Evidence map›Paper›PMID 16153300›Full record

ArticleBMC family practice2005

Implementing evidence-based medicine in general practice: a focus group based study.

Karin Hannes, Marcus Leys, Etienne Vermeire, Bert Aertgeerts, Frank Buntinx, Anne-Marie Depoorter

Abstract read
In one paragraph

Article in BMC family practice, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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 · 2012
    Pooled it
  3. 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 · 2007
    Pooled it
  4. Article
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  8. Review
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  12. Article
  13. Evaluating factors affecting the implementation of evidence based medicine in primary healthcare centers in Dubai.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2014
    Article
  14. Article
  15. Influence of procalcitonin on decision to start antibiotic treatment in patients with a lower respiratory tract infection: insight from the observational multicentric ProREAL surveillance.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2013
    Article
  16. Article
  17. Article
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  19. Article
  20. Evidence in the learning organization.Health research policy and systems · 2009
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Karin HannesBelgian Centre for Evidence-Based Medicine, Belgian Branch of the Cochrane Collaboration, Kapucijnenvoer 33 blok J, 3000 Leuven, Belgium. Karin.hannes@med.kuleuven.be
Marcus Leys
Etienne Vermeire
Bert Aertgeerts
Frank Buntinx
Anne-Marie Depoorter

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the past years concerns are rising about the use of Evidence-Based Medicine (EBM) in health care. The calls for an increase in the practice of EBM, seem to be obstructed by many barriers preventing the implementation of evidence-based thinking and acting in general practice. This study aims to explore the barriers of Flemish GPs (General Practitioners) to the implementation of EBM in routine clinical work and to identify possible strategies for integrating EBM in daily work.

methodsWe used a qualitative research strategy to gather and analyse data. We organised focus groups between September 2002 and April 2003. The focus group data were analysed using a combined strategy of 'between-case' analysis and 'grounded theory approach'. Thirty-one general practitioners participated in four focus groups. Purposeful sampling was used to recruit participants.

resultsA basic classification model documents the influencing factors and actors on a micro-, meso- as well as macro-level. Patients, colleagues, competences, logistics and time were identified on the micro-level (the GPs' individual practice), commercial and consumer organisations on the meso-level (institutions, organisations) and health care policy, media and specific characteristics of evidence on the macro-level (policy level and international scientific community). Existing barriers and possible strategies to overcome these barriers were described.

conclusionIn order to implement EBM in routine general practice, an integrated approach on different levels needs to be developed.

Indexed as

Clinical CompetenceGuideline AdherenceHealth Plan ImplementationAdultBelgiumEvidence-Based MedicineFamily PracticeFemaleFocus GroupsHumansInterprofessional RelationsMaleMiddle AgedPhysician-Patient RelationsQualitative ResearchSystems Integration

Identifiers

PMID16153300
PMCPMC1253510

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.