Format

Send to

Choose Destination
BMC Health Serv Res. 2008 Oct 22;8:218. doi: 10.1186/1472-6963-8-218.

"What lies beneath it all?"--an interview study of GPs' attitudes to the use of guidelines.

Author information

1
Stein Rokkan Centre for Social Studies, The University of Bergen, Bergen, Norway. benedicte.carlsen@rokkan.uib.no

Abstract

BACKGROUND:

General practitioners (GPs) adopt clinical practice guidelines to varying degrees. Several factors have been found to influence application of guidelines in practice and the GP is apparently the key actor. Studies are needed to increase our understanding of how GPs' attitudes influence their use of guidelines. In this study we explored GPs' attitudes to guidelines.

METHODS:

In 2007 we conducted six semi-structured group interviews with a purposive sample of 27 Norwegian GPs. The participants were encouraged to discuss guidelines they were familiar with, the evidence base of guidelines, professional autonomy and doctor-patient relations. We used thematic content analysis to extract central themes and arguments.

RESULTS:

When deciding whether tfollow guideline recommendations, GPs consider whether guidelines are trustworthy, whether they suit patients and whether the recommended action is feasible. There were two important findings. First, the GP's were concerned that guidelines may be more heavily influenced by economic considerations than clinical ones. Second, in contrast to earlier findings, changes in recommendations and disagreement between experts were mostly viewed positively.

CONCLUSION:

This study underscores the need for transparency in the process of development and implementation of guidelines. To enhance the use of guidelines, primary care physicians should be involved in the process of developing guidelines and the process should be transparent and explicit regarding the evidence base and economic considerations.

PMID:
18945360
PMCID:
PMC2577651
DOI:
10.1186/1472-6963-8-218
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center