Evidence‐Based Medicine and Primary Care: Keeping Up Is Hard to Do

Zipkin, Daniella A.; Greenblatt, Lawrence; Kushinka, Jeffrey T.

doi:10.1002/msj.21337

Cited by 16Health Sciences Research and EducationClinical practice guidelines implementationElectronic Health Records Systems

Evidence‐Based Medicine and Primary Care: Keeping Up Is Hard to Do

Zipkin, Daniella A., Greenblatt, Lawrence, Kushinka, Jeffrey T.·2012·Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine

DOI 10.1002/msj.21337

Open this paper in CoChat — free account

Abstract

Primary‐care physicians feel pressure to be knowledgeable, efficient, comprehensive, and compassionate while delivering evidence‐based medical care. Incorporating evidence‐based medicine into practice requires training in the skills of finding and applying good evidence to patients, and, increasingly, infrastructure that supports the incorporation of evidence into electronic health records. Physicians cite many barriers to the use of evidence‐based medicine in practice. In this review, we examine evidence of the value of evidence‐based medicine in clinical practice, discuss the interface of evidence and shared decision‐making, suggest tools and approaches for incorporating evidence‐based medicine into practice, and discuss the impact of recent health insurance reform on expectations and incentives for physicians with respect to evidence‐based practice. Mt Sinai J Med 79:545–554, 2012. © 2012 Mount Sinai School of Medicine

Integrity signals

Registry

Crossref · 10.1002/msj.21337

Cites

59 of 59 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Even when studies exist, they can have conflicting findings arising from heterogeneous patient populations, study designs of variable quality, or nonstandard endpoints.
“Second, even when studies exist, they can have conflicting findings arising from heterogeneous patient populations, study designs of variable quality, or nonstandard endpoints.”
From Answering real-world clinical questions using large language model, retrieval-augmented generation, and agentic systems (2025) · cites this paper as [9]

