{"id":"https://openalex.org/W1990456245","doi":"https://doi.org/10.1001/jamainternmed.2013.10103","title":"Barriers and Decisions When Answering Clinical Questions at the Point of Care","display_name":"Barriers and Decisions When Answering Clinical Questions at the Point of Care","publication_year":2013,"publication_date":"2013-08-26","ids":{"openalex":"https://openalex.org/W1990456245","doi":"https://doi.org/10.1001/jamainternmed.2013.10103","mag":"1990456245","pmid":"https://pubmed.ncbi.nlm.nih.gov/23979118"},"language":"en","primary_location":{"id":"doi:10.1001/jamainternmed.2013.10103","doi":"https://doi.org/10.1001/jamainternmed.2013.10103","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2013.10103","pdf_url":null,"source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102930007","display_name":"David A. Cook","orcid":"https://orcid.org/0000-0003-2383-4633","observed_orcids":["https://orcid.org/0000-0003-2383-4633"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David A. Cook","raw_affiliation_strings":["Office of Education Research, Mayo Medical School, Rochester, Minnesota2Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota3Knowledge Delivery Center, Mayo Clinic, Rochester, Minnesota","Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota","Knowledge Delivery Center, Mayo Clinic, Rochester, Minnesota","Office of Education Research, Mayo Medical School, Rochester, Minnesota"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Office of Education Research, Mayo Medical School, Rochester, Minnesota2Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota3Knowledge Delivery Center, Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Division of General Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Knowledge Delivery Center, Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"Office of Education Research, Mayo Medical School, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110046819","display_name":"Kristi J. Sorensen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristi J. Sorensen","raw_affiliation_strings":["Knowledge Delivery Center, Mayo Clinic, Rochester, Minnesota"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Knowledge Delivery Center, Mayo Clinic, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101967410","display_name":"John M. Wilkinson","orcid":"https://orcid.org/0000-0003-1156-8577","observed_orcids":["https://orcid.org/0000-0003-1156-8577"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John M. Wilkinson","raw_affiliation_strings":["Department of Family Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5000977599","display_name":"Richard A. Berger","orcid":"https://orcid.org/0000-0002-3044-8266","observed_orcids":["https://orcid.org/0000-0002-3044-8266"]},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard A. Berger","raw_affiliation_strings":["Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota","School of Continuous Professional Development, Mayo Clinic College of Medicine, Rochester, Minnesota"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]},{"raw_affiliation_string":"School of Continuous Professional Development, Mayo Clinic College of Medicine, Rochester, Minnesota","institution_ids":["https://openalex.org/I1330342723"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5102930007"],"corresponding_institution_ids":["https://openalex.org/I1330342723"],"apc_list":null,"apc_paid":null,"fwci":10.6762,"has_fulltext":false,"cited_by_count":101,"citation_normalized_percentile":{"value":0.98318834,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"173","issue":"21","first_page":"1962","last_page":"1962"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11744","display_name":"Health Sciences Research and Education","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.004100000020116568,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.0020000000949949026,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/barriers-to-learning","display_name":"barriers to learning","score":0.7260000109672546},{"id":"https://openalex.org/keywords/enabling-factors","display_name":"enabling factors","score":0.7110000252723694},{"id":"https://openalex.org/keywords/clinical-decision-making","display_name":"clinical decision-making","score":0.6800000071525574},{"id":"https://openalex.org/keywords/time-constraints","display_name":"time constraints","score":0.6179999709129333},{"id":"https://openalex.org/keywords/information-source-selection","display_name":"information source selection","score":0.847000002861023},{"id":"https://openalex.org/keywords/information-credibility","display_name":"information credibility","score":0.6399999856948853},{"id":"https://openalex.org/keywords/primary-care-physicians","display_name":"primary care physicians","score":0.6840000152587891},{"id":"https://openalex.org/keywords/internists","display_name":"internists","score":0.6830000281333923},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.7760000228881836},{"id":"https://openalex.org/keywords/knowledge-resources","display_name":"knowledge resources","score":0.45399999618530273}],"concepts":[{"id":"https://openalex.org/C2780224610","wikidata":"https://www.wikidata.org/wiki/Q1530061","display_name":"Credibility","level":2,"score":0.7101966142654419},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.636244535446167},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5282337665557861},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.5035702586174011},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.49401694536209106},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.41917654871940613},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3202364444732666},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.1861782670021057},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.13230031728744507},{"id":"https://openalex.org/C31258907","wikidata":"https://www.wikidata.org/wiki/Q1301371","display_name":"Computer network","level":1,"score":0.0},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007388","descriptor_name":"Internal Medicine","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012494","descriptor_name":"Sampling Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019095","descriptor_name":"Point-of-Care Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057226","descriptor_name":"Information