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[Gaining new knowledge in clinical practice].

P Martin1, K Rautanen, A S Thomsen

  • 1Byrådsavdeling for eldre og bydelene Rådhuset, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 13, 1999
PubMed
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Norwegian specialists adopted Helicobacter pylori research findings and treatments faster than general practitioners. Information sources varied, with specialists favoring international journals and GPs relying on national publications and courses.

Area of Science:

  • Gastroenterology
  • Medical Education
  • Health Services Research

Background:

  • Helicobacter pylori infection is a significant factor in gastrointestinal diseases.
  • Understanding the diffusion of medical knowledge is crucial for timely clinical practice updates.
  • Previous research indicates potential disparities in knowledge uptake among different medical professional groups.

Purpose of the Study:

  • To investigate the adoption rate of Helicobacter pylori research findings by Norwegian clinicians.
  • To identify differences in knowledge diffusion between general practitioners and gastroenterology specialists.
  • To explore the primary information sources influencing clinical practice changes regarding H. pylori.

Main Methods:

  • A questionnaire-based study was conducted among 200 general practitioners and 200 gastroenterologists in Norway.

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  • Participants were surveyed on their awareness and implementation of H. pylori research findings and diagnostic/treatment strategies.
  • Data were analyzed to compare uptake timelines and information sources between the two clinician groups.

    • Main Results:

    • Specialists demonstrated earlier awareness and adoption of H. pylori research and new treatments compared to general practitioners.
    • General practitioners primarily accessed information through national medical journals and courses, while specialists utilized international journals and conferences.
    • Differences were observed in diagnostic preferences (serology vs. breath tests) and beliefs about H. pylori's role in gastric cancer.

    Conclusions:

    • There is a discernible gap in the timely adoption of H. pylori-related medical knowledge between Norwegian general practitioners and specialists.
    • Targeted dissemination strategies may be needed to ensure efficient knowledge transfer to all clinical groups.
    • Continued education and access to international research are vital for advancing gastrointestinal disease management.