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Clinical informaticist services with an academic dimension (the
technical quality of evidence based answers) are best achieved within
an academic environment, whereas those with a service dimension (the
facilitation of questioning behaviour and implementation) require a
developmental approach in which pragmatic service considerations are
addressed. Greenhalgh and colleagues (p 524) used two
informaticist projects in two different settings to describe and
evaluate the two different models. The academic group provided general
information and detailed guidance intended for those hoping to set up a
similar service. The general practice group achieved a credible,
acceptable, and sustainable service that engaged local practitioners.