Evidence databases, the Internet and general practitioners: the New Zealand story

Aim. To determine self-reported access to and use of the Internet and the C ochrane Library by general practitioners (GPs) in New Zealand. Methods. A national cross sectional postal and fax survey of randomly selec ted GPs. Results. A total of 381 of 459 eligible GPs returned completed questionnair es (83%). The mean age of this sample was 45.7 years (SD 8.6) and average y ears 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% (9 5% 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 Coch rane Library but only 15% (11-19%) had used it. Those in group practice wer e 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 us e of evidence databases can be improved in New Zealand. Strategies to assis t those least likely already to use Cochrane may help our collective effort s towards evidence based practice.