ArticleBMC health services research2008
"What lies beneath it all?"--an interview study of GPs' attitudes to the use of guidelines.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Intervention effect estimates in randomised controlled trials conducted in primary care versus secondary or tertiary care settings: a meta-epidemiological study.BMC medical research methodology · 2022Pooled it
- Patients' and physicians' perceptions and attitudes about oral anticoagulation and atrial fibrillation: a qualitative systematic review.BMC family practice · 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
- Professional positioning of general practitioners in the management of postmenopausal osteoporosis in community medicine.EULAR rheumatology open · 2026Article
- General practitioners and management control through guidelines: a qualitative study of its effects on their practice.BMC primary care · 2026Article
- Documentary analysis of national and international guidance for community clinicians referring patients with suspected chronic limb-threatening ischaemia.BMJ open quality · 2024Article
- The utility of the classification tools in National Institute of Health and Clinical Excellence's Clinical Knowledge Summaries for primary care.Family practice · 2024Article
- Understanding hospital antimicrobial prescribing decisions and determinants of uptake of new local antimicrobial prescribing guidelines in Laos.Wellcome open research · 2024Article
- Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada "Walking the Talk?"The Milbank quarterly · 2023Review
- Examining drivers of self-harm guideline implementation by general practitioners: A qualitative analysis using the theoretical domains framework.British journal of health psychology · 2022Article
- Prerequisites for providing effective support to family caregivers within the primary care setting - results of a study series in Germany.BMC family practice · 2021Article
- 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
- Sources of Information on Medicinal Products Among Physicians - A Survey Conducted Among Primary Care Physicians in Poland.Frontiers in pharmacology · 2021Article
- Barriers to the implementation of new guidelines among pediatric surgeons: online survey.Pediatric surgery international · 2020Article
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- Pharmaceutical companies information and antibiotic prescription patterns: A follow-up study in Spanish primary care.PloS one · 2019Article
- Osteoporosis prevention: Where are the barriers to improvement in French general practitioners? A qualitative study.PloS one · 2019Article
- The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates.Asia Pacific family medicine · 2018Article
- Treatment recommendations within the leeway of clinical guidelines: A qualitative interview study on oncologists' clinical deliberation.BMC cancer · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practitioners (GPs) adopt clinical practice guidelines to varying degrees. Several factors have been found to influence application of guidelines in practice and the GP is apparently the key actor. Studies are needed to increase our understanding of how GPs' attitudes influence their use of guidelines. In this study we explored GPs' attitudes to guidelines.
methodsIn 2007 we conducted six semi-structured group interviews with a purposive sample of 27 Norwegian GPs. The participants were encouraged to discuss guidelines they were familiar with, the evidence base of guidelines, professional autonomy and doctor-patient relations. We used thematic content analysis to extract central themes and arguments.
resultsWhen deciding whether tfollow guideline recommendations, GPs consider whether guidelines are trustworthy, whether they suit patients and whether the recommended action is feasible. There were two important findings. First, the GP's were concerned that guidelines may be more heavily influenced by economic considerations than clinical ones. Second, in contrast to earlier findings, changes in recommendations and disagreement between experts were mostly viewed positively.
conclusionThis study underscores the need for transparency in the process of development and implementation of guidelines. To enhance the use of guidelines, primary care physicians should be involved in the process of developing guidelines and the process should be transparent and explicit regarding the evidence base and economic considerations.
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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.