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GPs' thoughts on prescribing medication and evidence-based knowledge: the benefit aspect is a strong motivator. A descriptive focus group study.

Journal article
Authors Ingmarie Skoglund
Kerstin Segesten
Cecilia Björkelund
Published in Scandinavian journal of primary health care
Volume 25
Issue 2
Pages 98-104
ISSN 0281-3432
Publication year 2007
Published at Institute of Medicine, School of Public Health and Community Medicine
Pages 98-104
Language en
Links dx.doi.org/10.1080/0281343070119237...
Keywords Benefit aspects, evidence-based medicine, family practice, general practitioner, pharmaceutical therapy, prescribing, utilitarianism
Subject categories Medical and Health Sciences

Abstract

OBJECTIVE: To describe GPs' thoughts of prescribing medication and evidence-based knowledge (EBM) concerning drug therapy. DESIGN: Tape-recorded focus-group interviews transcribed verbatim and analysed using qualitative methods. SETTING: GPs from the south-eastern part of Västra Götaland, Sweden. SUBJECTS: A total of 16 GPs out of 178 from the south-eastern part of the region strategically chosen to represent urban and rural, male and female, long and short GP experience. METHODS: Transcripts were analysed using a descriptive qualitative method. RESULTS: The categories were: benefits, time and space, and expert knowledge. The benefit was a merge of positive elements, all aspects of the GPs' tasks. Time and space were limitations for GPs' tasks. EBM as a constituent of expert knowledge should be more customer adjusted to be able to be used in practice. Benefit was the most important category, existing in every decision-making situation for the GP. The core category was prompt and pragmatic benefit, which was the utmost benefit. CONCLUSION: GPs' thoughts on evidence-based medicine and prescribing medication were highly related to reflecting on benefit and results. The interviews indicated that prompt and pragmatic benefit is important for comprehending their thoughts.

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