PubMed · 10314562
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
1982-08-15. Using "extenders" vs sharing your practice.. https://pubmed.ncbi.nlm.nih.gov/10314562/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
Explore the source record for details and available documents.
Explore the source record for details and available documents.
OBJECTIVES: To explore the reasons why general practitioners do not always implement best evidence. DESIGN: Qualitative study using Balint-style groups. SETTING: Primary care. PARTICIPANTS: 19 general practitioners. MAIN OUTCOME MEASURES: Identifiable themes that indicate barriers to implementation. RESULTS: Six main themes were identified that affected the implementation process: the personal and professional experiences of the general practitioners; the patient-doctor relationship; a perceived tension between primary and secondary care; general practitioners' feelings about their patients and the evidence; and logistical problems. Doctors are aware that their choice of words with patients can affect patients' decisions and whether evidence is implemented. CONCLUSIONS: General practitioner participants seem to act as a conduit within the consultation and regard clinical evidence as a square peg to fit in the round hole of the patient's life. The process of implementation is complex, fluid, and adaptive.