The doctor, his patient, and the computerized evidence-based guideline

Journal of Evaluation in Clinical Practice

Volumn 10, Issue 2, 2004, Pages 163-176

  Lipman, Toby ^a  

^a Westerhope Medical Group   (United Kingdom)

Author keywords

Computers; Evidence based medicine; General practice; Guidelines

Indexed keywords

CLINICAL PRACTICE; CLINICAL PROTOCOL; CLINICAL TRIAL; COMPUTER SYSTEM; CONSULTATION; CONTINUING EDUCATION; CONTROLLED CLINICAL TRIAL; EDUCATION PROGRAM; EVIDENCE BASED MEDICINE; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE DELIVERY; HEALTH SERVICE; HUMAN; INFORMED CONSENT; MEDICAL AUDIT; MEDICAL DECISION MAKING; OUTCOMES RESEARCH; PATIENT CARE; PHYSICIAN; PRACTICE GUIDELINE; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT; RANDOMIZED CONTROLLED TRIAL; REVIEW; SKILL; SOCIAL ASPECT; TECHNIQUE; WORKLOAD;

DECISION SUPPORT SYSTEMS, CLINICAL; EVIDENCE-BASED MEDICINE; FAMILY PRACTICE; GREAT BRITAIN; PHYSICIAN'S PRACTICE PATTERNS; PRACTICE GUIDELINES; RANDOMIZED CONTROLLED TRIALS;

EID: 3042676455     PISSN: 13561294     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2004.00499.x     Document Type: Review

References (83)

