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The effect of risk attitude and unce...

McKibbon, Kathleen Ann.

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The effect of risk attitude and uncertainty comfort on primary care physicians' use of electronic information resources.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The effect of risk attitude and uncertainty comfort on primary care physicians' use of electronic information resources./
Author:	McKibbon, Kathleen Ann.
Description:	196 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4706.
Contained By:	Dissertation Abstracts International66-09B.
Subject:	Health Sciences, Education. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3192987
ISBN:	9780542356230

The effect of risk attitude and uncertainty comfort on primary care physicians' use of electronic information resources.
McKibbon, Kathleen Ann.

The effect of risk attitude and uncertainty comfort on primary care physicians' use of electronic information resources. - 196 p.

Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4706.

Thesis (Ph.D.)--University of Pittsburgh, 2005.

Background. Clinicians use information regularly in clinical care. New electronic information resources provided in push, pull, and prompting formats have potential to improve information support but have not been designed for individualization. Physicians with differing risk status use healthcare resources differently often without an improvement in outcomes.

ISBN: 9780542356230Subjects--Topical Terms:

1017921
Health Sciences, Education.

The effect of risk attitude and uncertainty comfort on primary care physicians' use of electronic information resources.
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100 1 $a McKibbon, Kathleen Ann. $3 1919941
245 1 4 $a The effect of risk attitude and uncertainty comfort on primary care physicians' use of electronic information resources.
300 $a 196 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4706.
500 $a Adviser: Douglas B. Fridsma.
502 $a Thesis (Ph.D.)--University of Pittsburgh, 2005.
520 $a Background. Clinicians use information regularly in clinical care. New electronic information resources provided in push, pull, and prompting formats have potential to improve information support but have not been designed for individualization. Physicians with differing risk status use healthcare resources differently often without an improvement in outcomes.
520 $a Questions. Do physicians who are risk seeking or risk avoiding and comfortable or uncomfortable with uncertainty use or prefer electronic information resources differently when answering simulated clinical questions and can the processes be modeled with existing theoretical models?
520 $a Design. Cohort study.
520 $a Methods. Primary care physicians in Canada and the United States were screened for risk status. Those with high and low scores on 2 validated scales answered 23 multiple-choice questions and searched for information using their own electronic resources for 2 of these questions. They also answered 2 other questions using information from 2 electronic information sources: PIER(c)1 and Clinical Evidence (c)2.
520 $a Results. The physicians did not differ for number of correct answers according to risk status although the number of correct answers was low and not substantially higher than chance. Their searching process was consistent with 2 information-seeking models from information science (modified Wilson Problem Solving and Card/Pirolli Information Foraging/Information Scent models). Few differences were seen for any electronic searching or information use outcome based on risk status although those physicians who were comfortable with uncertainty used more searching heuristics and spent less effort on direct searching. More than 20% of answers were changed after searching---almost the same number going from incorrect to correct and from correct to incorrect. These changes from a correct to incorrect answer indicate that some electronic information resources may not be ideal for direct clinical care or integration into electronic medical record systems.
520 $a Conclusions. Risk status may not be a major factor in the design of electronic information resources for primary care physicians. More research needs to be done to determine which computerized information resources and which features of these resources are associated with obtaining and maintaining correct answers to clinical questions.
520 $a 1 PIER is copyrighted (c) 2005 by the American College of Physicians, 190 North Independence Mall West, Philadelphia, PA 19106-1572, USA. (http://pier.acponline.org/index.html?cliapinc ). Accessed July 12, 2005. 2 Clinical Evidence is copyrighted (c) by the BMJ Publishing Group Limited, London, England, UK. 2005. (http://www.clinicalevidence.com/ceweb/conditions/index.jsp ). Accessed July 12, 2005.
590 $a School code: 0178.
650 4 $a Health Sciences, Education. $3 1017921
650 4 $a Library Science. $3 881164
650 4 $a Information Science. $3 1017528
690 $a 0350
690 $a 0399
690 $a 0723
710 2 0 $a University of Pittsburgh. $3 958527
773 0 $t Dissertation Abstracts International $g 66-09B.
790 1 0 $a Fridsma, Douglas B., $e advisor
790 $a 0178
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3192987