J. Med. Internet Res. - Public access and use of health research: an exploratory study of the National Institutes of Health (NIH) Public Access Policy using interviews and surveys of health personnel.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ studi(2440) review(1878) systemat(933) }
{ survey(1388) particip(1329) question(1065) }
{ patient(1821) servic(1111) care(1106) }
{ data(2317) use(1299) case(1017) }
{ intervent(3218) particip(2042) group(1664) }
{ clinic(1479) use(1117) guidelin(835) }
{ perform(999) metric(946) measur(919) }
{ research(1218) medic(880) student(794) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ search(2224) databas(1162) retriev(909) }
{ spatial(1525) area(1432) region(1030) }
{ data(3008) multipl(1320) sourc(1022) }
{ can(774) often(719) complex(702) }
{ take(945) account(800) differ(722) }
{ assess(1506) score(1403) qualiti(1306) }
{ general(901) number(790) one(736) }
{ risk(3053) factor(974) diseas(938) }
{ patient(2837) hospit(1953) medic(668) }
{ structur(1116) can(940) graph(676) }
{ use(976) code(926) identifi(902) }
{ data(1737) use(1416) pattern(1282) }
{ imag(1057) registr(996) error(939) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ record(1888) medic(1808) patient(1693) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: In 2008, the National Institutes of Health (NIH) Public Access Policy mandated open access for publications resulting from NIH funding (following a 12-month embargo). The large increase in access to research that will take place in the years to come has potential implications for evidence-based practice (EBP) and lifelong learning for health personnel.OBJECTIVE: This study assesses health personnel's current use of research to establish whether grounds exist for expecting, preparing for, and further measuring the impact of the NIH Public Access Policy on health care quality and outcomes in light of time constraints and existing information resources.METHODS: In all, 14 interviews and 90 surveys of health personnel were conducted at a community-based clinic and an independent teaching hospital in 2010. Health personnel were asked about the research sources they consulted and the frequency with which they consulted these sources, as well as motivation and search strategies used to locate articles, perceived level of access to research, and knowledge of the NIH Public Access Policy.RESULTS: In terms of current access to health information, 65% (57/88) of the health personnel reported being satisfied, while 32% (28/88) reported feeling underserved. Among the sources health personnel reported that they relied upon and consulted weekly, 83% (73/88) reported turning to colleagues, 77% (67/87) reported using synthesized information resources (eg, UpToDate and Cochrane Systematic Reviews), while 32% (28/88) reported that they consulted primary research literature. The dominant resources health personnel consulted when actively searching for health information were Google and Wikipedia, while 27% (24/89) reported using PubMed weekly. The most prevalent reason given for accessing research on a weekly basis, reported by 35% (31/88) of survey respondents, was to help a specific patient, while 31% (26/84) were motivated by general interest in research.CONCLUSIONS: The results provide grounds for expecting the NIH Public Access Policy to have a positive impact on EBP and health care more generally given that between a quarter and a third of participants in this study (1) frequently accessed research literature, (2) expressed an interest in having greater access, and (3) were aware of the policy and expect it to have an impact on their accessing research literature in the future. Results also indicate the value of promoting a greater awareness of the NIH policy, providing training and education in the location and use of the literature, and continuing improvements in the organization of biomedical research for health personnel use.

