TY - JOUR
T1 - Barriers and facilitators to clinical information seeking
T2 - A systematic review
AU - Aakre, Christopher A.
AU - Maggio, Lauren A.
AU - Fiol, Guilherme Del
AU - Cook, David A.
N1 - Publisher Copyright:
© 2019 The Author(s) 2019. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved.
PY - 2019/6/24
Y1 - 2019/6/24
N2 - The study sought to identify barriers to and facilitators of point-of-care information seeking and use of knowledge resources. Materials and Methods: We searched MEDLINE, Embase, PsycINFO, and Cochrane Library from 1991 to February 2017. We included qualitative studies in any language exploring barriers to and facilitators of point-of-care information seeking or use of electronic knowledge resources. Two authors independently extracted data on users, study design, and study quality. We inductively identified specific barriers or facilitators and from these synthesized a model of key determinants of information-seeking behaviors. Results: Forty-five qualitative studies were included, reporting data derived from interviews (n = 26), focus groups (n = 21), ethnographies (n = 6), logs (n = 4), and usability studies (n = 2). Most studies were performed within the context of general medicine (n = 28) or medical specialties (n = 13). We inductively identified 58 specific barriers and facilitators and then created a model reflecting 5 key determinants of information-seeking behaviors: time includes subthemes of time availability, efficiency of information seeking, and urgency of information need; accessibility includes subthemes of hardware access, hardware speed, hardware portability, information restriction, and cost of resources; personal skills and attitudes includes subthemes of computer literacy, information-seeking skills, and contextual attitudes about information seeking; institutional attitudes, cultures, and policies includes subthemes describing external individual and institutional information-seeking influences; and knowledge resource features includes subthemes describing information-seeking efficiency, information content, information organization, resource familiarity, information credibility, information currency, workflow integration, compatibility of recommendations with local processes, and patient educational support. Conclusions: Addressing these determinants of information-seeking behaviors may facilitate clinicians' question answering to improve patient care.
AB - The study sought to identify barriers to and facilitators of point-of-care information seeking and use of knowledge resources. Materials and Methods: We searched MEDLINE, Embase, PsycINFO, and Cochrane Library from 1991 to February 2017. We included qualitative studies in any language exploring barriers to and facilitators of point-of-care information seeking or use of electronic knowledge resources. Two authors independently extracted data on users, study design, and study quality. We inductively identified specific barriers or facilitators and from these synthesized a model of key determinants of information-seeking behaviors. Results: Forty-five qualitative studies were included, reporting data derived from interviews (n = 26), focus groups (n = 21), ethnographies (n = 6), logs (n = 4), and usability studies (n = 2). Most studies were performed within the context of general medicine (n = 28) or medical specialties (n = 13). We inductively identified 58 specific barriers and facilitators and then created a model reflecting 5 key determinants of information-seeking behaviors: time includes subthemes of time availability, efficiency of information seeking, and urgency of information need; accessibility includes subthemes of hardware access, hardware speed, hardware portability, information restriction, and cost of resources; personal skills and attitudes includes subthemes of computer literacy, information-seeking skills, and contextual attitudes about information seeking; institutional attitudes, cultures, and policies includes subthemes describing external individual and institutional information-seeking influences; and knowledge resource features includes subthemes describing information-seeking efficiency, information content, information organization, resource familiarity, information credibility, information currency, workflow integration, compatibility of recommendations with local processes, and patient educational support. Conclusions: Addressing these determinants of information-seeking behaviors may facilitate clinicians' question answering to improve patient care.
KW - clinical decision support
KW - educational technology
KW - information storage and retrieval
KW - information systems
KW - medical education
UR - http://www.scopus.com/inward/record.url?scp=85072509593&partnerID=8YFLogxK
U2 - 10.1093/jamia/ocz065
DO - 10.1093/jamia/ocz065
M3 - Review article
C2 - 31127830
AN - SCOPUS:85072509593
SN - 1067-5027
VL - 26
SP - 1129
EP - 1140
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 10
ER -