A training intervention to improve information management in primary care.
OBJECTIVE
Training programs designed to improve information management have been implemented but not adequately tested. Three critical components for information management were tested in a randomized control study: (1) knowledge of valid, synthesized summary information, (2) skills to use Web-based resources that provide access to these summaries, and (3) use of Web-based resources in clinical practice.


METHODS
Twenty-four primary care practices were provided with computers and high-speed Internet access and then matched, with half randomly assigned to receive training and half to receive training at a later date. Training was designed to address knowledge, skills, and use of Web-based information. Outcomes were assessed by comparing baseline and follow-up questionnaires that focused on five conceptual domains related to Web-based resource use for patient care decisions and patient education.


RESULTS
Compared to the delayed training group, the initial training group increased their knowledge and skill of Web-based resources and use for patient care decisions. Some measures of communication with patients about using Web-based resources and of incorporating use of Web-based resources into daily practice increased from baseline to follow-up for all participants.


CONCLUSIONS
Our findings suggest that training and providing computers and Internet connections have measurable effects on information management behaviors.
Schifferdecker
Karen E
KE
Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH, USA. karen.e.schifferdecker@dartmouth.edu
Reed
Virginia A
VA
Homa
Karen
K
D001292:Attitude to Computers; D018592:Cross-Over Studies; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D004502:Education, Medical, Continuing; D005194:Family Practice; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008491:Medical Informatics Applications; D009513:New Hampshire; D009726:Nurses; D010820:Physicians; D011320:Primary Health Care; D011331:Private Practice; D014707:Vermont
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