全科医生对开药及循证知识的看法：益处方面是一个强大的激励因素。一项描述性焦点小组研究。
GPs' thoughts on prescribing medication and evidence-based knowledge: the benefit aspect is a strong motivator. A descriptive focus group study.
作者信息
Skoglund Ingmarie, Segesten Kerstin, Björkelund Cecilia
机构信息
Department of Primary Health Care, The Sahlgrenska Academy at Göteborg University, Sweden.
出版信息
Scand J Prim Health Care. 2007 Jun;25(2):98-104. doi: 10.1080/02813430701192371.
OBJECTIVE
To describe GPs' thoughts of prescribing medication and evidence-based knowledge (EBM) concerning drug therapy.
DESIGN
Tape-recorded focus-group interviews transcribed verbatim and analysed using qualitative methods.
SETTING
GPs from the south-eastern part of Västra Götaland, Sweden.
SUBJECTS
A total of 16 GPs out of 178 from the south-eastern part of the region strategically chosen to represent urban and rural, male and female, long and short GP experience.
METHODS
Transcripts were analysed using a descriptive qualitative method.
RESULTS
The categories were: benefits, time and space, and expert knowledge. The benefit was a merge of positive elements, all aspects of the GPs' tasks. Time and space were limitations for GPs' tasks. EBM as a constituent of expert knowledge should be more customer adjusted to be able to be used in practice. Benefit was the most important category, existing in every decision-making situation for the GP. The core category was prompt and pragmatic benefit, which was the utmost benefit.
CONCLUSION
GPs' thoughts on evidence-based medicine and prescribing medication were highly related to reflecting on benefit and results. The interviews indicated that prompt and pragmatic benefit is important for comprehending their thoughts.
目的
描述全科医生（GP）在药物治疗处方及循证知识（EBM）方面的想法。
设计
对焦点小组访谈进行录音，逐字转录并采用定性方法进行分析。
背景
来自瑞典西约塔兰东南部的全科医生。
研究对象
从该地区东南部的178名全科医生中，策略性地选取了16名，以代表城市和农村、男性和女性、经验丰富和经验不足的全科医生。
方法
采用描述性定性方法对转录文本进行分析。
结果
分类如下：益处、时间和空间以及专业知识。益处是积极因素的融合，涵盖了全科医生任务的各个方面。时间和空间是全科医生任务的限制因素。作为专业知识组成部分的循证医学应更根据患者情况进行调整，以便能够在实践中应用。益处是最重要的类别，存在于全科医生的每一个决策情境中。核心类别是即时且务实的益处，这是最大的益处。
结论
全科医生对循证医学和药物处方的想法与对益处和结果的思考高度相关。访谈表明，即时且务实的益处对于理解他们的想法很重要。
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