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GPs' thoughts on prescribing medication and evidence-based knowledge: the benefit aspect is a strong motivator. A
Ingmarie Skoglund1, Kerstin Segesten, Cecilia Björkelund
1Department of Primary Health Care, The Sahlgrenska Academy at Göteborg University, Sweden. ingmarie.skolund@vgregion.se
Objective:
To describe GPs' thoughts of prescribing medication and evidence-based knowledge (EBM) concerning drug therapy.
Design:
Tape-recorded focus-group interviews transcribed verbatim and analysed using qualitative methods.
Setting:
GPs from the south-eastern part of Västra Götaland, Sweden.
Subjects:
A total of 16 GPs out of 178 from the south-eastern part of the region strategically chosen to represent urban and rural, male and female, long and short GP experience.
Methods:
Transcripts were analysed using a descriptive qualitative method.
Results:
The categories were: benefits, time and space, and expert knowledge. The benefit was a merge of positive elements, all aspects of the GPs' tasks. Time and space were limitations for GPs' tasks. EBM as a constituent of expert knowledge should be more customer adjusted to be able to be used in practice. Benefit was the most important category, existing in every decision-making situation for the GP. The core category was prompt and pragmatic benefit, which was the utmost benefit.
Conclusion:
GPs' thoughts on evidence-based medicine and prescribing medication were highly related to reflecting on benefit and results. The interviews indicated that prompt and pragmatic benefit is important for comprehending their thoughts.
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