Evidence based medicine: what it is and what it isn't
Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996) · BMJ · doi:10.1136/bmj.312.7023.71 · Cited by 15,769 · see citing works
Why Most Published Research Findings Are False
Ioannidis, J. P. A. (2005) · PLoS Medicine · doi:10.1371/journal.pmed.0020124 · Cited by 10,505 · see citing works
Evidence-Based Medicine: How to Practice and Teach EBM
Sackett, D. L. (2000) · Cited by 5,950 · see citing works
Why Most Published Research Findings Are False
Ioannidis, J. P. A. (2005) · CHANCE · doi:10.1080/09332480.2005.10722754 · Cited by 4,702 · see citing works
Contradicted and Initially Stronger Effects in Highly Cited Clinical Research
Ioannidis, J. P. A. (2005) · JAMA · doi:10.1001/jama.294.2.218 · Cited by 1,465 · see citing works
Evidence-based medicine : how to practice and teach EBM
Straus, S. E. (2005) · Cited by 1,378 · see citing works
General practitioners' perceptions of the route to evidence based medicine: a questionnaire survey
McColl, A., Smith, H. E., White, P., & Field, J. R. (1998) · BMJ · doi:10.1136/bmj.316.7128.361 · Cited by 887 · see citing works
Imaging strategies for low-back pain: systematic review and meta-analysis
Chou, R., Fu, R. F., Carrino, J. A., & Deyo, R. A. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60172-0 · Cited by 612 · see citing works
Delivery of Evidence-Based Treatment for Multiple Anxiety Disorders in Primary Care: A Randomized Controlled Trial
Roy-Byrne, P., Craske, M. G., Sullivan, G., Rose, R. D., Edlund, M. J., Lang, A. J., Bystritsky, A., Welch, S. S., Chavira, D. A., Golinelli, D., et al. (2010) · JAMA · doi:10.1001/jama.2010.608 · Cited by 452 · see citing works
Why general practitioners do not implement evidence: qualitative study
Freeman, A., & Sweeney, K. (2001) · BMJ · doi:10.1136/bmj.323.7321.1100 · Cited by 398 · see citing works
Self-reported Hypertension Treatment Practices Among Primary Care Physicians
Hyman, D. J., & Pavlik, V. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.15.2281 · Cited by 357 · see citing works
Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial
Eccles, M. (2002) · BMJ · doi:10.1136/bmj.325.7370.941 · Cited by 354 · see citing works
Electronic Health Records and Quality of Diabetes Care
Cebul, R. D., Love, T. E., Jain, A., & Hebert, C. J. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1102519 · Cited by 332 · see citing works
Do Physicians Understand Cancer Screening Statistics? A National Survey of Primary Care Physicians in the United States
Wegwarth, O., Schwartz, L. M., Woloshin, S., Gaissmaier, W., & Gigerenzer, G. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-156-5-201203060-00005 · Cited by 304 · see citing works
Using alternative statistical formats for presenting risks and risk reductions
Akl, E. A., Oxman, A. D., Herrin, J. S., Vist, G. E., Terrenato, I., Sperati, F., Costiniuk, C. T., Blank, D., & Schünemann, H. J. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006776.pub2 · Cited by 253 · see citing works
Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice
Guyatt, G. H. (2001) · Cited by 243 · see citing works
Evidence Based Medicine and Shared Decision Making: The challenge of getting both evidence and preferences into health care
Barratt, A. L. (2008) · Patient Education and Counseling · doi:10.1016/j.pec.2008.07.054 · Cited by 234 · see citing works
Effects of computerized guidelines for managing heart disease in primary care
Tierney, W. M., Overhage, J. M., Murray, M. D., Harris, L. E., Zhou, X., Eckert, G. J., Smith, F. E., Nienaber, N. A., McDonald, C. J., & Wolinsky, F. D. (2003) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2003.30635.x · Cited by 199 · see citing works
A Controlled Trial of Web-Based Diabetes Disease Management
