbas inform within electron resourc clinician

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