[What do general practitioners think about evidenced-based medicine? A study with focus groups].

OBJECTIVE

To examine the attitudes of a sample of General Practitioners (GPs) towards Evidenced-Based Medicine (EBM) and its use and the obstacles to put into practice in Primary Care (PC).

DESIGN

Qualitative study using Focus Groups (FG).

SETTING

Primary Care in the Autonomous Community of Murcia, Spain, January-June 2007.

PARTICIPANTS

GPs with a clinical practice in PC in the Murcian Health Service.

METHOD

Two FG (with/without previous training in EBM). Using intentional sampling, 19 GPs were selected from PC professionals. The discussions were recorded on video and transcribed literally. The discussions were then, segmented, categorised and interpreted.

RESULTS

Attitudes: EBM is useful, it helps to reduce variation in clinical practice and decreases uncertainty. Great importance is given to clinical experience and the role of the Pharmaceutical Industry and the Health Administration may have in its promotion is viewed with suspicion. Use: Its use is still limited. To consult with colleagues continues to be the main source of information. Obstacles: The major difficulties identified were the limited time it has been available, lack of experience and the language.

CONCLUSIONS

Although GPs show a positive attitude towards EBM, there are still a few who recognise the use of consultation. The main limitation identified was lack of time in the clinic due to excessive pressure of care work. To increase its use, they proposed, more training activities, motivation by an appropriate process and reorganisation of their care work.