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Improving Access to Credible and Relevant Information for Public Health Professionals

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:

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Improving Access to Credible and Relevant Information for Public Health Professionals

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

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

  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

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

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

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

  15. http://www.pubmed.gov

  16. http://phpartners.org/hp

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

  19. www.safetylit.org

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

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

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

  23. http://www.thecommunityguide.org

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

  25. 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

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

  27. 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.

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

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

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