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Swedish general practitioners' attitudes towards treatment guidelines - a qualitative study
Veronica Milos1,2, Tommy Westerlund3, Patrik Midlöv4
1Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden. veronica.milos@med.lu.se.
BMC Family Practice
|December 17, 2014
Summary
Swedish general practitioners (GPs) value patient safety and trust in evidence-based guidelines. Adherence is influenced by factors like cost and drug industry information, highlighting the need for transparent guideline development.
Area of Science:
- General Practice and Primary Care
- Evidence-Based Medicine
- Health Services Research
Background:
- General practitioners (GPs) face challenges in drug therapy decision-making, influenced by various information sources.
- The establishment of local drug and therapeutic committees aims to promote rational drug use through evidence-based treatment guidelines.
- This study investigates Swedish GPs' perspectives on locally developed, evidence-based treatment guidelines.
Purpose of the Study:
- To describe Swedish general practitioners' attitudes towards locally developed, evidence-based treatment guidelines.
- To identify factors influencing GPs' prescribing decisions and adherence to guidelines.
Main Methods:
- Three focus group interviews were conducted with 17 general practitioners in Skåne, Sweden.
- Participants represented both public and private primary health care centers.
- Conventional content analysis was applied to interview transcripts to derive themes and categories.
Main Results:
- Two main themes emerged: GP-related influencing factors (expectations, knowledge, trust, beliefs) and external factors (patient, drug industry, health economics).
- Key motivators for adherence included time-saving, trust in market-neutral guidelines, and patient safety, which was deemed paramount.
- Barriers to adherence involved cost containment, managing external prescriptions, lack of time for self-information, and direct-to-consumer drug industry marketing.
Conclusions:
- Patient safety, trust in evidence-based guideline development, the patient-doctor relationship, and cost containment are crucial for GPs' prescribing.
- Transparency in the formation and implementation of guidelines may enhance adherence in primary care.
- Further research is recommended to explore these aspects to improve evidence-based treatment guideline adoption.
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