Meigs, J. B., Cagliero, E., Dubey, A. K., Murphy-Sheehy, P., Gildesgame, C., Chueh, H. C., Barry, M. J., Singer, D. E., & Nathan, D. M. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.750 · Cited by 197 · see citing works
Communicating risk
Ahmed, H., Naik, G., Willoughby, H., & Edwards, A. (2012) · BMJ · doi:10.1136/bmj.e3996 · Cited by 167 · see citing works
The effects of guided care on the perceived quality of health care for multi-morbid older persons: 18-month outcomes from a cluster-randomized controlled trial
Boyd, C. M., Reider, L., Frey, K., Scharfstein, D., Leff, B., Wolff, J., Groves, C., Karm, L., Wegener, S., Marsteller, J., et al. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1192-5 · Cited by 159 · see citing works
Can Computer‐Generated Evidence‐Based Care Suggestions Enhance Evidence‐Based Management of Asthma and Chronic Obstructive Pulmonary Disease? A Randomized, Controlled Trial
Tierney, W. M., Overhage, J. M., Murray, M. D., Harris, L. E., Zhou, X., Eckert, G. J., Smith, F. E., Nienaber, N. A., McDonald, C. J., & Wolinsky, F. D. (2005) · Health Services Research · doi:10.1111/j.1475-6773.2005.0t369.x · Cited by 137 · see citing works
Failure of Computerized Treatment Suggestions to Improve Health Outcomes of Outpatients with Uncomplicated Hypertension: Results of a Randomized Controlled Trial
Murray, M. D., Harris, L. E., Overhage, J. M., Zhou, X., Eckert, G. J., Smith, F. E., Buchanan, N. N., Wolinsky, F. D., McDonald, C. J., & Tierney, W. M. (2004) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1592/phco.24.4.324.33173 · Cited by 133 · see citing works
Can computer-generated evidence-based care suggestions enhance evidence-based management of asthma and chronic obstructive pulmonary disease? A randomized, controlled trial.
Tierney, W. M., Overhage, J. M., Murray, M. D., et al. (2005) · PubMed · doi:10.1111/j.1475-6773.2005.00368.x · Cited by 124 · see citing works
A Randomized Controlled Trial of Point-of-Care Evidence to Improve the Antibiotic Prescribing Practices for Otitis Media in Children
Christakis, D., Zimmerman, F. J., Wright, J. A., Garrison, M. M., Rivara, F. P., & Davis, R. L. (2001) · PEDIATRICS · doi:10.1542/peds.107.2.e15 · Cited by 118 · see citing works
Bridging The Inferential Gap: The Electronic Health Record And Clinical Evidence: Emerging tools can help physicians bridge the gap between knowledge they possess and knowledge they do not.
Stewart, W. F., Shah, N. R., Selna, M. J., Paulus, R. A., & Walker, J. M. (2007) · Health Affairs · doi:10.1377/hlthaff.26.2.w181 · Cited by 111 · see citing works
Evidence, Preferences, Recommendations — Finding the Right Balance in Patient Care
Quill, T. E., & Holloway, R. G. (2012) · New England Journal of Medicine · doi:10.1056/nejmp1201535 · Cited by 107 · see citing works
Evidence-based medicine in primary care: qualitative study of family physicians
Tracy, C. S., Dantas, G. C., & Upshur, R. E. G. (2003) · BMC Family Practice · doi:10.1186/1471-2296-4-6 · Cited by 107 · see citing works
Guided care and the cost of complex healthcare: a preliminary report.
Leff, B. A., Reider, L. M., Frick, K. D., Scharfstein, D. O., Boyd, C. M., Frey, K. P., Karm, L., & Boult, C. (2009) · PubMed · Cited by 99 · see citing works
Evaluating the impact of an evidence‐based medicine educational intervention on primary care doctors’ attitudes, knowledge and clinical behaviour: a controlled trial and before and after study
Shuval, K., Berkovits, E., Netzer, D., Hekselman, I., Linn, S., Brezis, M., & Reis, S. P. (2007) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2007.00859.x · Cited by 98 · see citing works
Improving preventive service delivery at adult complete health check-ups: the Preventive health Evidence-based Recommendation Form (PERFORM) cluster randomized controlled trial
