A preliminary study of the decision-making process within general practice

被引:20
作者
Mears, R
Sweeney, K
机构
[1] Great Ormond St Hosp Sick Children, Inst Child Hlth, Dept Epidemiol & Publ Hlth, London WC1N 1EH, England
[2] Univ Exeter, Postgrad Med Sch, Res Dev Support Unit, Exeter, Devon, England
关键词
clinical decision making; decision making; evidence-based medicine; general practice; GP;
D O I
10.1093/fampra/17.5.428
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective. The aim of the present study was to explore the factors that contribute to the process of decision making within general practice, over and above evidence-based information. Methods. A qualitative study was conducted using semi-structured interviews on a purposeful sample of GPs, based in the South West of England. Each interview was tape-recorded and transcribed verbatim. Results. Five broad categories emerged from the data: practitioner; patient; practitioner-patient relationship; verbal and non-verbal communication; evidence-based medicine; and external factors. Conclusion. The nature of general practice is such that the process of making clinical decisions is complex. In an era when GPs are being overwhelmed by evidence-based information, consideration needs to be given to the implications that the nature of the decision-making process has upon the way 'evidence' is constructed and promoted within general practice.
引用
收藏
页码:428 / 429
页数:2
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