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Practice-knowledge-attitudes-practice: an explorative study of information in primary care
V K Diwan1, L Sachs, R Wahlström
1Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Social Science & Medicine (1982)
|April 1, 1997
Summary
Health staff information programs overlook situational factors. Practice generates new information, influencing knowledge and attitudes, impacting healthcare delivery and information use in primary care settings.
Area of Science:
- Health Services Research
- Medical Education
- Organizational Behavior in Healthcare
Background:
- Current health staff information programs inadequately address situational influences on information transfer.
- Understanding how practice shapes knowledge and attitudes is crucial for effective information dissemination in healthcare.
Purpose of the Study:
- To explore information transfer within Swedish primary care health centers.
- To investigate how practice influences knowledge and attitude formation, leading to new practices.
- To identify factors affecting information use in healthcare settings.
Main Methods:
- Utilized participant observation as the primary research method.
- Focused on hyperlipidaemia management as a case study.
- Analyzed information transfer dynamics in real-world primary care environments.
Main Results:
- Practice actively generates new information, which can supplement or contradict existing knowledge.
- Staff discussions facilitate the sharing of practical experiences and emergent information.
- Profession, professional hierarchy, and gender significantly influence information utilization.
Conclusions:
- Healthcare practice is a dynamic source of information that shapes staff knowledge and attitudes.
- Effective health information programs must consider situational factors and professional roles.
- Addressing professional hierarchies and gender dynamics can enhance information transfer and program effectiveness.