Dubey, V., Mathew, R., Iglar, K., Moineddin, R., & Glazier, R. H. (2006) · BMC Family Practice · doi:10.1186/1471-2296-7-44 · Cited by 96 · see citing works
USERS’ GUIDES TO THE MEDICAL LITERATURE. ESSENTIALS OF EVIDENCE-BASED CLINICAL PRACTICE
Fineout‐Overholt, E. (2002) · CIN Computers Informatics Nursing · doi:10.1097/00024665-200209000-00006 · Cited by 89 · see citing works
Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign
Chaney, E. F., Rubenstein, L. V., Liu, C., Yano, E. M., Bolkan, C. R., Lee, M., Simon, B. F., Lanto, A. B., Felker, B. L., & Uman, J. E. (2011) · Implementation Science · doi:10.1186/1748-5908-6-121 · Cited by 88 · see citing works
Better Prescribing Project: a randomized controlled trial of the impact of case-based educational modules and personal prescribing feedback on prescribing for hypertension in primary care
Herbert, C. P. (2004) · Family Practice · doi:10.1093/fampra/cmh515 · Cited by 83 · see citing works
Case management for patients with chronic systolic heart failure in primary care: The HICMan exploratory randomised controlled trial
the Competence Network Heart Failure, Peters-Klimm, F., Campbell, S., Hermann, K., Kunz, C. U., Müller‐Tasch, T., & Szécsényi, J. (2010) · Trials · doi:10.1186/1745-6215-11-56 · Cited by 83 · see citing works
A cluster randomised controlled trial of the clinical and cost-effectiveness of a 'whole systems' model of self-management support for the management of long- term conditions in primary care: trial protocol
Bower, P., Kennedy, A. P., Reeves, D., Rogers, A. E., Blakeman, T., Chew-Graham, C. A., Bowen, R., Eden, M., Gardner, C., Hann, M., et al. (2012) · Implementation Science · doi:10.1186/1748-5908-7-7 · Cited by 65 · see citing works
Typical Electronic Health Record Use in Primary Care Practices and the Quality of Diabetes Care
Crosson, J. C., Ohman‐Strickland, P., Cohen, D. J., Clark, E. C., & Crabtree, B. F. (2012) · The Annals of Family Medicine · doi:10.1370/afm.1370 · Cited by 62 · see citing works
USERS’ GUIDES TO THE MEDICAL LITERATURE. A MANUAL FOR EVIDENCE-BASED CLINICAL PRACTICE
Fineout‐Overholt, E. (2002) · CIN Computers Informatics Nursing · doi:10.1097/00024665-200209000-00005 · Cited by 61 · see citing works
How do family physicians communicate about cardiovascular risk? Frequencies and determinants of different communication formats
Neuner‐Jehle, S., Senn, O., Wegwarth, O., Rosemann, T. J., & Steurer, J. (2011) · BMC Family Practice · doi:10.1186/1471-2296-12-15 · Cited by 58 · see citing works
Critical appraisal skills of family physicians in Ontario, Canada
Godwin, M. S., & Seguin, R. (2003) · BMC Medical Education · doi:10.1186/1472-6920-3-10 · Cited by 55 · see citing works
Can primary care professionals’ adherence to Evidence Based Medicine tools improve quality of care in Type 2 diabetes mellitus? A systematic review
de Belvis, A. G., Pelone, F., Biasco, A., Ricciardi, W., & Volpe, M. (2009) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2009.05.007 · Cited by 50 · see citing works
Evidence-based medicine knowledge, attitudes, and skills of community faculty
Beasley, B. W., & Woolley, D. C. (2002) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2002.11110.x · Cited by 46 · see citing works
Evidence-Based Medicine In The United States—De Rigueur Or Dream Deferred?
Mendelson, D., & Carino, T. V. (2005) · Health Affairs · doi:10.1377/hlthaff.24.1.133 · Cited by 46 · see citing works
The Evolving Primary Care Physician
Okie, S. (2012) · New England Journal of Medicine · doi:10.1056/nejmp1201526 · Cited by 40 · see citing works
Case-Based Training of Evidence-Based Clinical Practice in Primary Care and Decreased Mortality in Patients With Coronary Heart Disease
