What medical journals do and do not tell us. Tony Delamothe Editor, bmj.com. What medical journals do and do not tell us…. …about how those whose task is to deliver innovative health technologies cope with the demands and opportunities. BMJ theme issue.
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…about how those whose task is to deliver innovative health technologies cope with the demands and opportunities
found that 97% of UK
GPs were online
(2002)A computer on every desk, with access to the internet.
NHS National Programme for Information Technology (NPfIT)
Message: maybe conventional methods of evaluation aren’t adequate
Groups were scattered and uncoordinated
Uncommon conditions not catered for
“Instead of traditional ‘provider as authority role’ we decided that we would think of ourselves as architects and building contractors, creating an online system in response to our end users’ requests”
Non users (17%)
(Had never used or who had abandoned)
Niche users (20%)
(Regular use limited to single application)
Routine users (50%)
(Regular use integrated into clinical workflow)
Power users (13%)
Constant use characterised by desire to push device to its functional limits
Delbanco T, Sands DZ. Electrons in flight –email between doctors and patients.
New Engl J Med 2004; 350:1705-7.
What work patterns, services, roles, legislation, and reward mechanisms will be required to help more doctors use the internet to communicate with their patients over issues that do not require a clinic visit?
What medical journals tell us is…. …that they don’t tell us about lots of things that really matter because not a lot of people are looking at themhttp://bmj.com/talks/