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Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps

Perceived knowledge gaps in general practice are not well documented but must be understood to ensure relevant and timely evidence for busy general practitioners (GPs) which reflects their diverse and changing needs. The aim of this study was to classify the types of questions submitted by Australia...

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Autores principales: Muscat, Danielle Marie, Patel, Pinika, Reid, Sharon, Hoffmann, Tammy, Albarqouni, Loai, Trevena, Lyndal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029252/
https://www.ncbi.nlm.nih.gov/pubmed/31235528
http://dx.doi.org/10.1136/bmjebm-2019-111210
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author Muscat, Danielle Marie
Patel, Pinika
Reid, Sharon
Hoffmann, Tammy
Albarqouni, Loai
Trevena, Lyndal
author_facet Muscat, Danielle Marie
Patel, Pinika
Reid, Sharon
Hoffmann, Tammy
Albarqouni, Loai
Trevena, Lyndal
author_sort Muscat, Danielle Marie
collection PubMed
description Perceived knowledge gaps in general practice are not well documented but must be understood to ensure relevant and timely evidence for busy general practitioners (GPs) which reflects their diverse and changing needs. The aim of this study was to classify the types of questions submitted by Australian GPs to an evidence-based practice information service using established and inductive coding systems. We analysed 126 clinical questions submitted by 53 Australian GPs over a 1.5-year period. Questions were coded using the International Classification of Primary Care (ICPC-2 PLUS) and Ely and colleagues’ generic questions taxonomy by two independent coders. Inductive qualitative content analysis was also used to identify perceived knowledge gaps. Treatment (71%), diagnosis (15%) and epidemiology (9%) were the most common categories of questions. Using the ICPC-2 classification, questions were most commonly coded to the endocrine/metabolic and nutritional chapter heading, followed by general and unspecified, digestive and musculoskeletal. Seventy per cent of all questions related to the need to stay up-to-date with the evidence, or be informed about new tests or treatments (including complementary and alternative therapies). These findings suggest that current guideline formats for common clinical problems may not meet the knowledge demands of GPs and there is gap in access to evidence updates on new tests, treatments and complementary and alternative therapies. Better systems for ‘pulling’ real-time questions from GPs could better inform the ‘push’ of more relevant and timely evidence for use in the clinical encounter.
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spelling pubmed-70292522020-03-03 Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps Muscat, Danielle Marie Patel, Pinika Reid, Sharon Hoffmann, Tammy Albarqouni, Loai Trevena, Lyndal BMJ Evid Based Med Original Research Perceived knowledge gaps in general practice are not well documented but must be understood to ensure relevant and timely evidence for busy general practitioners (GPs) which reflects their diverse and changing needs. The aim of this study was to classify the types of questions submitted by Australian GPs to an evidence-based practice information service using established and inductive coding systems. We analysed 126 clinical questions submitted by 53 Australian GPs over a 1.5-year period. Questions were coded using the International Classification of Primary Care (ICPC-2 PLUS) and Ely and colleagues’ generic questions taxonomy by two independent coders. Inductive qualitative content analysis was also used to identify perceived knowledge gaps. Treatment (71%), diagnosis (15%) and epidemiology (9%) were the most common categories of questions. Using the ICPC-2 classification, questions were most commonly coded to the endocrine/metabolic and nutritional chapter heading, followed by general and unspecified, digestive and musculoskeletal. Seventy per cent of all questions related to the need to stay up-to-date with the evidence, or be informed about new tests or treatments (including complementary and alternative therapies). These findings suggest that current guideline formats for common clinical problems may not meet the knowledge demands of GPs and there is gap in access to evidence updates on new tests, treatments and complementary and alternative therapies. Better systems for ‘pulling’ real-time questions from GPs could better inform the ‘push’ of more relevant and timely evidence for use in the clinical encounter. BMJ Publishing Group 2020-02 2019-06-24 /pmc/articles/PMC7029252/ /pubmed/31235528 http://dx.doi.org/10.1136/bmjebm-2019-111210 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Original Research
Muscat, Danielle Marie
Patel, Pinika
Reid, Sharon
Hoffmann, Tammy
Albarqouni, Loai
Trevena, Lyndal
Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
title Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
title_full Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
title_fullStr Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
title_full_unstemmed Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
title_short Content analysis of clinical questions from Australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
title_sort content analysis of clinical questions from australian general practice which are prioritised for answering: identifying common question types and perceived knowledge gaps
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029252/
https://www.ncbi.nlm.nih.gov/pubmed/31235528
http://dx.doi.org/10.1136/bmjebm-2019-111210
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