Evidence map›Paper›PMID 20594443›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Protecting generalism: moving on from evidence-based medicine?

Joanne Reeve

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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
  2. Trial
  3. Article
  4. Long-term antidepressant use in general practice: a qualitative study of GPs' views on discontinuation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  5. Canadian family physician Medecin de famille canadien · 2021
    Article
  6. Defining theCanadian family physician Medecin de famille canadien · 2021
    Article
  7. Practising humility: how philosophy can inform general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  8. Article
  9. Clinical pathways: unique contribution of family medicine.Canadian family physician Medecin de famille canadien · 2013
    Article
  10. Psychiatric comorbidity among terminally ill patients in general practice in the Netherlands: a comparison between patients with cancer and heart failure.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Article
  11. A theoretical framework for multimorbidity: from complicated to chaotic.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  12. What's special about medical generalism? The RCGP's response to the independent Commission on Generalism.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
    Article
  13. Review
  14. Can generalism help revive the primary healthcare vision?Journal of the Royal Society of Medicine · 2011
    Article
  15. 'In my day …': towards the utilisation of living history?The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    Article
  16. Questionnaire severity measures for depression.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
    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

1 author.

Joanne ReeveDivision of Primary Care, University of Liverpool, 1-5 Brownlow Street, Liverpool. joanne.reeve@liv.ac.uk

Funding

Department of Health NIHR/CS/009/013
6 · The paper itself

Abstract

Quality of decision making in modern health care is defined with reference to evidence-based medicine. There are concerns that this approach is insufficient for, and may thus threaten the future of, generalist primary care. We urgently need to extend our account of quality of knowledge use and decision making in order to protect and develop the discipline. Interpretive medicine describes an alternative framework for use in generalist care. Priorities for clinical practice and research are identified.

Indexed as

Evidence-Based MedicinePhysicians, FamilyDecision MakingProfessional Practice

Identifiers

PMID20594443
PMCPMC2894382

What OpenQuestion holds

Textmetadata
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.