Skip to main content

Knowledge Resources: Finding Answers to Primary Care Questions

  • Chapter
Informatics in Primary Care

Abstract

9:00 a.m. Your clinic day starts with a teenage girl whose blood sugars are elevated and insulin requirements are increased. She reports that her weight is down. You probe and discover that she has been taking Ma-huang for weight control. You believe that the weight loss may not be worth the risk and recommend that she stop taking Ma-huang until a follow-up visit in two weeks. Before her next visit you will review the evidence on the safety of this herbal supplement for adolescent diabetics.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ely JW, Burch RJ, Vinson DC. The information needs of family physicians: case-specific clinical questions. J Fam Pract 1992 Sep;35(3):265–269.

    PubMed  CAS  Google Scholar 

  2. Gorman PN. Information needs of physicians. J Am Soc Inf Sei 1995 Dec; 46(10):729–736.

    Article  Google Scholar 

  3. Gorman PN, Helfand M. Information seeking in primary care: How physicians choose which clinical questions to pursue and which to leave unanswered. Med Decis Making 1995 Apr-Jun;15(2): 113–119.

    Article  PubMed  CAS  Google Scholar 

  4. Lock S. Does editorial peer review work? Ann Intern Med 1994 Jul 1; 121(1): 60–61.

    Article  PubMed  CAS  Google Scholar 

  5. The online health care revolution: How the Web helps Americans take better care of themselves. Pew Internet & American Life Project. Nov 26 2000. http://www.pewinternet.org/reports.toc.asp ?Report=26

    Google Scholar 

  6. Summaries for patients in each online issue of Annals of Internal Medicine. For example, Postmenopausal hormone use and primary prevention of heart disease and stroke in healthy women. Ann Intern Med 2000 Dec 19;133(12): S60. http://www.annals.org/issues/vl33nl2/nts/200012190-00003.html

    Google Scholar 

  7. MEDLINEplus, National Library of Medicine, http://medlineplus.gov

    Google Scholar 

  8. McAlister FA, Straus SE, Guyatt GH, Haynes RB. Helping patients integrate research evidence. JAMA 2000 Nov 22;284(20):2594–2595.

    Article  PubMed  Google Scholar 

  9. Fletcher RH, Fletcher SW. Evidence-based approach to the medical literature. J Gen Intern Med 1997 Apr;12(Suppl 2):S5–14.

    Article  Google Scholar 

  10. Smith R. What clinical information do doctors need? BMJ 1996 Oct 26;313(7064):1062–1068.

    Article  PubMed  CAS  Google Scholar 

  11. Ely JW, Osheroff JA, Ebell MH, et al. Analysis of questions asked by family doctors regarding patient care. BMJ 1999 Aug 7;319(7206):358–356.

    Article  PubMed  CAS  Google Scholar 

  12. Alper BS, et al. Just-in-time electronic database investigation, unpublished. E-mail: alperbahealth.missouri.edu

    Google Scholar 

  13. Chambliss ML, Conley J. Answering clinical questions. J Fam Pract 1996 Aug;43(2): 140–144.

    PubMed  CAS  Google Scholar 

  14. Ketchell DS, St. Anna L, Revere D. The PrimeAnswers Project, unpublished contextual design research, Nov 2000. E-mail: ketchell@u.washington.edu

    Google Scholar 

  15. Shaughnessy AF, Slawson DC, Bennett JH. Becoming an information master: A guidebook to the medical information jungle. J Fam Pract 1994 Nov;39(5):489–499.

    PubMed  CAS  Google Scholar 

  16. Ely JW, Osheroff JA, Gorman PN, et al. A taxonomy of generic clinical questions: Classification study. BMJ 2000 Aug 12;321(7258):429–432.

    Article  PubMed  CAS  Google Scholar 

  17. Lynn LA, Bellini LM. Portable knowledge: a look inside white coat pockets. Ann Intern Med 1999 Feb; 130(3):247–250.

    Article  PubMed  CAS  Google Scholar 

  18. Freudenheim M. Digital doctoring: The race is on to put a computer into every physician’s hand. The New York Times (Late Edition, Final) 2001 Jan 8;Sec C, p.1, col 2. http://www.nytimes.com/2001/01/08/technology/08HAND.html

    Google Scholar 

  19. Safranek S, Dodson S. Strategies for finding evidence. In: Geyman JP, Deyo RA, Ramsey SD, eds. Evidence-based clinical practice: concepts and approaches. Boston: Butterworth-Heinemann, 2000.

