Abstract:
To determine self-reported access to and use of the
Internet and the Cochrane Library by general practitioners
(GPs) in New Zealand.
Methods. A national cross sectional postal and fax survey
of randomly selected GPs.
Results. A total of 381 of 459 eligible GPs returned
completed questionnaires (83%). The mean age of this
sample was 45.7 years (SD 8.6) and average years in general
practice was 15.7 years (SD 8.8 years). 74% (277) were male
and 77% (289) in full-time practice. Internet access was
present in 40% (95% CI 36-46%) of practices and 76% (72-
81%) of GP’s homes. The majority, 56% (51-61%), of GPs
had used the Internet with regard to a patient. Younger GPs
(<35 years old OR = 2.69, 95% CI 1.10-6.60) and male GPs
(OR 1.72, 95% CI 1.02-2.90) were significantly more likely
to report use of the Internet with respect to patients. 42%
(95% CI 37-47%) of GPs were aware of the Cochrane
Library but only 15% (11-19%) had used it. Those in group
practice were more likely to be aware of the Cochrane
database (adjusted OR 1.85, CI 1.09-3.12).
Conclusions. Internet use is prevalent among GPs. Solo
practitioners, older GPs and female GPs are least likely to
avail themselves of this resource. Although half of GPs
knew about Cochrane, a minority used it. Access and use of
evidence databases can be improved in New Zealand.
Strategies to assist those least likely already to use
Cochrane may help our collective efforts towards evidence
based practice.