Features of effective medical knowledge resources to support point of care learning: a focus group study

• Published in: PloS one 2013-11, Vol.8 (11), p.e80318-e80318
• Main Authors: Cook, David A, Sorensen, Kristi J, Hersh, William, Berger, Richard A, Wilkinson, John M
• Format: Article
• Language: English
• Subjects: Academic Medical Centers; Bibliometrics; Bone surgery; Data bases; Education, Medical - methods; Familiarity; Focus Groups; Health care; Health care facilities; Humans; Information Science - methods; Information sources; Internal medicine; Internal Medicine - education; Knowledge; Medical personnel; Medical services; Medicine; Optimization; Physicians; Point-of-Care Systems; Primary care; Primary Health Care; Qualitative research; Review boards; Side effects; Studies; Textbooks; Workflow; World Wide Web
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0080318

Health care professionals access various information sources to quickly answer questions that arise in clinical practice. The features that favorably influence the selection and use of knowledge resources remain unclear. We sought to better understand how clinicians select among the various knowledge resources available to them, and from this to derive a model for an effective knowledge resource. We conducted 11 focus groups at an academic medical center and outlying community sites. We included a purposive sample of 50 primary care and subspecialist internal medicine and family medicine physicians. We transcribed focus group discussions and analyzed these using a constant comparative approach to inductively identify features that influence the selection of knowledge resources. We identified nine features that influence users' selection of knowledge resources, namely efficiency (with sub-features of comprehensiveness, searchability, and brevity), integration with clinical workflow, credibility, user familiarity, capacity to identify a human expert, reflection of local care processes, optimization for the clinical question (e.g., diagnosis, treatment options, drug side effect), currency, and ability to support patient education. No single existing resource exemplifies all of these features. The influential features identified in this study will inform the development of knowledge resources, and could serve as a framework for future research in this field.