Changing decision-making behaviour in general practice by providing access to online evidence.

转向循证实践的理由以及这种转变带来的巨大经济和健康结果好处一再被提出。尽管有了这一愿景，但循证实践的重大障碍仍然存在，在线系统的积极作用的展示将导致临床医生行为改变的策略发生重大变化。这项研究将通过严格和可控的方法研究临床行为变化，为我们理解在线证据检索系统作为任何基于证据的战略的一个组成部分的有效性和有效性做出具体和重要的贡献。它还将对搜索过滤器作为支持证据检索的一项特定技术的价值进行强有力的测试。将重点放在NHMRC优先领域的处方模式作为结果衡量标准，也将提供反映初级保健当前做法的重要数据集。

The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online evidence retrieval systems as a component in any evidence-based strategy, through a rigorous and controlled approach to the study of clinical behaviour change. It will also provide a powerful test of the value of search filters as a specific technology in support of evidence retrieval. The focus on prescribing patterns in NHMRC priority areas as an outcome measure will also provide a significant data set reflecting current practice in primary care.