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1 Improving Access to Credible and Relevant Information for Public Health Professionals A Qualitative Study of information Needs in Two Domains of Public.

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Presentation on theme: "1 Improving Access to Credible and Relevant Information for Public Health Professionals A Qualitative Study of information Needs in Two Domains of Public."— Presentation transcript:

1 1 Improving Access to Credible and Relevant Information for Public Health Professionals A Qualitative Study of information Needs in Two Domains of Public Health March 23, 2005 conducted by: University of Massachusetts Medical School Library funded by: Center for Disease Control and Prevention Association of Teachers of Preventive Medicine Project TS-0734

2 2 Project Staff Principal Investigator: Elaine Martin Project Coordinator: E. Hatheway Simpson Consultants: Nancy La Pelle, PhD Roger Luckmann, MD

3 3 Outline Project Background & Purpose Study Detail/Findings Future Project Directions

4 4 Project Background Evidence can be applied to solve public health problems if readily accessible Improved access may be needed to high quality, evidence-based public health practice information Evidence-Based Practice for Public Health Project Website: http://library.umassmed.edu/ebpph http://library.umassmed.edu/ebpph

5 5 Project Purpose Use qualitative method to determine evidence-based practice information needs of public health (PH) workers –Find out how PH professionals currently access information and what enhancements they need Make recommendations to the CDC to improve access to PH information

6 6 Qualitative Study Detail Sample: 19 State level public health (PH) professionals Communicable Disease Control & Community Health Promotion Those with strongest info accessing needs Data Collection & Analysis: Taped/transcribed key informant interviews Taped/transcribed follow-up focus group Thematic analysis of all data

7 7 Focus of Individual Interview Type of work tasks performed requiring access to critical external information? Current used and preferred info sources (online and offline)? Preferred format for research reports (abstracts, full text, reviews/commentaries)? Current barriers to information access? Desired enhancements for access?

8 8 Findings Related to Context All DPH staff have PCs, access to internet Large sophisticated DPH website Multiple DPH sites and more than one library site Urgency of information need differs widely Electronic information access differs widely

9 9 Findings/Information Needs Continuum Emerged Published research reports Formal Research Support for Information Different sources for different info needs Emerging health threats Emerging or evaluated practices Established diseases Reference info Evidence-based guidelines None Some

10 10 Findings/Information Needs Communicable Disease Control Info FocusExampleAccess Emerging threats SARS Alerts Emerging practices STD Solicited info/conferences listserves Established diseases TB Website search Published research Effective Journal search Interventions engines Evidence-based Immunization Website guidelines search

11 11 Findings/Information Needs Community Health Promotion Info Focus Example Access Emerging threats health risks, News media healthy behaviors Emerging/Evaluated diverse sites Solicited practices & populations; info/conferences collaborations listserves Established or Cancer, CVD, Website Population-based Diabetes; Elders, search Diseases Men/Women Published research Effective Journal search Interventions engines Evidence-based Clinical Website guidelines standards search

12 12 Findings/PH Info Access Needs Not Currently Met: DPH/BCDC Organizing/filtering requested and unsolicited information Access to relevant journals/full text of articles One portal access with good search engine Access to practice info in all sub-domains of interest (information gaps) Training re: how to access info electronically Real time access to info at home & in the field

13 13 Findings/PH Info Access Needs Not Currently Met: DPH/CHP Organizing/filtering requested and unsolicited information Access to systematic reviews and/or summaries as well as full text of articles One portal access with good search engine Access to practice info in all sub-domains of interest (information gaps)

14 14 Public Health Information Models 1.Research Reports: Simple or predefined searches of research report collections Alerts & archiving Summaries/commentaries/critiques 2.Evidence-based reviews and resources 3.Comprehensive knowledge sources

15 15 http://www.pubmed.gov

16 16 http://phpartners.org/hp

17 17 PubMed Search on Drug Resistant Salmonella united states[mh] AND (salmonella infections[majr] OR salmonella[majr]) AND drug resistance[majr] AND (prevention and control[subheading] OR prevention OR public health OR disease outbreaks OR population surveillance OR risk factors OR prospective studies OR case-control studies OR follow-up studies OR comparative study OR pilot projects OR retrospective studies OR longitudinal studies OR infection control) AND english[lang] AND human[mh]

18 18 http://www.ajph.org/subscriptions/etoc.shtml

19 19 www.safetylit.org

20 20 http://www.jwatch.org/

21 http://www.harcourt-international.com/journals/ebhc

22 22 http://www.guideline.gov/

23 23 http://www.thecommunityguide.org

24 24 http://www.uptodate.com/

25 25

26 26 BCDC Focus Group Reactions to Models Presentation Pre-formulated searches for search engines –Need useful PH keyword categories Pre-formulated Alerts/listserves & archival website –CDC should expand services like TB Update to other diseases (summary and links) –Need useful PH keyword categories

27 27 Focus Group Reactions to Models Presentation Research Reports: Simple or predefined searches of research report collections Alerts & archiving Summaries/commentaries/critiques Evidence-based reviews and resources Comprehensive knowledge sources Less reaction to more sophisticated models Need up-to-date list of free online resources

28 28 CHP Reactions to Models CHP informants preferred websites and listserves, if they were user friendly, quick, and provided good filters Comprehensive knowledge bases were appealing but skepticism as to feasibility to be user-friendly, quick, etc.

29 29 Future Project Directions Make recommendations to CDC regarding evidence-based information resources for PH workers Enhance project website with resources related to findings

30 30 PH Evidence-Based Information Access Website Archive of Rated Info with hits User-selected Filters & Pre- Formulated Search Criteria Newly published PH information Rating System Credible Relevant info Listserv with requested filtered information PH Information Access Model Journal articles Guidelines Best Practices

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