wow-inequalities/02-data/intermediate/wos_sample/98a955b23666770e320c3b4aef4da24c-noble-helen-and-ord/info.yaml

141 lines
4.6 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'BACKGROUND: Investing in continued medical education strengthens
surgical systems. This study assessed the effectiveness of an
evidence-based practice (EBP) tutorial and access to UpToDate (UTD) to
improve EBP and understand how and why providers practice using
evidence.STUDY DESIGN: This is a mixed-methods, implementation study at
9 public hospitals in Peru consisting of a didactic session for surgeons
on EBP and Google Translate and support of applications for UTD access.
Change in clinical knowledge scores (CKS), access and use of UTD, and
impact of language pre-and postintervention were measured. Qualitative
interviews uncovered rea-sons for these changes.RESULTS: Intervention
participants had lower CKS at follow-up compared with baseline (odds
ratio {[}OR] of higher score 0.41 {[}0.18,0.98]; p = 0.044), and this
effect was modified (p = 0.003) to the extent that the reverse was true
for control participants (OR 2.30 {[}1.13,4.71]; p = 0.022).
Participants with 1 to 20 years of experience had significantly improved
CKS compared with students/residents (1 to 10 years: OR 4.5 {[}1.1,18];
11 to 20 years: OR 4.9 {[}1.4,17]); there was no evidence of a different
CKS between providers with > 20 years of experience compared with
students/residents (OR 1.3 {[}0.5,3.7]). Administrative disconnect,
usability, motivation, edu-cation, time, resources, and age influenced
point-of-care medical information systems impact on knowledge and EBP.
Participants reporting low English proficiency translated medical
literature mostly used Google Translate. Those with low/no English
reading proficiency had higher odds of reporting a negative impact on
research than those with working (p = 0.007) or professional (p < 0.001)
proficiency.CONCLUSIONS: Providing education on EBP, free UTD access,
and translation solutions did not correlate with increased CKS due to
complex barriers to using point-of-care medical information systems. (J
Am Coll Surg 2023;236:484-494. (c) 2022 The Author(s). Published by
Wolters Kluwer Health, Inc. on behalf of the American College of
Surgeons. This is an open-access article distributed under the terms of
the Creative Commons Attribution-Non Commercial-No Derivatives License
4.0 {[}CCBY-NC-ND], where it is permissible to download and share the
work provided it is properly cited. The work cannot be changed in any
way or used commer-cially without permission from the journal.)'
affiliation: 'Noble, H (Corresponding Author), 22 S Greene St, Baltimore, MD 21231
USA.
Noble, Helen, Univ Washington, Northern Pacific Global Hlth Fogarty Int Program,
Seattle, WA USA.
Senturia, Kirsten, Univ Washington, Dept Hlth Serv, Seattle, WA USA.
Ordonez, Willy Jesus Neumann; Checa, David Ortega, Soc Cirujanos Gen Peru, Lima,
Peru.
Wong, Gabriela Zavala, Univ Peruana Cayetano Heredia, Med Sch, Lima, Peru.
Rodriguez, Manuel J., Univ Peruana Cayetano Heredia, Dept Surg, Lima, Peru.
Checa, David Ortega, Hosp Rebagliati, Dept Surg, Lima, Peru.
Warne, Maria; LaGrone, Lacey Nicole, Univ Colorado Hlth, Med Ctr Rockies, Dept Surg,
Loveland, CO USA.
Jin, Ying; Peterson, Ryan, Univ Colorado, Anschutz Med Campus, Aurora, CO USA.'
author: Noble, Helen and Ordonez, Willy Jesus Neumann and Wong, Gabriela Zavala and
Rodriguez, Manuel J. and Checa, David Ortega and Warne, Maria and Senturia, Kirsten
and Jin, Ying and Peterson, Ryan and LaGrone, Lacey Nicole
author-email: Helen.Noble@umm.edu
author_list:
- family: Noble
given: Helen
- family: Ordonez
given: Willy Jesus Neumann
- family: Wong
given: Gabriela Zavala
- family: Rodriguez
given: Manuel J.
- family: Checa
given: David Ortega
- family: Warne
given: Maria
- family: Senturia
given: Kirsten
- family: Jin
given: Ying
- family: Peterson
given: Ryan
- family: LaGrone
given: Lacey Nicole
da: '2023-09-28'
doi: 10.1097/XCS.0000000000000530
eissn: 1879-1190
files: []
issn: 1072-7515
journal: JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS
keywords-plus: COST-EFFECTIVENESS; QUALITY
language: English
month: MAR
number: '3'
number-of-cited-references: '53'
pages: 484-494
papis_id: 8064d11b8f86e6b9cee512dce504f3b6
ref: Noble2023doesaccess
times-cited: '0'
title: Does Access to Point-of-Care Medical Information Improve Trauma and General
Surgeons' Clinical Knowledge in a Middle-Income Country? A Mixed-Methods Study with
Random Assignment
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000968088900007
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '236'
web-of-science-categories: Surgery
year: '2023'