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CONTEXT The extensive research literature on electronic patient records (EPRs) presents challenges to systematic reviewers because it covers multiple research traditions with different underlying philosophical assumptions and methodological approaches. METHODS Using the meta-narrative method and searching beyond the Medline-indexed literature, this review(More)
OBJECTIVES To develop and evaluate an information service in which a "clinical informaticist" (a GP with training in evidence-based medicine) provided evidence-based answers to questions posed by GPs and nurse practitioners. DESIGN Descriptive pilot study with systematic recording of the process involved in searching for and critically appraising(More)
This paper reviews and critiques the different approaches to the use of narrative in quality improvement research. The defining characteristics of narrative are chronology (unfolding over time); emplotment (the literary juxtaposing of actions and events in an implicitly causal sequence); trouble (that is, harm or the risk of harm); and embeddedness (the(More)
OBJECTIVE To explore general practitioners' (GP) perspectives on the meaning of 'timeliness' in dementia diagnosis. DESIGN Narrative interview study. SETTING UK academic department of primary care. PARTICIPANTS Seven practising GPs with experience of conveying a diagnosis of dementia. METHODS GPs' narrative commentaries of encounters with patients(More)
Objectives To describe and evaluate two different models of a clinical informaticist service. Design A case study approach, using various qualitative methods to illuminate the complexity of the project groups' experiences. Setting UK primary health care. Interventions Two informaticist projects to provide evidence based answers to questions arising in(More)
OBJECTIVES To describe and evaluate two different models of a clinical informaticist service. DESIGN A case study approach, using various qualitative methods to illuminate the complexity of the project groups' experiences. SETTING UK primary health care. INTERVENTIONS Two informaticist projects to provide evidence based answers to questions arising in(More)
Seventy six senior academics from 11 countries invite The BMJ's editors to reconsider their policy of rejecting qualitative research on the grounds of low priority. They challenge the journal to develop a proactive, scholarly, and pluralist approach to research that aligns with its stated mission Trisha Greenhalgh professor of primary care health sciences,(More)
OBJECTIVE To investigate how electronic templates shape, enable and constrain consultations about chronic diseases. DESIGN Ethnographic case study, combining field notes, video-recording, screen capture with a microanalysis of talk, body language and data entry-an approach called linguistic ethnography. SETTING Two general practices in England. (More)
In 2004, the English Department of Health introduced a technology (Choose and Book) designed to help general practitioners and patients book hospital outpatient appointments. It was anticipated that remote booking would become standard practice once technical challenges were overcome. But despite political pressure and financial incentives, Choose and Book(More)