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A postal survey to determine UK medical directors’ (n = 491) attitudes on the importance of effectiveness information; their own access, awareness and use of a variety of sources for information on effectiveness, their own use of and views on the perceived usefulness of the Cochrane Library; their attitudes towards their own role in the local application of clinical governance. Respondents reported high levels of awareness and access to a number of sources of clinical/cost effectiveness information. Respondents regularly referred to paper‐based publications more than electronic databases (only 10 per cent regularly referring to the Cochrane Library). Respondents felt that the Cochrane Library could be improved by increasing the number and range of topics and clinical areas covered, and by improving access and availability.

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