Reply the article's abstract posed with a single phrase in ALL CAPS from the list below and then explain why you chose that word. The word is to reflect about the contents of the article.

• WOW
• SURPRISING
• INTERESTING
• UNLIKELY
• IMPOSSIBLE
• ABOUT TIME
• WASTED EFFORT
• NO REAL CHANGE
• INNOVATIVE
• NO WAY
• SO WHAT

A Viewpoint on Evidence-based Health Informatics, Based on a Pilot Survey on Evaluation Studies in Health Care Informatics Abstract Go to: Concerned about evidence-based health informatics, the authors conducted a limited pilot survey attempting to determine how many IT evaluation studies in health care are never published, and why. A survey distributed to 722 academics had a low response rate, with 136 respondents giving instructive comments on 217 evaluation studies. Of those studies, half were published in international journals, and more than one-third were never published. Reasons for not publishing (with multiple reasons per study possible) included: "results not of interest for others" (1/3 of all studies). publication in preparation" (1/3). "no time for publication" (1/5), "limited scientific quality of study" (1/6). "political or legal reasons" (1/7). and "study only conducted for internal use" (1/8). Those reasons for non-publication in health informatics resembled those reported in other fields. Publication bias (preference for positive studies) did not appear to be a major issue. The authors believe that widespread application of guidelines in conducting health informatics evaluation studies and utilization of a registry for evaluation study results could improve the evidence base of the field. The Problem of Publication Bias Go to: Healthcare IT systems have been shown to increase quality and efficiency of health care. However, there are also examples where IT systems failed to provide the expected benefits or even seem to have negative effects on patient care. - Systematic evaluation is thus needed and even seen as an ethical imperative for health informaticians. As a whole, published IT evaluation studies contribute to the emergence of evidence-based health informatics & which can be defined as the conscientious, explicit, and judicious use of current best evidence to support a decision with regard to IT use in health care (based on EBM-definition by Sackett). 9 Discussion Go to: Based on a limited pilot e-mail survey, the authors found that about half of current study respondents' IT evaluation studies were reported in international publications. Stated reasons for non-publication were diverse, including unclear generalizability of results obtained in a local context, missing time or budget to write down the evaluation results, doubts on scientific quality of the study, political and legal reasons (including publication bias," i.e., non-publication due to negative results), and studies conducted only for internal use without any academic research interest. With regard to the last point, the authors believe that results of reasonably conducted evaluation studies, independent of the results, should be made publicly available, even though such studies may lack innovative methods or new results