T0, baseline* (N=76) | T1, end of third year† (N=60) | T2 1 year after graduation† (N=53) | |||||||
---|---|---|---|---|---|---|---|---|---|
Intervention | Control | RR | Intervention | Control | RR | Intervention | Control | RR | |
N=38 | N=38 | N=29 | N=31 | N=23 | N=30 | ||||
Information-seeking behaviour | |||||||||
Queries per patient | 0.25 (0.21 to 0.29) | 0.17 (0.15 to 0.20) | 1.45 (1.15 to 1.83) | 0.14 (0.13 to 0.16) | 0.15 (0.13 to 0.17) | 0.95 (0.80 to 1.12) | 0.21 (0.19 to 0.23) | 0.19 (0.16 to 0.22) | 1.10 (0.92 to 1.32) |
Performed search per clinical query | 0.77 (0.72 to 0.82) | 0.82 (0.75 to 0.91) | 0.93 (0.83 to 1.05) | 0.71 (0.64 to 0.79) | 0.72 (0.68 to 0.76) | 0.98 (0.87 to 1.11) | 0.60 (0.59 to 0.61) | 0.67 (0.57 to 0.79) | 0.90 (0.76 to 1.07) |
Performed search in evidence-based resources‡ per clinical query | 0.32 (0.26 to 0.38) | 0.30 (0.24 to 0.39) | 1.05 (0.77 to 1.44) | 0.27 (0.21 to 0.35) | 0.24 (0.15 to 0.38) | 1.16 (0.70 to 1.91) | 0.27 (0.24 to 0.30) | 0.30 (0.23 to 0.38) | 0.90 (0.70 to 1.16) |
Retrieved answers per performed search | 0.84 (0.81 to 0.88) | 0.81 (0.77 to 0.85) | 1.04 (0.98 to 1.11) | 0.81 (0.72 to 0.90) | 0.79 (0.72 to 0.85) | 1.03 (0.97 to 1.10) | 0.82 (0.78 to 0.86) | 0.78 (0.71 to 0.85) | 1.05 (0.98 to 1.13) |
Retrieved answers per performed search in evidence-based resources‡ | 0.91 (0.87 to 0.96) | 0.88 (0.84 to 0.93) | 1,03 (0.97 to 1.10) | 0.87 (0.83 to 0.91) | 0.90 (0.82 to 0.99) | 0.97 (0.87 to 1.07) | 0.86 (0.81 to 0.92) | 0.96 (0.89 to 1.03) | 0.90 (0.79 to 1.03) |
Guideline adherence | |||||||||
Complete adherence on all decisions in a patient consultation | 0.47 (0.42 to 0.53) | 0.68 (0.62 to 0.74) | 0.69 (0.60 to 0.80) | 0.62 (0.59 to 0.66) | 0.64 (0.60 to 0.70) | 0.96 (0.86 to 1.08) | 0.67 (0.60 to 0.74) | 0.60 (0.56 to 0.65) | 1.10 (0.97 to 1.25) |
All decisions in patient management | 0.69 (0.65 to 0.73) | 0.85 (0.82 to 0.88) | 0.81 (0.76 to 0.86) | 0.83 (0.81 to 0.84) | 0.83 (0.82 to 0.85) | 0.99 (0.97 to 1.02) | 0.83 (0.80 to 0.87) | 0.80 (0.78 to 0.83) | 1.04 (0.98 to 1.10) |
Diagnostic decisions in patient management | 0.66 (0.63 to 0.68) | 0.88 (0.86 to 0.91) | 0.74 (0.71 to 0.78) | 0.87 (0.85 to 0.90) | 0.88 (0.87 to 0.89) | 0.99 (0.96 to 1.02) | 0.85 (0.84 to 0.87) | 0.83 (0.79 to 0.87) | 1.03 (0.98 to 1.09) |
Therapeutic decisions in patient management | 0.58 (0.51 to 0.65) | 0.71 (0.65 to 0.78) | 0.81 (0.69 to 0.94) | 0.66 (0.62 to 0.69) | 0.66 (0.61 to 0.72) | 0.99 (0.89 to 1.11) | 0.72 (0.68 to 0.76) | 0.66 (0.60 to 0.73) | 1.09 (0.97 to 1.23) |
Referral decisions in patient management | 0.81 (0.79 to 0.84) | 0.94 (0.93 to 0.96) | 0.86 (0.83 to 0.89) | 0.93 (0.92 to 0.95) | 0.95 (0.94 to 0.96) | 0.98 (0.96 to 1.00) | 0.91 (0.86 to 0.97) | 0.92 (0.89 to 0.94) | 0.99 (0.92 to 1.07) |
*Crude data, collected before the intervention at baseline.
†Adjusted for type of logbook (paper or digital), score on national GP knowledge test and repeated measures.
‡Evidence-based resources: Guidelines, PubMed and preappraised bibliographic databases (such as Clinical Evidence, TRIP, Cochrane).
EBM, evidence-based medicine; GP, general practice; RR, relative risk.