    Google Scholar 

  20. Haynes RB, Wilczynski N, McKibbon KA, et al. Developing optimal search strategies for detecting clinically sound studies in MEDLINE. J Am Med Inform Assoc 1994 Nov-Dec;1(6):447–458.

    Article  PubMed  CAS  Google Scholar 

  21. Fuller SS, Ketchell DS, Tarczy-Hornoch P, Masuda D. Integrating knowledge resources at the point of care: Opportunities for librarians. Bull Med Libr Assoc 1999 Oct;87(4):393–403.

    PubMed  CAS  Google Scholar 

  22. Tarczy-Hornoch P, Kwan-Gett TS, Fouche L, et al. Meeting clinician information needs by integrating access to the medical record and knowledge resources via the Web. Proc AMIA Annu Fall Symp 1997;809–813.

    Google Scholar 

  23. The PrimeAnswers Project, http://healthlinks.washington.edu/primeanswers

    Google Scholar 

  24. Family Practice Inquiries Network, http://www.fpin.org

    Google Scholar 

  25. Davidoff F, Florance V. The informationist: A new health profession? Ann Intern Med 2000 Jun 20;132(12):996–998.

    Article  PubMed  CAS  Google Scholar 

Recommended Readings

  • Armstrong EC. The well-built clinical question: The key to finding the best evidence efficiently. WMJ 1999 Mar–Apr;98(2):25–28.

    PubMed  CAS  Google Scholar 

  • Brigl B, Ringleb P, Steiner T, et al. An integrated approach for a knowledge-based clinical workstation: Architecture and experience. Methods Inf Med 1998 Jan;37(1):16–25.

    PubMed  CAS  Google Scholar 

  • Dwyer C. Ideas and trends: Medical informatics and health care computing. Ann Intern Med 1999 Jan 19;130(2):170–172.

    Article  PubMed  CAS  Google Scholar 

  • Ebell M. Information at the point of care: answering clinical questions. J Am Board Fam Pract 1999 May–Jun;12(3):225–235.

    PubMed  CAS  Google Scholar 

  • Geyman JP, Deyo RA, Ramsey SD. Evidence-based clinical practice: Concepts and approaches. Boston: Butterworth-Heinemann, 2000.

    Google Scholar 

  • Glanville J, Haines M, Auston I. Finding information on clinical effectiveness. BMJ 1998 Jul 18;317(7152):200–203.

    Article  PubMed  CAS  Google Scholar 

  • Hunt DL, Jaeschke R, McKibbon KA. Users’ guides to the medical literature: XXL Using electronic health information resources in evidence-based practice. JAMA 2000 Apr 12;283(14):1875–1879.

    Article  PubMed  CAS  Google Scholar 

  • McAlister FA, Straus SE, Guyatt GH, Haynes RB. Users’ guides to the medical literature: XX. Integrating research evidence with the care of the individual patient. JAMA 2000 Jun 7;283(21):2829–2836.

    Article  PubMed  CAS  Google Scholar 

  • McKibbon KA, Richardson WS, Walker Dilks C. Finding answers to well-built clinical questions. Evidence-Based Med 1999 Nov–Dec;4(6): 164–167.

    Google Scholar 

  • Miser WF. Critical appraisal of the literature. J Am Board Fam Pract 1999 Jul–Aug;12(4):315–333.

    PubMed  CAS  Google Scholar 

  • Sackett DL, Straus S, Richardson S, et al. Evidence-based Medicine: How to practise and Teach EBM. 2nd ed. London: Churchill Livingston, 2000.

    Google Scholar 

  • Slawson DC, Shaughnessy AF. Obtaining useful information from expert based sources. BMJ 1997 Mar 29;314(7085):947–949.

    Article  PubMed  CAS  Google Scholar 

  • Westberg EE, Miller RA. The basis for using the Internet to support the information needs of primary care. J Am Med Inform Assoc 1999 Jan-Feb;6(1):6–25.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2002 Springer Science+Business Media New York

About this chapter

Cite this chapter

Ketchell, D.S., St. Anna, L., Dodson, S., Safranek, S., Jankowski, T.A. (2002). Knowledge Resources: Finding Answers to Primary Care Questions. In: Norris, T.E., Fuller, S.S., Goldberg, H.I., Tarczy-Hornoch, P. (eds) Informatics in Primary Care. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-0069-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-0069-4_8

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-95333-5

  • Online ISBN: 978-1-4613-0069-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics