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1
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- Andy Steele, MD, MPH, MSc
- October 23rd, 2005
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2
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- Develop a comprehensive bibliography of peer-reviewed literature on
informatics issues as they relate to primary care
- Offer database as a resource to PCIWG, AMIA, and ?public
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3
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- MeSH terms: “Medical Informatics” and “Primary Health Care” AND 2003,
2004
- Databases:
- Medline, CINAHL, CANCER-Lit, HealthSTAR
- American College of Physicians (ACP) Journal Club
- EMBASE
- Cochrane Central Register of Clinical Trials, Cochrane Database of
Systematic Reviews, Database of Abstracts of Reviews of Effects
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4
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- Step 1: Read Abstract (reading
full article optional)
- Step 2 “Does this article cover some aspect of Primary Care Informatics?
- Step 3 Categorize
- Patient Safety
- Secondary Uses of Data and Information
- Clinical communication
- Security and confidentiality
- Education and training
- Patient access to the electronic medical record
- Internet and other ways of communicating health information
- The future for primary care informatics
- Other
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5
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- Step 4: Rate
- Modified IMIA Yearbook of Medical Informatics Review Criteria (70
points max)
- A) Topic's importance to Medical and Health Informatics (0-10)
- B) Scientific and/or practical impact of the paper to the topic (0-20)
- C) Quality of scientific and/or technical content (0-20)
- D) Originality and innovativeness (0-20)
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6
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- David Little
- Frank Sullivan
- Jeff Suzewits
- Kevin Johnson
- Sheila Teasdale
- Thomas Bronken
- Andy Steele
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7
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- Articles for 2003-2004: 255
- Articles in PCIB(’03,’04): 119
- Review Score Range: 12-70
- Review Score Average: 41
- ~3-5 minutes/review
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8
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9
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10
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11
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12
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13
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14
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15
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- Simple literature search
- Review of abstracts only
- Reviewer bias, inconsistencies
- Not concurrent, only 2 years
- Database has technical/content limitations
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16
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- ~ 60 articles a year and growing
- For the most part, good quality
- Wide variety of journals
- Good international representation
- Wide variety of categories
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17
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- Review 2005
- Disseminate results (pcwig.amia.org)
- More comprehensive review of top 20
- Review back years 2002, 2001, … as able
- Improve review methodology
- Just quit ???….
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18
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- Use database to mine articles by categories to get MeSH terms to create
search criteria to create more specific databases
- Recategorize articles against the “Grand Challenges in Medicine”
- Review top set of articles to get the “top 10” for each year
- Find the top set of “classical” articles ever written
- Utilize other research groups/trainees to support next steps
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