ArticleBMC family practice2008
Understanding the work of general practitioners: a social science perspective on the context of medical decision making in primary care.
Article in BMC family practice, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Physician Consultation Time and Perceived Quality of Outpatient Care for New Cancer Patients in Korea: An Experimental Vignette Survey of the General Public and Physicians.Journal of Korean medical science · 2026Article
- Knowledge and practices of young general practitioners with regard to knee and epidural infiltrations in Cameroon.BMC primary care · 2025Article
- Preserving Continuity and Trust in Primary Care: Strategies for Implementing Team-Based Models in South Tyrol, Italy.International journal of environmental research and public health · 2025Article
- Context factors in clinical decision-making: a scoping review.BMC medical informatics and decision making · 2025Article
- Benefits and limitations of the transfer online of Irish College of General Practitioners continuing medical education small group learning during the COVID pandemic: a national Delphi study.Medical education online · 2024Article
- Time is money: general practitioners' reflections on the fee-for-service system.BMC health services research · 2024Article
- Systematic development of quality indicators for skin cancer management in primary care: a mixed-methods study protocol.BMJ open · 2022Article
- Context and general practitioner decision-making - a scoping review of contextual influence on antibiotic prescribing.BMC family practice · 2021Article
- CuS nanoparticles anchored to g-CRSC advances · 2020Article
- How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study.BMC family practice · 2016Article
- 'We can do only what we have the means for' general practitioners' views of primary care for older people with complex health problems.BMC family practice · 2015Article
- An analysis of actions to promote health in underprivileged urban areas: a case in Brazil.BMC family practice · 2013Article
- Quality of care for major depression and its determinants: a multilevel analysis.BMC psychiatry · 2012Article
- Doctors' behaviours with antibiotic prescribing.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- General practitioners' management of mental disorders: a rewarding practice with considerable obstacles.BMC family practice · 2012Article
- Influence of patient payment on antibiotic prescribing in Irish general practice: a cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- The profile of general practitioners (GPs) who publish in selected family practice journals.BMC research notes · 2011Article
- Factors affecting physician performance: implications for performance improvement and governance.Healthcare policy = Politiques de sante · 2009Article
- Family physicians and dementia in Canada: Part 2. Understanding the challenges of dementia care.Canadian family physician Medecin de famille canadien · 2009Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe work of general practitioners (GPs) is increasingly being looked at from the perspective of the strategies and factors shaping it. This reflects the importance given to primary care services in health care system reform. However, the literature provides little insight into the medical decision-making processes in general practice. Our main objective was to better understand how organizational and environmental factors influence the work of GPs.
methodsWe interviewed 28 GPs working in contrasting organizational settings and environments. The data analysis involved using structuration theory to enrich the interpretation of empirical material.
resultsWe identified four main factors that influence the practice of GPs: mode of remuneration, peer-to-peer interactions, patients' demands and the availability of other medical resources in the environment. These four conditions of action - what we call primary effects - can directly influence the performance of medical acts and time management, as well as the degree of specialization of GPs. Decisions related to each of those aspects can have a variety of both intentional and non-intentional consequences - what we call secondary effects - that are then likely to become conditions for subsequent action.
conclusionThis qualitative study helps shed light on the complex causal loops of interrelated factors that shape the work of GPs.
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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.