ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1998
The implementation of evidence-based medicine in general practice prescribing.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A real-world approach to Evidence-Based Medicine in general practice: a competency framework derived from a systematic review and Delphi process.BMC medical education · 2017Pooled it
- Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand.Quality in health care : QHC · 2001Pooled it
- Information-seeking behaviour of primary care clinicians in Singapore at the point-of-care: A qualitative study.Health information and libraries journal · 2024Article
- Identifying primary care clinicians' preferences for, barriers to, and facilitators of information-seeking in clinical practice in Singapore: a qualitative study.BMC primary care · 2024Article
- Primary care physicians' adoption of new drugs is not associated with their clinical interests: a pharmacoepidemiologic study.Scandinavian journal of primary health care · 2011Article
- A survey of Dutch GPs' attitudes towards help seeking and follow-up care for relatives bereaved by suicide.Family practice · 2009Article
- A qualitative comparative investigation of variation in general practitioners' prescribing patterns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- The impact of a general practice group intervention on prescribing costs and patterns.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Article
- The impact of health economics on healthcare delivery: a health economist's perspective: a primary care response.PharmacoEconomics · 2002Article
- [Pharmacy attention to prescriptions in order to bring practice into line with scientific evidence].Atencion primaria · 2001Article
- A cautious welcome for the new guidelines on management of drug dependence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Primary care groups and research networks: opportunities for R&D in context.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000Article
- Moving the research agenda to where it matters.BMJ (Clinical research ed.) · 1999Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch on the implementation of evidence-based medicine has focused on how best to influence doctors through information and education strategies. In order to understand the barriers and facilitators to implementation, it may also be important to study the characteristics of those doctors and practices that successfully implement evidence-based changes.
aimTo determine the relationship between practice and doctor characteristics and the implementation of recommended evidence-based changes in the area of prescribing.
methodVisits were made to 39 practices in southern England. Audits of three key prescribing changes were carried out and amalgamated to produce an 'implementation score' for each practice. These scores were related to a wide range of practice and doctor variables obtained from a questionnaire survey of doctors and practice managers.
resultsThere was wide variation between the practices' implementation scores (mean 67%, range 45% to 88%). The only factors that had a significant relationship with implementation of these important prescribing changes were an innovative approach among the doctors (most practitioners were cautious of change), and fundholding status. Use of clinical protocols, disease registers, or computers was not associated with overall implementation score, nor was the doctor's age. Doctors complained of information overload.
conclusionsThe emphasis on the need for evidence in medicine, and better transmission of information, needs to be balanced by a recognition that most general practitioners are pragmatic, averse to innovation, and already feel overwhelmed with information. Important advances in therapy may be crowded out. More attention should be given to the facilitation of priority changes in practices.
Indexed as
Identifiers
10198506PMC1313292What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.