Int J Med Inform - A systematic review of interventions promoting clinical information retrieval technology (CIRT) adoption by healthcare professionals.

Tópicos

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{ method(2212) result(1239) propos(1039) }

Resumo

RPOSE: This paper presents the evidence on the effectiveness of interventions promoting the use of clinical information retrieval technologies (CIRTs) by healthcare professionals.METHODS: We electronically searched articles published between January 1990 and March 2008 using following inclusion criteria: (1) participants were healthcare professionals; (2) specific intervention promoted CIRT adoption; (3) studies were randomised controlled trials, controlled clinical trials, controlled before and after studies or interrupted time series analyses; and (4) they objectively reporting measured outcomes on CIRT use.RESULTS: We found nine studies focusing on CIRT use. Main outcomes measured were searching skills and/or frequency of use of electronic databases by healthcare professionals. Three studies reported a positive effect of the intervention on CIRT use, one showed a positive impact post-intervention, and four studies failed to demonstrate significant intervention effect. The ninth study examined financial disincentives, and found a significant negative effect of introducing user fees for searching MEDLINE in clinical settings. A meta-analysis showed that educational meetings were the only type of interventions reporting consistent positive effects on CIRT adoption.CONCLUSION: CIRT is an information and communication technology commonly used in healthcare settings. Interventions promoting CIRT adoption by healthcare professionals have shown some success in improving searching skills and use of electronic databases. However, the effectiveness of these interventions remains uncertain and more rigorous studies are needed.

Resumo Limpo

rpose paper present evid effect intervent promot use clinic inform retriev technolog cirt healthcar professionalsmethod electron search articl publish januari march use follow inclus criteria particip healthcar profession specif intervent promot cirt adopt studi randomis control trial control clinic trial control studi interrupt time seri analys object report measur outcom cirt useresult found nine studi focus cirt use main outcom measur search skill andor frequenc use electron databas healthcar profession three studi report posit effect intervent cirt use one show posit impact postintervent four studi fail demonstr signific intervent effect ninth studi examin financi disincent found signific negat effect introduc user fee search medlin clinic set metaanalysi show educ meet type intervent report consist posit effect cirt adoptionconclus cirt inform communic technolog common use healthcar set intervent promot cirt adopt healthcar profession shown success improv search skill use electron databas howev effect intervent remain uncertain rigor studi need

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