development of a gp “specialist e-library” within the nhs scotland e-library knowledge services...
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Development of a GP “Specialist e-Library” within the NHS Scotland e-Library
Knowledge Services Group
Zena Mulligan (Information Manager)
Background
Policy drive towards primary-care led health service GPs currently amongst the lowest users of NHS
Scotland e-Library The literature and informal feedback have identified
a number of barriers to actively seeking answers to clinical questions and using the e-Library, e.g. Lack of time Lack of instant, ready access to bottom-line answers,
i.e. pre-digested information that does not require interpretation or appraisal
e-Library interface perceived as too complicated and too much effort required to filter out relevant information
Timescale
Phase 1 (July 2005 – March 2006): Requirements analysis and development of specialist e-Library
Phase 2 (April – October 2006): Implementation Phase 3 (October – December 2006): Evaluation
Phase 1: Methodology
Literature review Virtual reference group Observation Focus Group Interviews Questionnaires
Virtual Reference Group
Dr Murray Lough (NES: Assistant Director of GP Section, West of Scotland Region and practising GP)
Dr Tim Jones (NES: Associate GP Advisor and practising GP) Dr Jean Robson (NES: GP Principal; GP Appraiser; Associate
GP Advisor, West of Scotland Region and practising GP) Dr Peter McCalister (NES: Associate GP Advisor for CPD and
practising GP) Dr Paul Green (NES: Associate GP Advisor and practising GP) Dr Gordon McLeay (NES: Assistant Director and practising GP)
Observing Practice
High number of clinical queries Drug related queries most common Lack of time major barrier to searching for
information Reliance on colleagues as quick sources of
information Need for quick access to a small number of
resources for answering clinical queries and providing patient information
Focus Group
Too much information presented on e-Library Useful to have results ranked by relevance Expectation is that e-Library search is on content of
resources Guidelines are key resources for GPs Help and support Passwords are a barrier to access
Interviews & Questionnaires
In-depth interviews with 5 GPs Email survey of GP Trainers in North of Scotland Postal survey of GP Trainers in West of Scotland Followed up with an email reminder 52% response rate from 133 questionnaires sent
out
Summary of findings
Information needs Core resources Characteristics of GP “Specialist e-Library”
Purposes for seeking information
Answering clinical enquiries
Keeping up to date
Patient enquries/education
Research
Training or mentoring
CPD
Answering clinical enquiries
Keeping up to date
Patient enquries/education
Research
Training or mentoring
CPD
Popular ResourcesUsefulness of resources
0
10
20
30
40
50
60
70
BNF
Drugs
and th
erap
eutic
s bulle
tin
Clinica
l pra
ctice
guid
elines
Oxf
ord te
xtbo
ok o
f med
icine
Clinica
l evi
dence
Bandol
ierTRIP
Cochra
ne libr
ary
Med
line
Patien
t UK
NHS D
irec
t
Oth
er
% o
f re
spon
den
ts
Rank 1
Rank 2
Rank 3
Summary of Findings
Information need Core resources Characteristics of GP “Specialist e-Library”
• Speed• Simplicity• Powerful Google style searching• Resources organised by type and common condition,
e.g. guidelines, patient information, evidence based• Clinical Query Answering Service
