ArticleBMJ (Clinical research ed.)2001
Why general practitioners do not implement evidence: qualitative study.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 5 of them syntheses that pooled it.
What it found
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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.
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Who cites it
89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 403 citations in OpenAlex.
- Flavan-3-ols and Cardiometabolic Health: First Ever Dietary Bioactive Guideline.Advances in nutrition (Bethesda, Md.) · 2022Guideline
- 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
- Barriers to GPs' use of evidence-based medicine: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Pooled it
- Thou shalt versus thou shalt not: a meta-synthesis of GPs' attitudes to clinical practice guidelines.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Pooled it
- Prescribing Data in General Practice Demonstration (PDGPD) project--a cluster randomised controlled trial of a quality improvement intervention to achieve better prescribing for chronic heart failure and hypertension.BMC health services research · 2012Trial
- Knowledge of the pharmacological profile of a patient improves the quality of prescribing, the outcomes of treatment, and the utilization of health services in primary health care.European journal of clinical pharmacology · 2011Trial
- Impact of short evidence summaries in discharge letters on adherence of practitioners to discharge medication. A cluster-randomised controlled trial.Quality & safety in health care · 2007Trial
- Practice based, longitudinal, qualitative interview study of computerised evidence based guidelines in primary care.BMJ (Clinical research ed.) · 2003Trial
- Article
- Understanding measurement of postural hypotension: a nationwide survey of general practice in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Evidence-based general practice: a scoping review.BMC primary care · 2025Article
- Where do UK clinicians find information at the point of care? A pragmatic, exploratory study.BMC primary care · 2024Article
- Knowledge exchange sessions on primary health care research findings in public libraries: A qualitative study with citizens in Quebec.PloS one · 2023Article
- Jordanian Radiologists' Perspectives and Application of Evidence-Based Radiology in Clinical Practice.Advances in medical education and practice · 2022Article
- What is the significance of guidelines in the primary care setting? : Results of an exploratory online survey of general practitioners in Germany.Wiener medizinische Wochenschrift (1946) · 2021Article
- Knowledge, Attitude and Implementation of Evidence-Based Practice among Physiotherapists Working in the Kingdom of Saudi Arabia: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2020Article
- Exploring the Use of Evidence From the Development and Evaluation of an Electronic Health (eHealth) Trial: Case Study.Journal of medical Internet research · 2020Article
- Real world partnership with patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Public's perception and satisfaction on the role and services provided by family physicians in Saudi Arabia: A cross-sectional study.Journal of family medicine and primary care · 2019Article
29 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the reasons why general practitioners do not always implement best evidence.
designQualitative study using Balint-style groups.
settingPrimary care.
participants19 general practitioners.
main outcome measuresIdentifiable themes that indicate barriers to implementation.
resultsSix 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.
conclusionsGeneral 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.
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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.