Abstract:
BACKGROUND:Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to potential barriers. This study aimed to explore the views, experiences and obstacles of general practitioners (GPs) regarding the use EBM in their daily clinical practices in Beijing. METHODS:We performed a qualitative study with GP focus groups. Thirty-two GPs working in 26 community health service centres in 7 districts in Beijing were recruited. Four focus group sessions with 32 GPs were conducted in a meeting room at the Capital Medical University from January to February in 2018 in Beijing. All sessions were audio-recorded, transcribed and analysed for themes using an inductive content analysis approach. RESULTS:GPs believed that EBM could help them enhance the quality of their clinical practice. The most common EBM behaviour of GPs was making clinical decisions according to guidelines. The barriers that limited the implementation of EBM were patients' poor compliance, lack of time, lack of resources, inadequate skills or knowledge, and guideline production problems. The first need for GPs was to participate in training to enhance their skills in practising EBM. CONCLUSIONS:To practise EBM in general practice, integrated interventions of different levels need to be developed, including enhancing GPs' communication skill and professional competency, training GPs on the implementation of EBM, employing more staff to reduce GPs' workloads, providing adequate resource support, and developing evidence-based clinical guidelines for GPs.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Zhao Y,Zhao X,Liu Y,Wei Y,Jin G,Shao S,Lu Xdoi
10.1186/s12875-019-1062-0subject
Has Abstractpub_date
2019-12-06 00:00:00pages
171issue
1issn
1471-2296pii
10.1186/s12875-019-1062-0journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Guidelines for primary prevention of cardiovascular disease provide little guidance on how patients' preferences should be taken into account. We wanted to explore whether general practitioners (GPs) are sensitive to patient preferences regarding survival gains from statin therapy. METHODS:In a cross sectio...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0288-8
更新日期:2015-07-03 00:00:00
abstract:BACKGROUND:Increasing physical activity is a cornerstone in the treatment of type 2 diabetes and in general practice it is a challenge to achieve long-term adherence to this life style change. The aim of this study was to investigate in a non-randomised design whether the introduction of motivational interviewing combi...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-11-83
更新日期:2010-11-03 00:00:00
abstract:BACKGROUND:General Practice Co-Operatives provide most out of hours care in communities in Ireland. Limited data exists on patient complaints. This study reports on complaints at Kildare and West Wicklow Doctors on Call ('K Doc'), a GP Co-Operative in Ireland, examining the impact of a formal risk reduction strategy im...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0484-1
更新日期:2016-07-21 00:00:00
abstract:BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-014-0175-8
更新日期:2014-10-25 00:00:00
abstract:BACKGROUND:Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients' perspectives on the role of primary care in obesity management and their experience with existing resources, with a view to develop an improved understanding of this...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-017-0596-2
更新日期:2017-02-08 00:00:00
abstract:BACKGROUND:Since the 1990s, professional institutions worldwide have emphasised the need to develop research in general practice to improve the health of the population. The recent creation of professorships in general practice in French Universities should foster research in this field. Our aim was to explore the view...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-15-136
更新日期:2014-07-21 00:00:00
abstract:BACKGROUND:The family doctor system is a vital part of China's national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy makers in Pudong with resource allocation planning. This study analyzed changes in indicators (family d...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01353-0
更新日期:2021-01-08 00:00:00
abstract:BACKGROUND:For people with hearing loss, the General Practitioner (GP) can play an instrumental role in early detection of hearing loss as well as guiding appropriate and timely choices for addressing hearing concerns. The aim of this study was to generate a conceptual framework for understanding the role of the GP in ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01157-2
更新日期:2020-05-14 00:00:00
abstract:BACKGROUND:There is increasing focus on patient-centred communicative approaches in medical consultations, but few studies have shown the extent to which patients' positive coping strategies and psychological assets are addressed by general practitioners (GPs) on a regular day at the office. This study measures the fre...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-49
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:A variety of psychological interventions to treat depressive disorders have been developed and are used in primary care. In a systematic review, we compared the effectiveness of psychological treatments grouped by theoretical background, intensity of contact with the health care professional, and delivery mo...
journal_title:BMC family practice
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12875-015-0314-x
更新日期:2015-08-19 00:00:00
abstract:BACKGROUND:Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-81
更新日期:2009-12-17 00:00:00
abstract:BACKGROUND:Patient safety in primary care is an emerging field of research with a growing evidence base in western countries but little has been explored in the Gulf Cooperation Council Countries (GCC) including the Sultanate of Oman. This study aimed to review the literature on the safety culture and patient safety me...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0793-7
更新日期:2018-06-30 00:00:00
abstract:BACKGROUND:Health systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire - COPAS - to asse...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0299-5
更新日期:2015-07-22 00:00:00
abstract:BACKGROUND:Previous studies have shown the importance of paying attention to lay peoples' interpretations of risk of disease, in order to explain health-related behavior. However, risk interpretations interplay with social context in complex ways. The objective was to explore how asymptomatic patients with high cholest...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-137
更新日期:2013-09-16 00:00:00
abstract:BACKGROUND:Over the last two decades, ultrasonography (US) has been shown to be an accurate tool for the diagnosis of suspected bone fractures; however, the integration of this application of US into routine care and outpatient settings needs to be explored. In this study, we surveyed German general practitioners (GPs)...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-1078-5
更新日期:2020-01-13 00:00:00
abstract::The editors have retracted this article [1] because it contains extensive overlap with an article published by the same authors in the Journal of Family & Community Medicine [2] and is therefore redundant. ...
