title: Understanding the information needs of public health practitioners: a literature review to inform design of an interactive digital knowledge management system.
abstract: The need for rapid access to information to support critical decisions in public health cannot be disputed; however, development of such systems requires an understanding of the actual information needs of public health professionals. This paper reports the results of a literature review focused on the information needs of public health professionals. The authors reviewed the public health literature to answer the following questions: (1) What are the information needs of public health professionals? (2) In what ways are those needs being met? (3) What are the barriers to meeting those needs? (4) What is the role of the Internet in meeting information needs? The review was undertaken in order to develop system requirements to inform the design and development of an interactive digital knowledge management system. The goal of the system is to support the collection, management, and retrieval of public health documents, data, learning objects, and tools.
  
  
  METHODS
  The search method extended beyond traditional information resources, such as bibliographic databases, tables of contents (TOC), and bibliographies, to include information resources public health practitioners routinely use or have need to use--for example, grey literature, government reports, Internet-based publications, and meeting abstracts.
  
  
  RESULTS
  Although few formal studies of information needs and information-seeking behaviors of public health professionals have been reported, the literature consistently indicated a critical need for comprehensive, coordinated, and accessible information to meet the needs of the public health workforce. Major barriers to information access include time, resource reliability, trustworthiness/credibility of information, and "information overload".
  
  
  CONCLUSIONS
  Utilizing a novel search method that included the diversity of information resources public health practitioners use, has produced a richer and more useful picture of the information needs of the public health workforce than other literature reviews. There is a critical need for public health digital knowledge management systems designed to reflect the diversity of public health activities, to enable human communications, and to provide multiple access points to critical information resources. Public health librarians and other information specialists can serve a significant role in helping public health professionals meet their information needs through the development of evidence-based decision support systems, human-mediated expert searching and training in the use information retrieval systems.
authors.affiliation: Center for Public Health Informatics, University of Washington, Box 357155, Seattle, WA 98195-7155, USA. drevere@u.washington.edu
authors.forename: Debra
authors.initials: D
authors.lastname: Revere
authors.forename: Anne M
authors.initials: AM
authors.lastname: Turner
authors.forename: Ann
authors.initials: A
authors.lastname: Madhavan
authors.forename: Neil
authors.initials: N
authors.lastname: Rambo
authors.forename: Paul F
authors.initials: PF
authors.lastname: Bugni
authors.forename: AnnMarie
authors.initials: A
authors.lastname: Kimball
authors.forename: Sherrilynne S
authors.initials: SS
authors.lastname: Fuller
mesh_terms: D001185:Artificial Intelligence; D003628:Database Management Systems; D033181:Information Dissemination / Q000379:methods; D016247:Information Storage and Retrieval / Q000379:methods; D008490:Medical Informatics / Q000379:methods* / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D020380:Needs Assessment / Q000458:organization & administration*; D015980:Public Health Practice; D012985:Software Design; D014584:User-Computer Interface