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Information needs in office practice: are they being met?

D G Covell, G C Uman, P R Manning

Annals of Internal Medicine

|October 1, 1985

Summary

Physicians frequently encounter patient management questions during office practice, but most information needs remain unmet. Current resources are often outdated or inaccessible, highlighting a critical gap in evidence-based practice support.

Area of Science:

Medical Informatics
Clinical Practice Research
Information Science

Background:

Physicians encounter numerous patient management questions during clinical practice.
Information needs are often specific to individual patient cases across various medical specialties.

Purpose of the Study:

To investigate the self-reported information needs of physicians during office practice.
To identify the types of questions asked and the sources used to meet these needs.

Main Methods:

A study involving 47 physicians observing their information-seeking behavior during a half-day of typical office practice.
Analysis of 269 patient management questions raised by the physicians.

Main Results:

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Physicians raised 269 specific patient management questions, with subspecialists frequently querying other subspecialties.

Only 30% of information needs were met during patient visits, primarily through consultation with colleagues.

Barriers to using print resources included outdated materials, poor organization, inadequate indexing, and time constraints.

Conclusions:

A significant gap exists between physicians' information needs and the timely availability of answers during patient encounters.
Current information resources are often inadequate for supporting real-time clinical decision-making.
Improved methods are essential for delivering timely and relevant information to physicians in office-based settings.