Resumo Limpo

ckground nation institut health nih public access polici mandat open access public result nih fund follow month embargo larg increas access research will take place year come potenti implic evidencebas practic ebp lifelong learn health personnelobject studi assess health personnel current use research establish whether ground exist expect prepar measur impact nih public access polici health care qualiti outcom light time constraint exist inform resourcesmethod interview survey health personnel conduct communitybas clinic independ teach hospit health personnel ask research sourc consult frequenc consult sourc well motiv search strategi use locat articl perceiv level access research knowledg nih public access policyresult term current access health inform health personnel report satisfi report feel underserv among sourc health personnel report reli upon consult week report turn colleagu report use synthes inform resourc eg uptod cochran systemat review report consult primari research literatur domin resourc health personnel consult activ search health inform googl wikipedia report use pubm week preval reason given access research week basi report survey respond help specif patient motiv general interest researchconclus result provid ground expect nih public access polici posit impact ebp health care general given quarter third particip studi frequent access research literatur express interest greater access awar polici expect impact access research literatur futur result also indic valu promot greater awar nih polici provid train educ locat use literatur continu improv organ biomed research health personnel use

Resumos Similares

J Am Med Inform Assoc - Effects of librarian-provided services in healthcare settings: a systematic review. ( 0,890451797720505 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,825807400744885 )
Inform Health Soc Care - Linking health information technology to patient safety and quality outcomes: a bibliometric analysis and review. ( 0,775784699439856 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,771292826131937 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,768830348386588 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,766259912601759 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,764045034990508 )
Health Info Libr J - Using the results of a satisfaction survey to demonstrate the impact of a new library service model. ( 0,760983028503475 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,760944984838498 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,757007150091416 )
Int J Med Inform - Framing the evidence for health smart homes and home-based consumer health technologies as a public health intervention for independent aging: a systematic review. ( 0,754319443242744 )
Telemed J E Health - Supporting health professionals through information and communication technologies: a systematic review of the effects of information and communication technologies on recruitment and retention. ( 0,754157187315396 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,754084282138335 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,751347641525539 )
J. Med. Internet Res. - Effectiveness of eHealth interventions and information needs in palliative care: a systematic literature review. ( 0,749409114509077 )
Health Informatics J - The role of short messaging service in supporting the delivery of healthcare: An umbrella systematic review. ( 0,74729736978058 )
J Am Med Inform Assoc - Metrics associated with NIH funding: a high-level view. ( 0,745409735396774 )
Telemed J E Health - Formative second opinion: qualifying health professionals for the unified health system through the Brazilian Telehealth Program. ( 0,742546577919423 )
Inform Health Soc Care - A study on people's concepts associating community health exam interventions with their participation in future health examinations. ( 0,73228319804284 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,731744101746092 )
AMIA Annu Symp Proc - An evaluation of the rates of repeat notifiable disease reporting and patient crossover using a health information exchange-based automated electronic laboratory reporting system. ( 0,72894417041441 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,727644669852675 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,726676853437976 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,724356603759662 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,719878879575411 )
Inform Health Soc Care - The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics. ( 0,717637720904221 )
Int J Med Inform - Telemedicine across borders: a systematic review of factors that hinder or support implementation. ( 0,71271374137391 )
J Telemed Telecare - Teledermatology in pharmacies: a pilot study. ( 0,711211722731575 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,710381313447861 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,71025594285589 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,708095629304536 )
J. Med. Internet Res. - Major infection events over 5 years: how is media coverage influencing online information needs of health care professionals and the public? ( 0,705861038590133 )
BMC Med Inform Decis Mak - A systematic review of speech recognition technology in health care. ( 0,702597954603622 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,701357082941766 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,700833116712861 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,699609464203192 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,697537568310833 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,696267516356995 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,693470488749569 )
J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state. ( 0,693235485429774 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,692462334669562 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,691922971937073 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,691381612637889 )
AMIA Annu Symp Proc - Preparing for an aging population and improving chronic disease management. ( 0,689612184786273 )
