Ambulatory Pediatrics
Volume 7, Issue 5 , Pages 396-400 , September 2007

Unanswered Questions Prompted During Pediatric Primary Care Visits

  • Chuck Norlin, MD

      Affiliations

    • Department of Pediatrics, University of Utah Health Sciences Center, Salt Lake City, Utah
    • Corresponding Author InformationAddress correspondence to Chuck Norlin, MD, Division of General Pediatrics, University of Utah Health Sciences Center, 50 N. Medical Drive, Salt Lake City, UT 84132.
  • ,
  • Adam L. Sharp, MD

      Affiliations

    • School of Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah
    • Department of Emergency Medicine, Indiana University, Indianapolis, Ind
  • ,
  • Sean D. Firth, PhD, MPH

      Affiliations

    • Department of Pediatrics, University of Utah Health Sciences Center, Salt Lake City, Utah

Received 30 September 2006 ,Accepted 30 May 2007.

References 

  1. Gorman PN. Information needs of physicians. J Am Soc Inf Sci. 1995;46:729–736
  2. Chambliss ML, Conley J. Answering clinical questions. J Fam Pract. 1996;43:140–144
  3. Dee C, Blazek R. Information needs of the rural physician: a descriptive study. Bull Med Libr Assoc. 1993;81:259–264
  4. D'Alessandro DM, Kreiter CD, Peterson MW. An evaluation of information-seeking behaviors of general pediatricians. Pediatrics. 2004;113:64–69
  5. Covell DG, Uman GC, Manning PR. Information needs in office practice: are they being met?. Ann Intern Med. 1985;103:596–599
  6. Ely JW, Burch RJ, Vinson DC. The information needs of family physicians: case-specific clinical questions. J Fam Pract. 1992;35:265–269
  7. Gorman PN, Helfand M. Information seeking in primary care: how physicians choose which clinical questions to pursue and which to leave unanswered. Med Decis Making. 1995;15:113–119
  8. Barrie AR, Ward AM. Questioning behaviour in general practice: a pragmatic study. BMJ. 1997;315:1512–1515
  9. Ely JW, Osheroff JA, Ebell MH, et al. Analysis of questions asked by family doctors regarding patient care. BMJ. 1999;319:358–361
  10. Cogdill KW, Friedman CP, Jenkins CG, Mays BE, Sharp MC. Information needs and information seeking in community medical education. Acad Med. 2000;75:484–486
  11. Ely JW, Osheroff JA, Chambliss ML, Ebell MH, Rosenbaum ME. Answering physicians' clinical questions: obstacles and potential solutions. J Am Med Inform Assoc. 2005;12:217–224
  12. Osheroff JA, Forsythe DE, Buchanan BG, Bankowitz RA, Blumenfeld BH, Miller RA. Physicians' information needs: analysis of questions posed during clinical teaching. Ann Intern Med. 1991;114:576–581
  13. van Dyck PC, Kogan MD, McPherson MG, Weissman GR, Newacheck PW. Prevalence and characteristics of children with special health care needs. Arch Pediatr Adolesc Med. 2004;158:884–890
  14. Newacheck PW, Kim SE. A national profile of health care utilization and expenditures for children with special health care needs. Arch Pediatr Adolesc Med. 2005;159:10–17
  15. McPherson M, Arango P, Fox H, et al. A new definition of children with special health care needs. Pediatrics. 1998;102:137–140
  16. Huang ZJ, Kogan MD, Yu SM, Strickland B. Delayed or forgone care among children with special health care needs: an analysis of the 2001 National Survey of Children with Special Health Care Needs. Ambul Pediatr. 2005;5:60–67
  17. Diagnosis Prevalence List. Utah MedHome Portal Web site. Available at: http://www.medhomeportal.org/diag/prev_list.cfm. Accessed May 22, 2007.
  18. Bethell CD, Read D, Stein RE, et al. Identifying children with special health care needs: development and evaluation of a short screening instrument. Ambul Pediatr. 2002;2:38–48
  19. van Dyck PC, McPherson M, Strickland BB, et al. The national survey of children with special health care needs. Ambul Pediatr. 2002;2:29–37
  20. Ely JW, Osheroff JA, Gorman PN, et al. A taxonomy of generic clinical questions: classification study. BMJ. 2000;321:429–432
  21. D'Alessandro DM, Kreiter CD, Peterson MW, et al. An analysis of patient care questions asked by pediatricians at an academic medical center. Ambul Pediatr. 2004;4:18–23
  22. Ely JW, Osheroff JA, Ebell MH, et al. Obstacles to answering doctors' questions about patient care with evidence: qualitative study. BMJ. 2002;324:710
  23. Del Mar CB, Silagy CA, Glasziou PP, et al. Feasibility of an evidence-based literature search service for general practitioners. Med J Aust. 2001;175:134–137
  24. Swinglehurst DA, Pierce M, Fuller JC. A clinical informaticist to support primary care decision making. Qual Health Care. 2001;10:245–249
  25. Verhoeven AA, Schuling J. Effect of an evidence-based answering service on GPs and their patients: a pilot study. Health Info Libr J. 2004;21(suppl 2):27–35
  26. Westbrook JI, Gosling AS, Coiera E. Do clinicians use online evidence to support patient care? A study of 55,000 clinicians. J Am Med Inform Assoc. 2004;11:113–120
  27. Cooley WC, McAllister JW. Building medical homes: improvement strategies in primary care for children with special health care needs. Pediatrics. 2004;113(5 suppl):1499–1506

 Presented in part at the Ambulatory Pediatric Association Western Region Meeting, Salt Lake City, Utah, January 29, 2005; and at the Pediatric Academic Societies Meeting, Washington, DC, May 15, 2005.

PII: S1530-1567(07)00095-0

doi: 10.1016/j.ambp.2007.05.008

Ambulatory Pediatrics
Volume 7, Issue 5 , Pages 396-400 , September 2007