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Biomedical subjects

J Droogan

Publications and source records attributed to J Droogan.

11 recordsLinked to original sources

Access to the evidence base from general practice: a survey of general practice staff in Northern and Yorkshire Region.

AIM: To identify and describe current methods of making health related research evidence accessible to general practice staff in the Northern and Yorkshire Region. METHOD: A postal survey questionnaire of general practice staff in the Northern and Yorkshire Region. RESULTS: At least one completed questionnaire was obtained from 70% of the general practices surveyed, and the individual response rate to the survey was 45%. Just under 60% of all respondents reported having no access to the NHS internet and just under 50% also reported having no access to the internet. All respondents in this survey reported greater access to paper based information than to electronic databases. However, this research provides evidence of differential access to information resources between different professions in general practice with GPs clearly having easier access than other professions to both paper based resources and electronic databases. 70% of all respondents said that they would need to be trained to use either a computer, the internet, or to search databases if the opportunity for easy access to any of these information services was available. CONCLUSIONS: At the time of this survey, general practices seemed to be struggling to set up the infrastructure and develop the skills that are necessary to make best use of available research evidence. In addition, there is a need for further investigation into the reasons why different professions working in the same practice setting have differential access to information resources available in primary care.

Computer User Training↗

Implementing evidence-based practice.

Traditional methods of disseminating research findings through publication has had only a limited impact on clinical practice. Issues of time and professional territorialism may be barriers to change. More active interventions are needed to ensure that findings are implemented.

Attitude of Health Personnel↗

Treatment and prevention of head lice and scabies.

The latest issue of Effectiveness Matters (Box 1) summarises research evidence on the effectiveness of interventions for treating head lice and scabies. It is based on the findings of two systematic reviews carried out by the Cochrane Infectious Diseases Review Group.

Adult↗

Systematic reviews: what do they involve?

Systematic reviews are a source of evidence to guide practice and identify the need for future research. This article gives an outline of the methods involved in conducting systematic reviews, including the identification of a review topic, searching literature, selecting studies to be reviewed and synthesising study findings.

Evidence-Based Medicine↗

A review of psychosocial family interventions for schizophrenia.

Research shows the rate of relapse among people with schizophrenia can be reduced by interventions focusing on how a family functions. This article is a systematic review of the studies, held by the Cochrane Library. The review concludes that relapse, hospital admission and compliance with medication were improved where family-based interventions were used.

Family↗

Organisation of asthma care: what difference does it make?

Asthma is one of the main causes of chronic ill health in the UK but management of the disease is of variable quality. This article summarises a systematic review of the literature held on the Database of Abstracts of Reviews of Effectiveness (DARE) and highlights the dearth of reliable evidence on effective ways to organise the care of people with asthma. The number of firm findings is limited but care delivered by specialists appears to be more effective, and there is evidence to suggest that care shared between GPs and specialist consultants is the cheapest option.

Asthma↗

Effectiveness of child-health screening.

Screening for sensory problems in pre-school children often fails to detect a significant number of hearing problems sufficiently early. Evidence suggests neonatal screening is more effective and cost-effective than the infant distraction test at detecting congenital hearing loss. It is not yet clear how best to identify children with speech and language delay who will fail to progress without treatment.

Child Health Services↗