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Outline
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Primary Care Informatics Working Group (PCIWG):


 The Primary Care Informatics Bibliography (PCIB)
  • Andy Steele, MD, MPH, MSc
  • October 23rd, 2005
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PCIB: GOAL
  • 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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PCIB: METHODOLGY
  • 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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PCIB: METHODOLGY
Review Criteria
  • 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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PCIB: METHODOLGY
  • 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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Reviewers
  • David Little
  • Frank Sullivan
  • Jeff Suzewits
  • Kevin Johnson
  • Sheila Teasdale
  • Thomas Bronken
  • Andy Steele
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PCIB: RESULTS
  • 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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Some Articles Not Included
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PCIB: RESULTS-CD/WEB
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PCIB: Categories
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PCIB: Journal  Sources
% total [Rating]
(59 unique journals)
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PCIB: LIMITATIONS
  • Simple literature search
  • Review of abstracts only
  • Reviewer bias, inconsistencies
  • Not concurrent, only 2 years
  • Database has technical/content limitations


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PCIB: CONCLUSIONS
  • ~ 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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PCIB: NEXT STEPS
  • 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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Comments
  • 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