Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study
Abstract Background Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisio...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Family Practice |
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| Online Access: | https://doi.org/10.1186/s12875-019-1062-0 |
| _version_ | 1818115677456695296 |
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| author | Yali Zhao Xuexue Zhao Yanli Liu Yun Wei Guanghui Jin Shuang Shao Xiaoqin Lu |
| author_facet | Yali Zhao Xuexue Zhao Yanli Liu Yun Wei Guanghui Jin Shuang Shao Xiaoqin Lu |
| author_sort | Yali Zhao |
| collection | DOAJ |
| description | Abstract Background Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to potential barriers. This study aimed to explore the views, experiences and obstacles of general practitioners (GPs) regarding the use EBM in their daily clinical practices in Beijing. Methods We performed a qualitative study with GP focus groups. Thirty-two GPs working in 26 community health service centres in 7 districts in Beijing were recruited. Four focus group sessions with 32 GPs were conducted in a meeting room at the Capital Medical University from January to February in 2018 in Beijing. All sessions were audio-recorded, transcribed and analysed for themes using an inductive content analysis approach. Results GPs believed that EBM could help them enhance the quality of their clinical practice. The most common EBM behaviour of GPs was making clinical decisions according to guidelines. The barriers that limited the implementation of EBM were patients’ poor compliance, lack of time, lack of resources, inadequate skills or knowledge, and guideline production problems. The first need for GPs was to participate in training to enhance their skills in practising EBM. Conclusions To practise EBM in general practice, integrated interventions of different levels need to be developed, including enhancing GPs’ communication skill and professional competency, training GPs on the implementation of EBM, employing more staff to reduce GPs’ workloads, providing adequate resource support, and developing evidence-based clinical guidelines for GPs. |
| first_indexed | 2024-12-11T04:10:25Z |
| format | Article |
| id | doaj.art-6382513eef544b8cbf76a0d79a17ff4b |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-11T04:10:25Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-6382513eef544b8cbf76a0d79a17ff4b2022-12-22T01:21:23ZengBMCBMC Family Practice1471-22962019-12-012011710.1186/s12875-019-1062-0Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative studyYali Zhao0Xuexue Zhao1Yanli Liu2Yun Wei3Guanghui Jin4Shuang Shao5Xiaoqin Lu6School of General Practice and Continuing Education, Capital Medical UniversitySchool of General Practice and Continuing Education, Capital Medical UniversityDepartment of General Practice, Beijing Tiantan Hospital, Capital Medical UniversitySchool of General Practice and Continuing Education, Capital Medical UniversitySchool of General Practice and Continuing Education, Capital Medical UniversitySchool of General Practice and Continuing Education, Capital Medical UniversitySchool of General Practice and Continuing Education, Capital Medical UniversityAbstract Background Evidence-based medicine (EBM) is gradually being recognized worldwide as an important clinical skill and plays an important role in health care. Although the concept has successfully spread in the health care field, EBM still has not been widely incorporated into clinical decisions in primary care due to potential barriers. This study aimed to explore the views, experiences and obstacles of general practitioners (GPs) regarding the use EBM in their daily clinical practices in Beijing. Methods We performed a qualitative study with GP focus groups. Thirty-two GPs working in 26 community health service centres in 7 districts in Beijing were recruited. Four focus group sessions with 32 GPs were conducted in a meeting room at the Capital Medical University from January to February in 2018 in Beijing. All sessions were audio-recorded, transcribed and analysed for themes using an inductive content analysis approach. Results GPs believed that EBM could help them enhance the quality of their clinical practice. The most common EBM behaviour of GPs was making clinical decisions according to guidelines. The barriers that limited the implementation of EBM were patients’ poor compliance, lack of time, lack of resources, inadequate skills or knowledge, and guideline production problems. The first need for GPs was to participate in training to enhance their skills in practising EBM. Conclusions To practise EBM in general practice, integrated interventions of different levels need to be developed, including enhancing GPs’ communication skill and professional competency, training GPs on the implementation of EBM, employing more staff to reduce GPs’ workloads, providing adequate resource support, and developing evidence-based clinical guidelines for GPs.https://doi.org/10.1186/s12875-019-1062-0ViewsEvidence-based medicineQualitative researchPrimary care |
| spellingShingle | Yali Zhao Xuexue Zhao Yanli Liu Yun Wei Guanghui Jin Shuang Shao Xiaoqin Lu Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study BMC Family Practice Views Evidence-based medicine Qualitative research Primary care |
| title | Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study |
| title_full | Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study |
| title_fullStr | Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study |
| title_full_unstemmed | Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study |
| title_short | Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study |
| title_sort | perceptions behaviours barriers and needs of evidence based medicine in primary care in beijing a qualitative study |
| topic | Views Evidence-based medicine Qualitative research Primary care |
| url | https://doi.org/10.1186/s12875-019-1062-0 |
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