Evidence map›Paper›PMID 10574861›Full record

ReviewBMJ (Clinical research ed.)1999

Tensions between policy makers and general practitioners in implementing new genetics: grounded theory interview study.

S Kumar, M Gantley

Open access · bronzeAbstract readReview
In one paragraph

Review in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. A primary care specialist genetics service: a cluster-randomised factorial trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Trial
  3. Article
  4. Article
  5. Article
  6. Family history in primary care: understanding GPs' resistance to clinical genetics--qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  7. Article
  8. Parents' experiences of universal screening for haemoglobin disorders: implications for practice in a new genetics era.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008
    Article
  9. Towards a hermeneutic of technomedical objects.Theoretical medicine and bioethics · 2008
    Article
  10. Article
  11. Why medicine still needs a scientific foundation: restating the hypotheticodeductive model - part two.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
    Article
  12. Article
  13. Article
  14. Integrating genetics into primary care in practice.BMJ (Clinical research ed.) · 2001
    Article
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

S KumarDepartment of Primary Medical Care, University of Southampton, Southampton SO16 5ST. skk@soton.ac.uk
M Gantley
Queen Mary University of London · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore general practitioners' perceptions of their role in implementing genetic technology.

designGrounded theory interview study.

settingPrimary care. SUBJECTS: Purposive sample of 30 general practitioners with a further theoretical sample of 14.

resultsInconsistencies were identified between policy makers' and general practitioners' definitions of general practitioners' role in implementing the new genetics. General practitioners emphasised the need to build on current practice, whereas policy makers focused on transforming practice to include the new specialised roles and skills. Two core themes were identified: genetics in a generalist context, which included appropriate generalist intervention, the ethical dilemmas implicit in the "therapeutic gap," the familial-hereditary distinction in primary care, and the implications for generalist identity, including the potential marginalisation of generalism.

conclusionNew technologies such as genetics that require implementation in general practice should be integrated within existing generalist frameworks.

Indexed as

Family PracticeGenetic TechniquesHealth PolicyInterprofessional RelationsEthics, MedicalFemaleHumansMaleUnited Kingdom

Identifiers

PMID10574861
PMCPMC28287
OpenAlexW1993291384

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.