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Related Experiment Video

Updated: Feb 18, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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When general practitioners meet new evidence: an exploratory ethnographic study.

Ole Olsen1

  • 1a The Research Unit for General Practice and Section of General Practice, University of Copenhagen , Copenhagen , Denmark.

Scandinavian Journal of Primary Health Care
|November 30, 2017
PubMed
Summary

General practitioners (GPs) showed varied responses to new evidence on planned home births, with many eventually adapting their information practices. Significant time and dialogue were needed for GPs to integrate new evidence into their clinical practice.

Keywords:
Evidence-based medicinedecision-makingfamily practicehome childbirthinterdisciplinary communicationpatient–physician communicationqualitative research

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Area of Science:

  • Medical Practice
  • Health Information Dissemination

Background:

  • Evidence-based practice is crucial for patient care.
  • General practitioners (GPs) play a key role in informing patients about healthcare choices.
  • Planned home birth is an area where evidence may challenge existing practices.

Purpose of the Study:

  • To investigate how GPs perceive and respond to new evidence regarding planned home birth.
  • To understand the process of changing information practices among GPs.

Main Methods:

  • An exploratory ethnographic study was conducted over two years (2011-2013).
  • Fifty Danish GPs were encountered, with dialogues occurring during attempts to arrange focus groups.
  • Field notes documented interactions concerning evidence, personal experiences, and values.

Main Results:

  • GPs exhibited diverse reactions, initially emotional, later more rational.
  • Approximately half of the GPs surveyed were willing to distribute information leaflets on home birth.
  • The time from evidence presentation to practice change varied, up to 1.5 years.

Conclusions:

  • A notable portion of GPs were open to altering their information practices.
  • New evidence often challenged GPs' prior perceptions, necessitating time, dialogue, and adaptation.
  • Systematic approaches involving stakeholders are essential for large-scale practice changes.