journal_title:BMC family practice
pub_type: 杂志文章,撤回出版物
doi:10.1186/s12875-019-1043-3
更新日期:2019-11-05 00:00:00
abstract:BACKGROUND:Depression is a major health concern, predominantly treated by general practitioners (GPs). Problem solving therapy (PST) is recognised as an effective treatment for depression that is not widely used by GPs. This research aims to explore barriers and enablers that may influence GPs use of this treatment. M...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-8-24
更新日期:2007-04-25 00:00:00
abstract:BACKGROUND:Interpersonal Psychotherapy (IPT) is recommended in most depression treatment guidelines and proved to be a suitable treatment for elderly depressed patients. Despite the favorable results of IPT in research populations, the dissemination to general practice is surprisingly limited. Little is known about upt...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2296-8-52
更新日期:2007-09-13 00:00:00
abstract:BACKGROUND:The benefits of smoking cessation among older people are well documented. Despite this, evidence suggests that older smokers are rarely engaged in smoking cessation efforts, and that existing tobacco dependence treatments require further tailoring to the specific needs of older smokers. This study assesses t...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0317-7
更新日期:2015-08-06 00:00:00
abstract:BACKGROUND:Cluster randomized controlled trials are often used in research in primary care but creates challenges regarding biases and confounders. We recently presented a study on low back pain from primary care in Norway with equal effects in the intervention and the control group. In order to understand the specific...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12875-018-0759-9
更新日期:2018-05-22 00:00:00
abstract:BACKGROUND:Reform of primary healthcare (PHC) organisations is underway in Canada. The capacity of various types of PHC organizations to respond to populations' needs remains to be assessed. The main objective of this study was to evaluate the association of PHC affiliation with unmet needs for care. METHODS:Populatio...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-13-66
更新日期:2012-07-02 00:00:00
abstract:BACKGROUND:Ischaemic heart disease and congestive heart failure are common and important conditions in family practice. Effective treatments may be underutilized, particularly in women and the elderly. The objective of the study was to determine the rate of prescribing of evidence-based cardiovascular medications and d...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-5-6
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:The Mini-Mental State Examination (MMSE) has contributed to detecting cognitive impairment, yet few studies have evaluated its accuracy when used by general practitioners (GP) in an actual public-health setting. OBJECTIVES:We evaluated the accuracy of MMSE scores obtained by GPs by comparing them to scores ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-9-29
更新日期:2008-05-13 00:00:00
abstract:BACKGROUND:Many western countries are facing an existing or imminent shortage of primary care physicians especially in rural areas. In Germany, working in rural areas is often thought to be associated with more working hours, a higher number of patients and a lower income than working in urban areas. These perceptions ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-12-112
更新日期:2011-10-11 00:00:00
abstract:BACKGROUND:The relationship between effective organisation of general practices and health improvement is widely accepted. The Maturity Matrix is an instrument designed to assess organisational development in general practice settings and to stimulate quality improvement. It is undertaken by a practice team with the ai...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-7-38
更新日期:2006-06-19 00:00:00
abstract:BACKGROUND:Families of children with rare diseases (i.e., not more than 5 out of 10,000 people are affected) are often highly burdened with fears, insecurities and concerns regarding the affected child and its siblings. Although families caring for children with rare diseases are known to be at risk for mental disorder...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-01312-9
更新日期:2020-11-20 00:00:00
abstract:BACKGROUND:An open, constructive safety culture is key in healthcare since it is seen as a main condition for patient safety. Studies have examined culture improvement strategies in hospitals. In primary care, however, not much is known about effective strategies to improve the safety culture yet. The purpose of this s...
journal_title:BMC family practice
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2296-14-127
更新日期:2013-08-29 00:00:00
abstract:BACKGROUND:Practice accreditation is a widely used method to assess and improve the quality of healthcare services. In the Netherlands, a practice accreditation program was implemented in primary medical care. We aimed to identify determinants of impact of a practice accreditation program, building on the experiences o...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0294-x
更新日期:2015-07-03 00:00:00
abstract:BACKGROUND:In many countries, general practitioner (GP) care of acute low back pain often does not adhere to evidence-based clinical guidelines. There has been little exploration of this deviation from evidence-based care from the patients' perspective, particularly in relation to patients' care expectations. The aim o...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-7
更新日期:2013-01-08 00:00:00
abstract:BACKGROUND:Diuretics are recommended as initial treatment for hypertension. Several studies have suggested suboptimal persistence and adherence to thiazide diuretic monotherapy; this study compared patient persistence and adherence with hydrochlorothiazide (HCTZ) monotherapy to fixed-dose combinations containing HCTZ. ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-9-61
更新日期:2008-11-06 00:00:00