ArticleJournal of epidemiology and community health2000
Sources of influence on medical practice.
Article in Journal of epidemiology and community health, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity of tools used for surveying physicians about their interactions with pharmaceutical company: a systematic review.BMC research notes · 2015Pooled it
- Guidance in an uncertain world.British journal of anaesthesia · 2020Article
- Evaluation of the implementation of centralized waiting lists for patients without a family physician and their effects across the province of Quebec.Implementation science : IS · 2014Article
- Information-seeking behavior of medical residents in clinical practice in Bahia, Brazil.Journal of the Medical Library Association : JMLA · 2008Article
- Framework for primary care organizations: the importance of a structural domain.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2008Article
- Understanding the work of general practitioners: a social science perspective on the context of medical decision making in primary care.BMC family practice · 2008Article
- "Saying no is no easy matter" a qualitative study of competing concerns in rationing decisions in general practice.BMC health services research · 2005Article
- [Nursing practice in home care: social-demographic profile and professional practice].Atencion primaria · 2002Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the opinion of general practitioners on the importance and legitimacy of sources of influence on medical practice.
methodsGeneral practitioners (n=723) assigned to Primary Care Teams (PCTs) in two Spanish regions were randomly selected to participate in this study. A self administered questionnaire was sent by mail and collected by hand. The dependent variable collected the opinion on different sources that exert influence on medical practice. Importance was measured with a 9 item scale while legitimacy was evaluated with 16 items measured with a 1 to 7 point Likert scale.
resultsThe most important and legitimate sources of influence according to general practitioners were: training courses and scientific articles, designing self developed protocols and discussing with colleagues. The worst evaluated were: financial incentives and the role played by the pharmaceutical industry.
conclusionsThe development of medical practice is determined by many factors, grouped around three big areas: organisational setting, professional system and social setting. The medical professional system is the one considered as being the most important and legitimate by general practitioners. Other strategies of influence, considered to be very important by the predominant management culture (financial incentives), are not considered to be so by general practitioners. These results, however, are not completely reliable as regards the real network of influences existing in medical practice, which reflect instead different "value systems".
Indexed as
Identifiers
What 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.