Seeking Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1001/jamainternmed.2013.10103","doi":"https://doi.org/10.1001/jamainternmed.2013.10103","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jamainternmed.2013.10103","pdf_url":null,"source":{"id":"https://openalex.org/S65364685","display_name":"JAMA Internal Medicine","issn_l":"2168-6106","issn":["2168-6106","2168-6114"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Internal Medicine","raw_type":"journal-article"},{"id":"pmid:23979118","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/23979118","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA internal medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.6240000128746033,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":40,"referenced_works":["https://openalex.org/W31045409","https://openalex.org/W85821518","https://openalex.org/W189395037","https://openalex.org/W1571868071","https://openalex.org/W1583335711","https://openalex.org/W1867437872","https://openalex.org/W1963911880","https://openalex.org/W1967670002","https://openalex.org/W1968872068","https://openalex.org/W1969149223","https://openalex.org/W1971796909","https://openalex.org/W1977362803","https://openalex.org/W1985118181","https://openalex.org/W1985565943","https://openalex.org/W2008233978","https://openalex.org/W2010210047","https://openalex.org/W2023966237","https://openalex.org/W2032850556","https://openalex.org/W2042607745","https://openalex.org/W2059616669","https://openalex.org/W2069340802","https://openalex.org/W2073924861","https://openalex.org/W2089687241","https://openalex.org/W2090086896","https://openalex.org/W2104026855","https://openalex.org/W2105544206","https://openalex.org/W2111175405","https://openalex.org/W2113621248","https://openalex.org/W2120230938","https://openalex.org/W2122742858","https://openalex.org/W2124893143","https://openalex.org/W2131178686","https://openalex.org/W2132781587","https://openalex.org/W2134704151","https://openalex.org/W2141726488","https://openalex.org/W2150828532","https://openalex.org/W2158002939","https://openalex.org/W2167488768","https://openalex.org/W2568476927","https://openalex.org/W2733983501"],"related_works":["https://openalex.org/W3016484843","https://openalex.org/W2107265617","https://openalex.org/W2279894727","https://openalex.org/W2335763958","https://openalex.org/W1851474441","https://openalex.org/W2149340995","https://openalex.org/W2132781587","https://openalex.org/W4399091467","https://openalex.org/W3045362128","https://openalex.org/W204505637"],"abstract_inverted_index":{"IMPORTANCE:":[0],"Answering":[1],"clinical":[2,179],"questions":[3,142],"affects":[4],"patient-care":[5],"decisions":[6,36,69,152,269],"and":[7,27,34,54,67,79,90,94,119,146,168,211,215,228,249,264,273],"is":[8,19,242,251],"important":[9,254],"to":[10,62,71,110,130,149,155,158,172,182,197,205,217,246,266],"continuous":[11],"professional":[12],"development.":[13],"The":[14],"process":[15],"of":[16,86,123,195,224],"point-of-care":[17,32,111,247],"learning":[18,33,272],"incompletely":[20],"understood.":[21],"OBJECTIVE:":[22],"To":[23],"understand":[24],"what":[25,35,193,202],"barriers":[26,114],"enabling":[28,65],"factors":[29],"influence":[30],"physician":[31,72],"physicians":[37],"face":[38],"during":[39],"this":[40],"process.":[41],"DESIGN:":[42],"Focus":[43,49],"groups":[44],"with":[45],"grounded":[46],"theory":[47],"analysis.":[48],"group":[50],"discussions":[51],"were":[52,153],"transcribed":[53],"then":[55],"analyzed":[56],"using":[57],"a":[58,190],"constant":[59],"comparative":[60],"approach":[61],"identify":[63],"barriers,":[64],"factors,":[66],"key":[68,222,268],"related":[70],"information-seeking":[73],"activities.":[74],"SETTING:":[75],"Academic":[76],"medical":[77],"center":[78],"outlying":[80],"community":[81],"sites.":[82],"PARTICIPANTS:":[83],"Purposive":[84],"sample":[85],"50":[87],"primary":[88],"care":[89],"subspecialist":[91],"internal":[92],"medicine":[93,96],"family":[95],"physicians,":[97],"interviewed":[98],"in":[99,189,232,256],"11":[100],"focus":[101],"groups.":[102],"RESULTS:":[103],"Insufficient":[104],"time":[105,241],"was":[106],"the":[107,116,121,134,178,185,243,252],"main":[108],"barrier":[109,245],"learning.":[112],"Other":[113],"included":[115,160],"patient":[117,169,186,274],"comorbidities":[118],"contexts,":[120],"volume":[122],"available":[124],"information,":[125],"not":[126],"knowing":[127],"which":[128],"resource":[129,196,204],"search,":[131],"doubt":[132],"that":[133,221,239],"search":[135,156,159,173,183],"would":[136],"yield":[137],"an":[138,258],"answer,":[139],"difficulty":[140],"remembering":[141],"for":[143],"later":[144],"study,":[145],"inconvenient":[147],"access":[148],"computers.":[150],"Key":[151],"whether":[154],"(reasons":[157],"infrequently":[161],"seen":[162],"conditions,":[163],"practice":[164],"updates,":[165],"complex":[166],"questions,":[167],"education),":[170],"when":[171,216],"(before,":[174],"during,":[175],"or":[176,188,200],"after":[177],"encounter),":[180],"where":[181],"(with":[184],"present":[187],"separate":[191],"room),":[192],"type":[194],"use":[198,206],"(colleague":[199],"computer),":[201],"specific":[203],"(influenced":[207],"first":[208],"by":[209,213],"efficiency":[210,225,250],"second":[212],"credibility),":[214],"stop.":[218],"Participants":[219],"noted":[220],"features":[223],"(completeness,":[226],"brevity,":[227],"searchability)":[229],"are":[230],"often":[231],"conflict.":[233],"CONCLUSIONS":[234],"AND":[235],"RELEVANCE:":[236],"Physicians":[237],"perceive":[238],"insufficient":[240],"greatest":[244],"learning,":[248],"most":[253],"determinant":[255],"selecting":[257],"information":[259],"source.":[260],"Designing":[261],"knowledge":[262],"resources":[263],"systems":[265],"target":[267],"may":[270],"improve":[271],"care.":[275]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":13},{"year":2023,"cited_by_count":6},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":11},{"year":2019,"cited_by_count":9},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":10},{"year":2013,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}