Kiessling, A., LEWITT, M. S., & Henriksson, P. (2011) · The Annals of Family Medicine · doi:10.1370/afm.1248 · Cited by 38 · see citing works
Improved health or improved decision making? The ethical goals of EBM
Gupta, M. (2011) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2011.01743.x · Cited by 37 · see citing works
Electronic health records: is the evidence base any use?
Clamp, S., & Keen, J. (2007) · Medical Informatics and the Internet in Medicine · doi:10.1080/14639230601097903 · Cited by 37 · see citing works
Evaluating primary care doctors’ evidence‐based medicine skills in a busy clinical setting
Shuval, K., Shachak, A., Linn, S., Brezis, M., & Reis, S. P. (2007) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2007.00805.x · Cited by 34 · see citing works
Faculty training in evidence-based medicine: Improving evidence acquisition and critical appraisal
Nicholson, L. J., Warde, C., & Boker, J. R. (2007) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.90 · Cited by 34 · see citing works
Electronic health records, clinical decision support, and blood pressure control.
Samal, L., Linder, J. A., Lipsitz, S. R., & Hicks, L. S. (2011) · PubMed · Cited by 33 · see citing works
Cluster randomised trial in the General Practice Research Database: 1. Electronic decision support to reduce antibiotic prescribing in primary care (eCRT study)
Gulliford, M. C., van Staa, T. P., McDermott, L. M., Dregan, A., McCann, G., Ashworth, M. J., Charlton, J., Grieve, A. P., Little, P. S., Moore, M. V., et al. (2011) · Trials · doi:10.1186/1745-6215-12-115 · Cited by 32 · see citing works
Communicating benefits and risks of screening for prostate, colon, and breast cancer.
Barrett, B. P., & McKenna, P. (2011) · PubMed · Cited by 30 · see citing works
A cluster randomized trial to assess the impact of clinical pathways for patients with stroke: rationale and design of the Clinical Pathways for Effective and Appropriate Care Study [NCT00673491]
Panella, M., Marchisio, S., Barbieri, A., & Stanislao, F. D. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-223 · Cited by 29 · see citing works
Impact of short evidence summaries in discharge letters on adherence of practitioners to discharge medication. A cluster-randomised controlled trial
Kunz, R., Wegscheider, K., Guyatt, G. H., Zielinski, W., Rakowsky, N. A., Donner‐Banzhoff, N., & Müller-Lissner, S. A. (2007) · BMJ Quality & Safety · doi:10.1136/qshc.2006.020305 · Cited by 26 · see citing works
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Bundrick, J. B. (2009) · Mayo Clinic Proceedings · doi:10.4065/84.11.1045-h · Cited by 22 · see citing works
Association between primary care physicians' evidence-based medicine knowledge and quality of care
Shuval, K., Linn, S., Brezis, M., Shadmi, E., Green, M. L., & Reis, S. P. (2009) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzp054 · Cited by 21 · see citing works
A cluster randomised controlled trial of nurse and GP partnership for care of Chronic Obstructive Pulmonary Disease
Zwar, N. A., Hermiz, O. S., Hasan, I., Comino, E. J., Middleton, S., Vagholkar, S., & Marks, G. B. (2008) · BMC Pulmonary Medicine · doi:10.1186/1471-2466-8-8 · Cited by 17 · see citing works
A practice-based trial of blood pressure control in African Americans (TLC-Clinic): study protocol for a randomized controlled trial
Schoenthaler, A., Luerassi, L., Teresi, J. A., Silver, S. A., Kong, J., Odedosu, T., Trilling, S., Errico, A., Uvwo, O., Sebek, K., et al. (2011) · Trials · doi:10.1186/1745-6215-12-265 · Cited by 13 · see citing works
Improving information management in primary care: the proof is in the pudding
Reed, V. A., Schifferdecker, K. E., & Homa, K. A. (2008) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v16i3.696 · Cited by 7 · see citing works

