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Changing Primary Care Doctors' Conceptions - A Qualitative Approach to Evaluating an Intervention.
Rolf Wahlström1, Lars Owe Dahlgren, Göran Tomson
1Department of Public Health Sciences, Division of International Health Care Research (IHCAR), Karolinska Institutet, Stockholm, SwedenE-mail: rolf.wahlstrom@phs.ki.se
Advances in Health Sciences Education : Theory and Practice
|January 1, 1997
Summary
Primary care doctors
Area of Science:
- Cardiology
- Medical Education
- Primary Care Research
Background:
- Hyperlipidaemia management is crucial for preventing atherosclerotic cardiovascular disease.
- Understanding physicians' conceptions is key to effective guideline implementation.
- Primary care physicians' views on hyperlipidaemia management require assessment.
Purpose of the Study:
- To describe primary care physicians' conceptions of hyperlipidaemia management.
- To assess changes in these conceptions following an educational intervention.
Main Methods:
- A phenomenographic approach was used to analyze doctors' conceptions.
- An educational intervention involved 'group detailing' by community pharmacists.
- Doctors were interviewed twice, 1.5 years apart, with an intervention group receiving education.
Main Results:
- Significant changes in doctors' conceptions aligned with treatment recommendations were observed in the intervention group (p < 0.01).
- A notable proportion of the intervention group (p = 0.011) updated at least one conception.
- The control group showed no statistically significant changes in conceptions.
Conclusions:
- 'Group detailing' significantly improved primary care physicians' conceptions of hyperlipidaemia management.
- Qualitative shifts in understanding can serve as effective outcome measures for healthcare professional education.
- Targeted educational activities can successfully influence physician practice and adherence to guidelines.