Barriers and facilitators to the implementation of evidence-based medicine in general practice: A qualitative study

European Journal of General Practice

Volumn 5, Issue 2, 1999, Pages 66-70

  Wilkinson, Emma K ^a   Bosanquet, Anna ^b   Salisbury, Chris ^c   Hasler, John ^d   Bosanquet, Nick ^e  

^a SOUTHAMPTON GENERAL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF ROEHAMPTON   (United Kingdom)

^c UNIVERSITY OF BRISTOL   (United Kingdom)

^d Edgecumhe Health Ltd   (United Kingdom)

^e IMPERIAL COLLEGE SCHOOL OF MEDICINE   (United Kingdom)

Author keywords

evidence based medicine; family practice; prescribing; qualitative research

Indexed keywords

EID: 0002680418     PISSN: 13814788     EISSN: 17511402     Source Type: Journal    
DOI: 10.3109/13814789909094262     Document Type: Article

References (19)

1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence-based medicine : what it is and what it isn't. Br Med J 1996; 312: 71-2.
2. Allery LA, Owen PA, Robling MR. Why general practitioners and consultants change their clinical practice: a critical incident study. Br Med J 1997;314:870-4.
3. Rogers EM. Diffusion of innovations. New York: Free Press, 1983.
4. Armstrong D, Reybourn H, Jones R. A study of general practitioners' reasons for changing their prescribing behaviour. Br Med J 1996; 312:949-52. (Pubitemid 26111788)
5. Weed J. New connections between medical knowledge and patient care. Br Med J 1997;315:231-5.
6. Sanazaro PJ. Determining physicians' performance: continuing medical education and other interacting variables. Evaluation and Health Professions 1983;6:197-210. (Pubitemid 13006014)
7. Haynes RB, Hayward RSA, Lomas J. Bridges between health care research evidence and clinical practice. J Am Med Inform Ass 1995;2(6): 342-50.
8. Haynes RB. Some problems in applying evidence in clinical practice. Ann NY Acad Sci 1993;703:210-24.
9. Oxman AD, Thomson MA, Davis DA, Haynes RB. No magic bullets: a systematic review of 102 trials of interventions to improve professional practice. CMAJ 1995;153(10):1423-31.
10. Wensing M, Grol R. Single and combined strategies for implementing changes into primary care: a literature review. Int J Qual Health Care 1994;6(2):115-32.
11. Wensing M, Weijden T van der, Grol R. Implementing guidelines in general practice: which interventions are effective? Br J Gen Pract 1998;48(427):991-7. (Pubitemid 28064399)
12. Getting evidence into practice. The University of York NHS Centre for Reviews and Dissemination. Effective Health Care Bulletin February 1999;5(1).
13. Salisbury C, Bosanquet N, Wilkinson E, Bosanquet A, Hasler J. The implementation of evidence based medicine in general practice prescribing. Br J Gen Pract 1998;48:1849-51.
14. Pope MN. Rigour and qualitative research. Br Med J 1995;311:109-12.
15. Fitzpatrick R, Boulton M. Qualitative methods for assessing health care. Quality in Health Care 1994;3:107-13.
16. McColl A, Smith H, White P, Field J. General practitioners' perceptions of the route to evidence based medicine: a questionnaire study. Br Med J 1998:316:361-5. (Pubitemid 28121264)
17. Lomas J. Diffusion, dissemination and implementation: who should do what? Ann NY Acad Sci 1993;703:226-35.
18. Jacobson LD, Edwards AGK, Grainer SK, Butler CC. Evidence based medicine and general practice. Br J Gen Pract 1997;47:449-52. (Pubitemid 27336311)
19. Fahey T. Applying the results of clinical trials to patients in general practice: perceived problems, strengths, assumptions, and challenges for the future. Br J Gen Pract 1998;48:1173-8. (Pubitemid 28172073)