Evidence map›Paper›PMID 37442591›Full record

ArticleBJGP open2023

GP preferences for, access to, and use of evidence in clinical practice: a mixed-methods study.

Emer O'Brien, Aisling Walsh, Fiona Boland, Claire Collins, Velma Harkins, Susan M Smith, Noirin O'Herlihy, Barbara Clyne, Emma Wallace

Abstract read
In one paragraph

Article in BJGP open, 2023. 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

9 authors.

Emer O'BrienDepartment of General Practice, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland emerobrien@rcsi.ie.ORCID https://orcid.org/0000-0002-6809-5419
Aisling WalshDepartment of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Fiona BolandData Science Centre, School of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Claire CollinsIrish College of General Practitioners, Dublin, Ireland.
Velma HarkinsIrish College of General Practitioners, Dublin, Ireland.
Susan M SmithDepartment of General Practice, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0001-6027-2727
Noirin O'HerlihyIrish College of General Practitioners, Dublin, Ireland.
Barbara ClyneDepartment of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Emma WallaceDepartment of General Practice, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0002-9315-2956

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGPs aim to provide patient-centred care combining clinical evidence, clinical judgement, and patient priorities. Despite a recognition of the need to translate evidence to support patient care, barriers exist to the use of evidence in practice.

aimTo ascertain the needs and preferences of GPs regarding evidence-based guidance to support patient care. The study also aimed to prioritise content and optimise structure and dissemination of future evidence-based guidance. DESIGN &

settingThis was a convergent parallel mixed-methods study in collaboration with the national GP professional body in the Republic of Ireland (Irish College of General Practitioners [ICGP]). Quantitative and qualitative findings were integrated at the interpretive level.

methodA national GP survey was administered via the ICGP (December 2020) and seven GP focus groups were undertaken (April-May 2021).

resultsOf 3496 GPs, a total of 509 responders (14.6%) completed the survey and 40 GP participants took part in focus groups. Prescribing updates, interpretation of test results, chronic disease management, and older person care were the preferred topics for future evidence-based guidance. GPs reported that they required rapid access to up-to-date and relevant evidence summaries online for use in clinical practice. Access to more comprehensive reviews for the purposes of continuing education and teaching was also a priority. Multimodal forms of dissemination were preferred to increase uptake of evidence in practice.

conclusionGPs indicated that rapid access to up-to-date, summarised evidence-based resources, available from their professional organisation, is preferred. Evidence should reflect the disease burden of the population and involve multifaceted dissemination approaches.

Indexed as

clinical practice guidelinesevidence-based practicefamily practicegeneral practicemixed methodspatient-centred careprimary health care

Identifiers

PMID37442591
PMCPMC11176671

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LicenceCC BY
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Registered trials

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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.