跟上循证推荐——德国全科医生在心血管护理中信息搜索行为的定性访谈研究。

Keeping up with evidence-based recommendations - a qualitative interview study with general practitioners in Germany on information-seeking behaviour in cardiovascular care.

机构信息

Department of General Practice and Health Services Research, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

Division of Neonatology, Department of Paediatrics, Inselspital, Bern University Hospital, University of Bern, Friedbühlstrasse 19, Bern, 3010, Switzerland.

出版信息

BMC Prim Care. 2023 May 25;24(1):118. doi: 10.1186/s12875-023-02069-7.

DOI:10.1186/s12875-023-02069-7

PMID:37231391

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10214602/

Abstract

BACKGROUND

Due to the nature of their work, general practitioners (GPs) need to be up to date with evidence in various medical domains. While much synthesised research evidence is easily accessible nowadays, in practice, the time to search for and review this evidence proposes a challenge. In German primary care, the knowledge infrastructure is rather fragmented, leaving GPs with relatively few primary care specific resources of information and many resources from other medical fields. This study aimed to explore GPs information-seeking behaviour regarding evidence-based recommendations in cardiovascular care in Germany.

METHODS

To explore views of GPs a qualitative research design was chosen. Data was collected through semi-structured interviews. In total, 27 telephone interviews with GPs were conducted between June and November 2021.Verbatim transcript interviews were then analysed using thematic analysis, deriving at themes inductively.

RESULTS

Two broad strategies of information-seeking behaviour in GP could be distinguished: (a) generic information-seeking behaviour and (b) casuistic information-seeking. The first referring to strategies GPs apply to keep up with medical developments such as new medication and the second referring to purposeful information exchange regarding individual patients, such as referral letters. The second strategy was also used to keep up with medical developments in general.

CONCLUSION

In a fragmented information landscape, GPs used information exchange on individual patients to remain informed about medical developments in general. Initiatives to implement recommended practices need to take this into account, either by using these sources of influence or by making GPs aware of possible bias and risks. The findings also emphasize the importance of systematic evidence-based sources of information for GPs.

TRAIL REGISTRATION

We registered the study prospectively on 07/11/2019 at the German Clinical Trials Register (DRKS, www.drks.de ) under ID no. DRKS00019219.

摘要

背景

由于工作性质，全科医生（GP）需要及时了解各种医学领域的证据。虽然现在很容易获得大量综合研究证据，但实际上，搜索和审查这些证据的时间提出了挑战。在德国初级保健中，知识基础相当分散，留给全科医生的信息资源相对较少，而来自其他医学领域的资源却很多。本研究旨在探讨德国全科医生在心血管保健循证推荐方面的信息寻求行为。