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Department of Psychiatry, Paterson Centre, UK
C Palmer, clinical effectiveness programme manager , P Lelliott, director
College Research Unit, London, UK
Dr S Marriott, Department of Psychiatry, Paterson Centre, North West London Trust, 20 South Wharf Road, London W2 1PD, UK. Introduction
It has been shown that there are often significant delays in incorporating clinical recommendations into routine practice.1 The biomedical knowledge base is expected to have doubled in size within the next 20 years; however, there is already evidence that even the existing volume of scientific information is unmanageable to those who use it (box 1
).2 Its sources are diffuse and disorganised. For doctors alone, these sources can include the medical and popular media; recommendations of professional, political, and legal bodies; the output from educational campaigns and programmes; as well as marketing material from commercial sectors allied to health care, in particular the pharmaceutical and medical appliances industries. These are quite apart from internal, day to day information generated within doctors' own organisations. In a review of 13 well designed qualitative or quantitative studies exploring doctors' information needs, it was ascertained that they needed enormous amounts of information most of
Relevant Article
Qual. Health Care 2000 9: 1-2.
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