ArticleScandinavian journal of primary health care2019
Dilemmas of medical overuse in general practice - A focus group study.
Article in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Process evaluation of a tailored nudge intervention to promote appropriate care and treatment of older patients at the end-of-life.BMC geriatrics · 2024Trial
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- To neutrally offer or strongly recommend? General practitioners' perspectives on screening for gestational diabetes according to the national guideline in Norway.Scandinavian journal of primary health care · 2024Article
- Use of primary healthcare services before and after specialized rehabilitation and its relation to changes in health and functioning: a longitudinal cohort study.Journal of rehabilitation medicine · 2024Article
- To reveal disease or to promote function - that is the question.Scandinavian journal of primary health care · 2024Article
- Factors affecting patient decisions to undergo testing for cancer symptoms: an exploratory qualitative study in Australian general practice.BJGP open · 2023Article
- Presenting a Comprehensive Definition of Unnecessary Healthcare Services and Their Drivers: A Systematic Review and Meta-synthesis.Medical journal of the Islamic Republic of Iran · 2023Review
- Article
- GP strategies to avoid imaging overuse. A qualitative study in Norwegian general practice.Scandinavian journal of primary health care · 2022Article
- Efficiency over thoroughness in laboratory testing decision making in primary care: findings from a realist review.BJGP open · 2021Article
- Knowledge of and support for cancer patient pathways among general practitioners and other physicians - a study from Sweden.Scandinavian journal of primary health care · 2021Article
- GP's perspectives on laboratory test use for monitoring long-term conditions: an audit of current testing practice.BMC family practice · 2020Article
- Our core values will endure.Scandinavian journal of primary health care · 2020Article
- A Nordic initiative for a more personal and accurate diagnostic pathway for prostate cancer.Scandinavian journal of primary health care · 2020Article
- Managing functional disorders: opportunities and threats.Scandinavian journal of primary health care · 2020Article
- Doctors' characteristics and the use of long consultations at out-of-hours services 2008-2017: a registry-based follow-up study in Norway.Scandinavian journal of primary health care · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo obtain first-hand in-depth accounts of overtesting amongst GPs in Norway, as well as the GPs' perspectives on drivers of overtesting and strategies that can prevent overtesting. DESIGN AND
settingFour focus groups with GPs were conducted. All participants were asked to share examples of unnecessary testing from their everyday general practice, to identify the driving forces involved in these examples and discuss any measures that might prevent excessive testing. All authors collaborated on the analysis, conducted as systematic text condensation, using critical incident technique.
resultsThis study reveals two main positions regarding overtesting in general practice. In the categorical position there is no such thing as overtesting and GPs are obliged to perform extensive investigations on the suspicion that any person can carry a fatal disease, no matter how minor or absent their symptoms are. In contrast, in the dilemmatic position, the GPs acknowledge that investigations can cause significant harm, but still feel pressured to discover disease at the earliest opportunity and to meet patients' demands. The GPs' strategies for resolving this dilemma are often demanding and not always successful, but sharing uncertainty and fallibility with patients and colleagues appears to be the most promising strategy.
conclusionsOur study indicates that GPs in Norway experience a strong pressure to discover any instance of disease and to meet patients' demands for investigations. One way of preventing the harm that accrues from overtesting is openly sharing uncertainty and fallibility with patients and colleagues.
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