Clinical information needs and access in primary health care: a comparative cross-sectional study of rural and non-rural primary care physicians

Health Info Libr J. 2015 Dec;32(4):287-99. doi: 10.1111/hir.12121. Epub 2015 Sep 8.

Abstract

Background: Primary care physicians (PCPs) need a wide range of clinical information (CI) resources to manage their patients. Continued access to these resources in their practice settings provides self-reliance and a better approach towards clinical decision making.

Objective: To compare the PCPs CI needs and access to CI in rural versus non-rural practice setting.

Methods: A comparative cross-sectional survey was conducted in the Government health centres of the District of Multan, Pakistan. PCPs were classified into rural and non-rural according to their practice setting using the State Office of Rural Health definition. Rural means 'more than 10 miles from a population centre of 30 000 or more'.

Results: The CI needs of rural and non-rural PCPs were the same, but rural PCPs had significantly less access to nearly all CI resources when compared to non-rural PCPs. Age was a major determining factor of perceived information needs for continuing medical education but not for accessing CI.

Discussion: Primary care physicians in rural settings face innumerable difficulties in accessing the required CI due to non-existence of libraries and poor information infrastructure.

Conclusion: Despite no difference in information needs, rural PCPs have significantly less access to CI resources. The study suggests ways to address the inequality in provision of CI resources.

Keywords: Asia, South; Information and communication technologies (ICT); access to information; doctors; information need; information services; primary health care; surveys.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • General Practitioners / education*
  • Humans
  • Male
  • Middle Aged
  • Needs Assessment*
  • Pakistan
  • Primary Health Care / methods
  • Primary Health Care / trends*
  • Rural Health Services
  • Surveys and Questionnaires
  • Urban Health Services
  • Workforce