J. Med. Internet Res. - Impact of an online medical internet site on knowledge and practice of health care providers: a mixed methods study of the Spinal Cord Injury Rehabilitation Evidence project.

Tópicos

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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: It is not known whether ongoing access to a broad-based Internet knowledge resource can influence the practice of health care providers. We undertook a study to evaluate the impact of a Web-based knowledge resource on increasing access to evidence and facilitating best practice of health care providers.OBJECTIVE: The objective of this study was to evaluate (1) the impact of the Spinal Cord Injury Rehabilitation Evidence (SCIRE) project on access to information for health care providers and researchers and (2) how SCIRE influenced health care providers' management of clients.METHODS: A 4-part mixed methods evaluation was undertaken: (1) monitoring website traffic and utilization using Google Analytics, (2) online survey of users who accessed the SCIRE website, (3) online survey of targeted end-users, that is, rehabilitation health care providers known to work with spinal cord injury (SCI) clients, as well as researchers, and (4) focus groups with health care providers who had previously accessed SCIRE.RESULTS: The online format allowed the content for a relatively specialized field to have far reach (eg, 26 countries and over 6500 users per month). The website survey and targeted end-user survey confirmed that health care providers, as well as researchers perceived that the website increased their access to SCI evidence. Access to SCIRE not only improved knowledge of SCI evidence but helped inform changes to the health providers' clinical practice and improved their confidence in treating SCI clients. The SCIRE information directly influenced the health providers' clinical decision making, in terms of choice of intervention, equipment needs, or assessment tool.CONCLUSIONS: A Web-based knowledge resource may be a relatively inexpensive method to increase access to evidence-based information, increase knowledge of the evidence, inform changes to the health providers' practice, and influence their clinical decision making.

Resumo Limpo

ckground known whether ongo access broadbas internet knowledg resourc can influenc practic health care provid undertook studi evalu impact webbas knowledg resourc increas access evid facilit best practic health care providersobject object studi evalu impact spinal cord injuri rehabilit evid scire project access inform health care provid research scire influenc health care provid manag clientsmethod part mix method evalu undertaken monitor websit traffic util use googl analyt onlin survey user access scire websit onlin survey target endus rehabilit health care provid known work spinal cord injuri sci client well research focus group health care provid previous access scireresult onlin format allow content relat special field far reach eg countri user per month websit survey target endus survey confirm health care provid well research perceiv websit increas access sci evid access scire improv knowledg sci evid help inform chang health provid clinic practic improv confid treat sci client scire inform direct influenc health provid clinic decis make term choic intervent equip need assess toolconclus webbas knowledg resourc may relat inexpens method increas access evidencebas inform increas knowledg evid inform chang health provid practic influenc clinic decis make

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