Evidence map›Paper›PMID 36180120›Full record

ArticleBMJ open2022

Illness behaviour and influencing aspects of general practitioners in Germany and their use of the health care system: a qualitative study.

Sven Schulz, Friederike Hecker, Ulf Sauerbrey, Florian Wolf

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Sven SchulzInstitute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany sven.schulz@med.uni-jena.de.ORCID 0000-0002-2663-5157
Friederike HeckerInstitute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany.
Ulf SauerbreyDepartment of Social Work and Education, Jena University Hospital, Jena, Germany.ORCID 0000-0001-8897-7358
Florian WolfInstitute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to explore aspects that play a role when general practitioners (GPs) become ill and thus gain a more comprehensive understanding of the overall illness behaviour of GPs and their use of the healthcare system.

settingPrimary care practices in Thuringia, Germany.

participantsConvenience sample of 16 GPs.

designQualitative study design with semistructured interviews and content analysis.

resultsUsing our approach of having participants report their own episodes of illness, we found that self-treatment was practised and accepted by all 16 participants. The widespread use of naturopathy and complementary methods seems to be a special feature of German GPs. Formal use of the healthcare system mainly took place through direct consultation with specialists.Our study revealed various aspects influencing the illness behaviour of the GPs and their use of the healthcare system. Some aspects also apply to lay patients, but it became clear how strongly illness behaviour is influenced by participants' activities as physicians. Noteworthy and less described aspects are especially the influence of patients and practice staff, the influence of biographical and professional imprint and the attitudes and values of the physicians.Complex inter-relationships were found between illness behaviour and influencing aspects; these are subjected to a dynamic and recursive process.

conclusionsThe illness behaviour of German GPs seems to be comprehensively influenced by their activities as responsible healthcare providers. The ability to perceive and reflect in this regards should already be actively promoted in studies and further education. Further research is needed for a better understanding of the inter-relationships.

Indexed as

General PractitionersAttitude of Health PersonnelGermanyHumansIllness BehaviorQualitative ResearchOCCUPATIONAL & INDUSTRIAL MEDICINEPRIMARY CAREPUBLIC HEALTH

Identifiers

PMID36180120
PMCPMC9528620

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.