J. Med. Internet Res. - Investigating the congruence of crowdsourced information with official government data: the case of pediatric clinics. ( 0,689062945049985 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,688556904429554 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,687943771731757 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,684415527902651 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,684371036264523 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,682204724265592 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,682121341454383 )
Telemed J E Health - Federal efforts to define and advance telehealth--a work in progress. ( 0,681950819282125 )
Int J Health Geogr - Injury surveillance in low-resource settings using Geospatial and Social Web technologies. ( 0,681209713278562 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,679933180906712 )
J Am Med Inform Assoc - The Regional Healthcare Ecosystem Analyst (RHEA): a simulation modeling tool to assist infectious disease control in a health system. ( 0,679251905807618 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,678784599904422 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,678769998491935 )
J Med Syst - Meeting US health reform mandates with computerized health services utilization matching and optimization. ( 0,678440532088504 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,677067351973049 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,676386549896285 )
Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study. ( 0,676135162170255 )
Int J Health Geogr - Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. ( 0,675756713060301 )
Appl Clin Inform - Strategic Procedures and Revisions for implementing Telemedicine and Telecare in Greece. ( 0,674903828291431 )
BMC Med Inform Decis Mak - A scenario analysis of the future residential requirements for people with mental health problems in Eindhoven. ( 0,674308194296267 )
Appl Clin Inform - The impact of health information exchange on health outcomes. ( 0,674136824971537 )
BMC Med Inform Decis Mak - Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part II: the referring clinician and patient perspective. ( 0,673320597501983 )
J. Med. Internet Res. - Health information technology to facilitate communication involving health care providers, caregivers, and pediatric patients: a scoping review. ( 0,672845186701623 )
J Am Med Inform Assoc - The National Alliance for Medical Image Computing, a roadmap initiative to build a free and open source software infrastructure for translational research in medical image analysis. ( 0,672702176532489 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,670308437377129 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,667755769893752 )
Int J Med Inform - Achieving the integrated and smart health and wellbeing paradigm: a call for policy research and action on governance and business models. ( 0,666967809843272 )
J Am Med Inform Assoc - Patient-centered care, collaboration, communication, and coordination: a report from AMIA's 2013 Policy Meeting. ( 0,666786101112716 )
J Telemed Telecare - Telerehabilitation in stroke care--a systematic review. ( 0,666783944956036 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,666195162946099 )
Int J Med Inform - The use of conferencing technologies to support drug policy group knowledge exchange processes: an action case approach. ( 0,665264876981518 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,665171628550236 )
J Med Syst - Technologies to better serve the millions of diabetic patients: a holistic, interactive and persuasive ICT model to facilitate self care, in extremely poor rural zones of Central America. ( 0,665027038242083 )
Health Info Libr J - Monitoring or avoiding health information--the relation to inner inclination and health status. ( 0,664896897402724 )
Int J Health Geogr - Spatial modelling of healthcare utilisation for treatment of fever in Namibia. ( 0,664858562897917 )
Int J Health Geogr - Spatial access to residential care resources in Beijing, China. ( 0,664326018321632 )
Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,663524867010192 )
Int J Health Geogr - Optimization of preventive health care facility locations. ( 0,66337406947707 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,663151876641683 )
J Am Med Inform Assoc - Policies for patient access to clinical data via PHRs: current state and recommendations. ( 0,661746485690336 )
Comput Methods Programs Biomed - Health-enabling technologies for the elderly--an overview of services based on a literature review. ( 0,661425301206755 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,66128590154239 )
Health Info Libr J - Information needs of public health students. ( 0,661029703567496 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,660622247413037 )
J. Med. Internet Res. - Limited use of price and quality advertising among American hospitals. ( 0,659279734664175 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,658239922086913 )
J. Med. Internet Res. - Using evidence-based internet interventions to reduce health disparities worldwide. ( 0,658200369625011 )
Spat Spatiotemporal Epidemiol - Investigating impacts of positional error on potential health care accessibility. ( 0,657747088399884 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,654644020001739 )
J. Med. Internet Res. - The impact of social media on medical professionalism: a systematic qualitative review of challenges and opportunities. ( 0,651640992744953 )
J Am Med Inform Assoc - Impact of a web-based personally controlled health management system on influenza vaccination and health services utilization rates: a randomized controlled trial. ( 0,650113702851138 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,646538348923335 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,645896267279704 )
Int J Health Geogr - It's a long, long walk: accessibility to hospitals, maternity and integrated health centers in Niger. ( 0,645498257228739 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,643580779389086 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,643301051161579 )