Flagged first, then by citations

Sorted by citations

Management of Lower Urinary Tract Symptoms Related to Benign Prostatic Hyperplasia in Real-life Practice in France: A Comprehensive Population Study
Lukacs, B., Cornu, J., Aout, M., Tessier, N., Hodée, C., Haab, F., Cussenot, O., Merlière, Y., Moysan, V., & Vicaut, É. (2013) · European Urology · doi:10.1016/j.eururo.2013.02.026 · Cited by 96 · see citing works
Answering real-world clinical questions using large language model, retrieval-augmented generation, and agentic systems
Low, Y. S., Jackson, M. L., Hyde, R. J., Brown, R. E., Sanghavi, N. M., Baldwin, J. D., Pike, C. W., Muralidharan, J., Hui, G., Alexander, N., et al. (2025) · DIGITAL HEALTH · doi:10.1177/20552076251348850 · Cited by 51 · see citing works
“9,10 As a result, physicians often require either summarized evidence from reliable sources or custom evidence generated speci ﬁ cally for the patient in front of them.”
Evidence‐Based Practice Point‐of‐Care Resources: A Quantitative Evaluation of Quality, Rigor, and Content
Campbell, J. M., Umapathysivam, K., Xue, Y., & Lockwood, C. S. (2015) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12114 · Cited by 46 · see citing works
How to keep up to date with medical information using web‐based resources: a systematised review and narrative synthesis
Bougioukas, K. I., Bouras, E., Avgerinos, K. I., Dardavessis, T., & Haidich, A. (2020) · Health Information & Libraries Journal · doi:10.1111/hir.12318 · Cited by 44 · see citing works
Basic ICT adoption and use by general practitioners: an analysis of primary care systems in 31 European countries
Rosis, S. D., & Seghieri, C. (2015) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-015-0185-z · Cited by 39 · see citing works
Update of Strategies to Translate Evidence from Cochrane Musculoskeletal Group Systematic Reviews for Use by Various Audiences
Rader, T., Pardo, J. P., Stacey, D., Ghogomu, E. A. T., Maxwell, L. J., Welch, V. A., Singh, J. A., Buchbinder, R., Légaré, F., Santesso, N. A., et al. (2013) · The Journal of Rheumatology · doi:10.3899/jrheum.121307 · Cited by 20 · see citing works
Knowledge and attitudes towards evidence-based medicine of mentors in general practice can be influenced by using medical students as academic detailers
Vrdoljak, D., Petrić, D., Diminić-Lisica, I., Kranjčević, K., Janković, S. D., Delija, I., & Puljak, L. (2015) · European Journal of General Practice · doi:10.3109/13814788.2015.1046124 · Cited by 6 · see citing works
Exploring the factors influencing evidence-based approaches to advanced chronic kidney disease: a qualitative study involving nurses and physicians
Pintado-Outumuro, E., Fraile, V. M., Salvador-González, B., Benito‐Aracil, L., Ibáñez, M. J., Sancho-Campos, M.-P., Alves-Tafur, C., & Lumillo‐Gutiérrez, I. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02418-0 · Cited by 6 · see citing works
An Introduction to Meta‐Analysis
Basu, A. (2019) · doi:10.1002/9781118907283.ch68 · Cited by 2 · see citing works
Clinical Practice Guidelines, Evidence-Based Medicine, and Diabetes
Rodríguez‐Saldaña, J. (2019) · Springer eBooks · doi:10.1007/978-3-030-11815-0_21 · Cited by 1 · see citing works
Introduction to Meta AnalysisPreprint
Basu, A. (2014) · doi:10.7287/peerj.preprints.665v1
Whatʼs the evidence for this evidence?
Campbell, J. M. (2016) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2016-003062
Evidence-based general practice: a scoping review
Cheng, Y., Zou, C., Liu, C., Jia, Y., Yang, R. H., Zhang, Y., Han, J., Lei, Y., & Liao, X. (2025) · BMC Family Practice · doi:10.1186/s12875-025-02838-6 · Cited by 2 · see citing works
Additional file 1 of Exploring the factors influencing evidence-based approaches to advanced chronic kidney disease: a qualitative study involving nurses and physicians
Pintado-Outumuro, E., Fraile, V. M., Salvador-González, B., (15108986), L. B., Ibáñez, M. J., Sancho-Campos, M.-P., Alves-Tafur, C., & Lumillo‐Gutiérrez, I. (2024) · Figshare · doi:10.6084/m9.figshare.26723490
Impact of Educational Interventions on Evidence-Based Medicine Skills: A Systematic Review of Fresno Test Outcomes in Residents and General Practitioners (Preprint)Preprint
Assaoui, S., Billot, M., Rigoard, P., Ojardias, É., Bessaguet, H., Compagnat, M., Viseux, F., Heslot, C., & David, R. (2026) · doi:10.2196/preprints.92262
Effectiveness of a Multimodal Educational Intervention to Improve Shared Decision-Making Skills Among Pediatric Hospitalists
Ortiz, J. D., Hadvani, T., Zafar, S., Lipstein, E. A., Volk, R. J., Nicome, R., Ban, K., Arthur, C., Singh, A., Neubauer, H. C., et al. (2026) · Academic Pediatrics · doi:10.1016/j.acap.2026.103274

Authors: Zipkin, D. A., Greenblatt, L., & Kushinka, J. T.
Affiliations: Duke University (US)
Duke Medical Center (US)
Virginia Commonwealth University (US)
Corresponding author: Zipkin, Daniella A.
ORCID: Zipkin, Daniella A.
Greenblatt, Lawrence
Venue: Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine
Publisher: Wiley
Published: 2012-09
Volume: 79
Issue: 5
Pages: 545-554
ISSN: 0027-2507 (ISSN-L)
1931-7581
DOI: 10.1002/msj.21337
OpenAlex: W2061396319
Cited by: 16
References: 59
Citations by year: 2026: 2 · 2025: 2 · 2024: 2 · 2020: 1 · 2019: 2 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 2
FWCI: 0.29
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 12 d)
Locations: Mount Sinai Journal of Medicine A Journal of Translational and Personalized Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords: evidence-based medicine, primary care, barriers to evidence-based practice, shared decision-making, electronic health records, health insurance reform, physician incentives, clinical practice integration
MeSH terms: Humans, Patient Participation, Practice Patterns, Physicians', Primary Health Care, Information Storage and Retrieval, Evidence-Based Medicine, Libraries, Digital, Electronic Health Records

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Evidence‐Based Medicine and Primary Care: Keeping Up Is Hard to Do

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks