Introduction: Our understanding about the role of Internet as a resource for physicians has improved in past several years with reports patterns use and measures impact on medical practice. The purpose this study was to begin shape theory base more fully describing physicians' information-seeking behaviors they apply applications continuing education providers effectively support learning. Methods: A survey physician information seeking administered by facsimile transmission random sample...

Introduction: Although physician Internet use patterns have been studied, little attention has paid to how current learning and change theories relate information seeking on-line behaviors. The purpose of this study was examine medical information–seeking behaviors their relevance continuing education (CE) providers who design develop CE activities. Methods: A survey concerning administered by facsimile transmission a random sample 2,200 U.S. office-based physicians all specialties. Results:...

Abstract Background. Over half of new cancer cases occur in patients aged ≥65 years. Many older can benefit from intensive therapies, yet evidence suggests that this population is undertreated. Methods. To assess preferences and influential factors geriatric management, practicing U.S. medical oncologists completed a survey containing four detailed vignettes exploring colon, breast, lung, prostate treatment. Participants were randomly assigned one two surveys with identical except for...

To evaluate patient and physician factors associated with prevention of glucocorticoid-induced osteoporosis to describe temporal trends in screening osteoporosis.Using databases from a national managed care organization, enrollees who had been prescribed glucocorticoids (taken for at least 60 days) during an 18-month period were identified. Administrative data January 2001 through June 2003 linked survey October examined measurement bone mass, prescription antiresorptive medication, use...

Purpose To determine Alabama's primary care physicians' knowledge, attitudes, and behaviors regarding cancer genetics. Method A questionnaire was mailed to a random sample of 1,148 physicians: family general practitioners, internists, obstetrician—gynecologists. Results Of the surveyed physicians, 22.1% responded. respondents, 63% 85% obtained histories from 76% 100% their patients. Obstetrician—gynecologists referred more patients for genetic testing (p =.008) were confident in abilities...

As they care for patients, physicians raise questions, but pursue only a portion of them. Without the best information and evidence, patient safety may be compromised. Understanding when why problems prompt to look integrate results into their knowledge base is critical shapes one part reflection about care. This study explores role Internet in gathering medical as step that reflective practice, barriers its use, changes utilization over time.A questionnaire with 18 items adapted from...

Using technology to access clinical information has become a critical skill for family physicians. The aims of this study were assess the way physicians use Internet look and how their patterns vary from those specialists. Further, we sought better understanding used just-in-time in practice. A fax survey was provided with 17 items. instrument, adapted two previous studies, sent community-based questions measured frequency importance Internet, palm computers, CME, email seeking CME. Barriers...

Adherence to clinical practice guidelines for management of cardiovascular disease (CVD) is suboptimal. The purposes this study were identify patterns and barriers among U.S. general internists family physicians in regard risk management, examine the association between physician characteristics management. A case vignette survey focused on was distributed a random sample 12,000 November December 2006. Responses from total 888 practicing primary care who see 60 patients per week used...

Background: The World Wide Web has led to the rapid growth of medical information and continuing educational offerings. Ease access availability at any time are advantages Web. Existing physician-education sites have often been designed developed without systematic application evidence cognitive-educational theories; little rigorous evaluation conducted determine which design factors most effective in facilitating improvements physician performance patient-health outcomes that might occur as...

Introduction: Physicians increasingly earn continuing medical education (CME) credits through on-line courses, but there have been few rigorous evaluations to determine their effects. The present study explores the feasibility of implementing standardized evaluation templates and tests them evaluate 30 CME courses. Methods: A time series design was used compare knowledge, attitudes, reported changes in practice physician participants who completed any courses that were hosted on an academic...

The amount of medical education offered through the Internet continues to increase, providing unprecedented access for physicians nationwide. However, process evaluating these activities is ongoing. This study a continuation an earlier report that found online continuing (CME) be highly effective in making evidence-based decisions.To determine effectiveness 114 CME activities, case vignette-based surveys were administered U.S.-practicing immediately following participation, and...

The internet has had a strong impact on how physicians access information and the development of continuing medical education activities. Evaluation effectiveness these activities lagged behind their development. To determine group 48 (CME) activities, case vignette surveys were administered to US immediately following participation, representative control non-participant physicians. Responses vignettes analyzed based evidence presented in content CME An effect size for each activity was...

PURPOSE: To determine the effectiveness of a clinical-practice intervention in improving control pain outpatients with cancer. METHOD: Between July 5 and September 30, 1995, randomized, controlled trial 510 cancer 13 oncologists was conducted at 23 clinics Indiana. All patients completed assessments their pain, regimens, degrees relief received; they were surveyed again by mail four weeks after clinic visits. The group's clinical charts contained summary scales; who treated these instructed...

Osteoporosis in black women may result increased disability, longer hospital stays, and higher mortality compared with white women. However, it is unknown whether osteoporosis treatment or bone mineral density (BMD) measurement different these women, particularly those at highest risk.To examine differences determinants of preventive interventions among a large regional health maintenance organization, 50 years age older were surveyed (n = 8,909) to determine their receipt BMD testing...

The purpose of this study was to evaluate the effectiveness a patient education program developed facilitate statin adherence. A controlled trial designed test multifaceted included brief, in-office physician counseling kit followed by mailings. primary end point adherence filling prescriptions during 120-day period. Patients new statins enrolled and completed survey. Data from national pharmacy claims database were used track therapy exposed achieved 12.4 higher average number prescription...

Abstract Background Engaging practicing physicians in educational strategies that reinforce guideline adoption and improve the quality of healthcare may be difficult. Push technologies such as email offer new opportunities to engage online reinforcing strategies. The objectives are investigate 1) effectiveness announcements engaging recruited community-based primary care an reinforcement strategy designed promote Chlamydia screening, 2) characteristics who respond announcements, well 3) how...

Background Studies of adherence to breast cancer guidelines have often focused on primary therapies, but concordance with other guideline recommendations has not been examined as extensively. This study assesses the knowledge and practice patterns medical oncologists in United States inform education quality improvement initiatives that can improve care. Methods A survey containing case vignettes related questions was developed examine oncologists' clinical decision-making evaluating...

Continuing medical education (CME) is an important resource physicians use to maintain their clinical competence. While many options for CME programs are available, there few measures of impact and systematically gauge efforts in maintaining This study initiates a process designed identify key attributes ideal institution, defined as one that facilitates ways individual competence.Using nominal group technique (NGT), two sessions were conducted with panels experts the field. The NGT elicits...

Background Unwarranted variability in clinical practice is a challenging problem today, leading to poor outcomes for patients and low-value care providers, payers, patients. Objective In this study, we introduced novel tool, QualityIQ, determined the extent which it helps primary physicians align decisions with latest best practices included Merit-Based Incentive Payment System (MIPS). Methods We developed fully automated QualityIQ patient simulation platform real-time evidence-based...