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A Method of Trigonometric Modelling of Seasonal Variation Demonstrated with Multiple Sclerosis Relapse Data
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Emerging practice concerning vitamin D in primary care.

John W Epling1, Emily M Mader2, Carrie A Roseamelia2

  • 1State University of New York Upstate Medical University, Syracuse, New York, USA eplingj@upstate.edu.

Qualitative Health Research
|October 9, 2014
PubMed
Summary

Primary care physicians show varied practices in diagnosing and treating vitamin D deficiency. Patient demand and informal information sources heavily influence these emerging vitamin D supplementation strategies.

Keywords:
epistemologyfocus groupsgrounded theoryhealth care, primaryhealth information seekingknowledge constructionknowledge transferqualitativerelationships

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Area of Science:

  • Internal Medicine
  • Primary Care
  • Endocrinology

Background:

  • Practice patterns for hypovitaminosis D diagnosis and management are inconsistent among primary care physicians.
  • Understanding these variations is crucial for improving patient care and guideline adherence.

Purpose of the Study:

  • To explore emerging practices in screening and treating hypovitaminosis D among primary care providers.
  • To identify factors influencing these practice patterns.

Main Methods:

  • Qualitative study utilizing focus groups with primary care providers.
  • Grounded theory approach for transcript coding and analysis using ATLAS.ti software.

Main Results:

  • Significant heterogeneity observed in hypovitaminosis D screening and vitamin D replacement/supplementation practices.
  • Emerging practices are shaped by patient demand, incidental reading, informal research, peer discussions, and specialist consultations.

Conclusions:

  • Vitamin D practice patterns are influenced by multiple, often informal, sources.
  • A comprehensive strategy is needed to promote adherence to established clinical guidelines for hypovitaminosis D.