Providing Doctors With High-Quality Information: An Updated Evaluation of Web-Based Point-of-Care Information Summaries

• Published in: Journal of medical Internet research 2016-01, Vol.18 (1), p.e15-e15
• Main Authors: Kwag, Koren Hyogene, González-Lorenzo, Marien, Banzi, Rita, Bonovas, Stefanos, Moja, Lorenzo
• Format: Article
• Language: English
• Subjects: Analysis; Archives & records; Authorship; Best practice; Electronic health records; Health care; Health care industry; Health Information Systems; Health Personnel; Information storage; Information technology; Internet; Library associations; Medical care; Medical conditions; Medical informatics; Medical libraries; Medical personnel; Medical research; Medicine, Experimental; Nurses; Original Paper; Physical therapists; Physicians; Point-of-Care Systems; Publishing; Quality management; Quantitative analysis; Research methodology; Review Literature as Topic; Search engines; Surveillance; Websites
• ISSN: 1438-8871; 1439-4456; 1438-8871
• DOI: 10.2196/jmir.5234

The complexity of modern practice requires health professionals to be active information-seekers. Our aim was to review the quality and progress of point-of-care information summaries-Web-based medical compendia that are specifically designed to deliver pre-digested, rapidly accessible, comprehensive, and periodically updated information to health care providers. We aimed to evaluate product claims of being evidence-based. We updated our previous evaluations by searching Medline, Google, librarian association websites, and conference proceedings from August 2012 to December 2014. We included Web-based, regularly updated point-of-care information summaries with claims of being evidence-based. We extracted data on the general characteristics and content presentation of products, and we quantitatively assessed their breadth of disease coverage, editorial quality, and evidence-based methodology. We assessed potential relationships between these dimensions and compared them with our 2008 assessment. We screened 58 products; 26 met our inclusion criteria. Nearly a quarter (6/26, 23%) were newly identified in 2014. We accessed and analyzed 23 products for content presentation and quantitative dimensions. Most summaries were developed by major publishers in the United States and the United Kingdom; no products derived from low- and middle-income countries. The main target audience remained physicians, although nurses and physiotherapists were increasingly represented. Best Practice, Dynamed, and UptoDate scored the highest across all dimensions. The majority of products did not excel across all dimensions: we found only a moderate positive correlation between editorial quality and evidence-based methodology (r=.41, P=.0496). However, all dimensions improved from 2008: editorial quality (P=.01), evidence-based methodology (P=.015), and volume of diseases and medical conditions (P