Clinical questions in primary care

Detalhes bibliográficos
Autor(a) principal: Viegas Dias, Catarina
Data de Publicação: 2022
Outros Autores: Jasmins, Clara, Rodrigues, David, Heleno, Bruno
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/145777
Resumo: Funding: The present publication was funded by Fundac¸ão Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
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spelling Clinical questions in primary careWhere to find the answers - a cross-sectional studyGeneralFunding: The present publication was funded by Fundac¸ão Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).INTRODUCTION: Clinicians raise at least one question for every two patients they see, but search for an answer to less than half of these questions, and rarely use evidence-based resources. One barrier to evidence-based practice is doubt that the search would yield an answer, and we found insufficient evidence to refute this concern. This study aims to identify what proportion of clinical questions in primary care can be answered with online evidence-based practice resources, and what proportion of these can be answered with pre-appraised evidence. MATERIALS AND METHODS: Cross-sectional study in two primary care practices. The inclusion criteria were family doctors, generalists and residents working in 2 selected practices. We collected a total of 238 questions from 19 family medicine specialists, 9 family medicine residents and 3 generalist doctors. Doctors were asked to record any clinical question that arose during 4 days of appointments. The primary outcome was the proportion of clinical questions answered with online evidence-based practice resources. The secondary outcome was the level of evidence needed to reach to find the answers (clinical summaries, systematic guidelines, systematic reviews or primary studies), according to Haynes' pre-appraised evidence pyramid model. RESULTS: 191 of the 206 valid clinical questions could be answered with online evidence-based practice resources (92.7% [95% CI 88.3%-95.9%]). Most of these questions (90.8% CI 95% 85.9%-94.4%) were successfully answered using clinical summaries (BMJ Best Practice, DynaMed or UpToDate), with a median search time of 4 minutes (range 1-16.5). CONCLUSIONS: Contrary to clinician's beliefs, the majority of clinical questions can be answered with online evidence-based practice resources, and most of them with pre-appraised evidence. This study could encourage family doctors to increase the use of clinical summaries. Furthermore, these results highlight the importance of teaching how to search for and apply pre-appraised evidence.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Comprehensive Health Research Centre (CHRC) - pólo NMSRUNViegas Dias, CatarinaJasmins, ClaraRodrigues, DavidHeleno, Bruno2022-11-24T22:23:18Z2022-112022-11-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/145777eng1932-6203PURE: 47909388https://doi.org/10.1371/journal.pone.0277462info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:26:25Zoai:run.unl.pt:10362/145777Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:52:15.800538Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Clinical questions in primary care
Where to find the answers - a cross-sectional study
title Clinical questions in primary care
spellingShingle Clinical questions in primary care
Viegas Dias, Catarina
General
title_short Clinical questions in primary care
title_full Clinical questions in primary care
title_fullStr Clinical questions in primary care
title_full_unstemmed Clinical questions in primary care
title_sort Clinical questions in primary care
author Viegas Dias, Catarina
author_facet Viegas Dias, Catarina
Jasmins, Clara
Rodrigues, David
Heleno, Bruno
author_role author
author2 Jasmins, Clara
Rodrigues, David
Heleno, Bruno
author2_role author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Comprehensive Health Research Centre (CHRC) - pólo NMS
RUN
dc.contributor.author.fl_str_mv Viegas Dias, Catarina
Jasmins, Clara
Rodrigues, David
Heleno, Bruno
dc.subject.por.fl_str_mv General
topic General
description Funding: The present publication was funded by Fundac¸ão Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020).
publishDate 2022
dc.date.none.fl_str_mv 2022-11-24T22:23:18Z
2022-11
2022-11-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/145777
url http://hdl.handle.net/10362/145777
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1932-6203
PURE: 47909388
https://doi.org/10.1371/journal.pone.0277462
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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