1. Als B. (1997) The desk-top computer as a magic box: patterns of behaviour connected with the desk-top computer; GPs' and patients' perceptions. Family Practice 14 (1), 17-23.
2. Anonymous (1994) Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian simvastatin survival study (4S). Lancet 344, 1383-1389.
3. Anonymous (2003) New GMS Contract: Investing in General Practice. General Practitioners Committee, BMA, The NHS Confederation, London.
4. Antman E.M., Lau J., Kupelnick B., Mosteller F. & Chalmers T.C. (1992) A comparison of results of meta-analyses of randomized control trials and recommendations of clinical experts. Treatments for myocardial infarction. Journal of American Medical Association 268 (2), 240-248.
5. Balint M. (1964) The Doctor, His Patient, and the Illness. Pitman, London.
6. Barton D.J. (2002) Rapid responses to Eccles et al. Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. British Medical Journal Rapid Responses. Available at: http://bmj.bmjjournals.com/cgi/eletters/ 325/7370/941#26599
7. Brindle P., Emberson J., Lampe F., Walker M., Whincup P., Fahey T. & Ebrahim S. (2003) Predictive accuracy of the Framingham coronary risk score in British men: prospective cohort study. British Medical Journal 327, 1267-1270.
8. Cochrane A.L. (1972) Effectiveness and Efficiency: Random Reflections on Health Services. Nuffield Provincial Hospitals Trust, London.
9. Davidoff F., Haynes B., Sackett D. & Smith R. (1995) Evidence based medicine [editorial; comment]. British Medical Journal 310, 1085-1086.
10. Devereaux P.J., Anderson D.R., Gardner M.J., Putnam W., Flowerdew G.J., Brownell B.F., Nagpal S., Cox J.L. & Fahey T. (2001) Differences between perspectives of physicians and patients on anticoagulation in patients with atrial fibrillation: observational study commentary: varied preferences reflect the reality of clinical practice. British Medical Journal 323, 1218-1122.
11. Donovan J.L., Frankel S.J., Faulkner A., Selley S., Gillatt D. & Hamdy F.C. (1999) Dilemmas in treating early prostate cancer: the evidence and a questionnaire survey of consultant urologists in the United Kingdom. British Medical Journal 318, 299-300.
12. Downie R.S., Macnaughton J. & Randall F. (2000) Clinical Judgement: Evidence in Practice. Oxford University Press, Oxford.
13. Dowrick C., May C., Richardson M. & Bundred P. (1996) The biopsychosocial model of general practice: rhetoric or reality? British Journal of General Practice 46 (403), 105-107.
14. Duckworth M.J. (2002) Storm over screening for prostate specific antigen. British Medical Journal 324, 1392.
15. Dunning M., Abi-Aad G., Gilbert D., Gillam S. & Livett H. (1998) Turning Evidence into Everyday Practice. King's Fund Publishing, London.
16. Eccles M., Clapp Z., Grimshaw J., Adams P.C., Higgins B., Purves I. & Russell I. (1996) North of England evidence based guidelines development project: methods of guideline development. British Medical Journal 312, 760-762.
17. Eccles M., McColl E., Steen N., Rousseau N., Grimshaw J., Parkin D. & Purves I. (2002) Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial. British Medical Journal 305, 941-944.
18. Eccles M., Rousseau N., McColl E., Newton J. & Grimshaw J. (2003) Computerised evidence based guidelines in primary care: authors' reply. British Medical Journal 326, 1088.
19. Elwyn G.J. (1997) So many precious stories: a reflective narrative of patient based medicine in general practice, Christmas 1996. British Medical Journal 315, 1659-1663.
20. Elwyn G., Edwards A., Kinnersley P. & Grol R. (2000) Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices. British Journal of General Practice 50, 892-899.
21. Fertig A., Roland M., King H. & Moore T. (1993) Understanding variation in rates of referral among general practitioners: are inappropriate referrals important and would guidelines help to reduce rates? British Medical Journal 307, 1467-1470.
22. Freeman A.C. & Sweeney K. (2001) Why general practitioners do not implement evidence: qualitative study. British Medical Journal 323, 1100-1102.
23. Fry J. (1959) Why patients go to hospital: a study of usage. British Medical Journal 2, 1322-1327.
24. Greatbatch D., Heath C., Campion P. & Luff P. (1995) How do desk-top computers affect the doctor-patient interaction? Family Practice 12 (1), 32-36.
25. Greenhalgh T. (1997) Workshops for teaching evidence-based practice. Evidence-Based Medicine 3, 7-8.
26. Griffiths F. & Byrne D. (1998) General practice and the new science emerging from the theories of 'chaos' and complexity. British Journal of General Practice 48, 1697-1699.
27. Grimshaw J., Eccles M. & Russell I. (1995) Developing clinically valid practice guidelines. Journal of Evaluation in Clinical Practice 1 (1), 37-48.
28. Grimshaw J.M. & Russell I.T. (1993) Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 342, 1317-1322.
29. Grimshaw J. & Russell I.T. (1994) Achieving health gain through clinical guidelines. II. Ensuring that guidelines change medical practice. Quality in Health Care 3, 45-52.
30. Grol R., Dalhuijsen J., Thomas S., Veld C., Rutten G. & Mokkink H. (1998) Attributes of clinical guidelines that influence use of guidelines in general practice: observational study. British Medical Journal 317, 858-861.
31. Guba E.G. & Lincoln Y.S. (1994) Competing paradigms in qualitative research. In Handbook of Qualitative Research, 1st edn. (eds N.K. Denzin & Y.S. Lincoln), pp. 105-117. Sage, Thousand Oaks, CA.
32. Guyatt G.H., Sackett D.L., Sinclair J.C., Hayward R., Cook D.J. & Cook R.J. (1995) Users' guides to the medical literature. IX. A method for grading health care recommendations. Evidence-based medicine working group [published erratum appears in Journal of American Medical Association 1996, 275 (16), 1232]. Journal of American Medical Association 274 (22), 1800-1804.
33. Guyatt G.H., Sackett D.L., Sinclair J.C., Hayward R., Cook D.J. & Cook R.J. (1995) Users' guides to the medical literature. IX. A method for grading health care recommendations. Evidence-based medicine working group [published erratum appears in Journal of American Medical Association 1996, 275 (16), 1232]. Journal of American Medical Association 274 (22), 1800-1804.
34. Haines A. & Jones R. (1994) Implementing findings of research. British Medical Journal 308, 1488-1492.
35. Handy C. (1993) On power and influence. Understanding Organizations. Penguin, London.
36. Haynes R.B., Devereaux P.J. & Guyatt G.H. (2002) Physicians' and patients' choices in evidence-based practice. British Medical Journal 324, 1350.
37. Heath I. (1995) The Mystery of General Practice. Nuffield Provincial Hospitals Trust, London.
38. Helman C. (1984). Culture, Health and Illness, 1st edn. John Wright & Sons, Bristol.
39. Hunt D.L., Haynes R.B., Hanna S.E. & Smith K. (1998) Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. Journal of American Medical Association 280 (15), 1339-1346.
40. Illich I. (1976) Limits to Medicine. Medical Nemesis: The Expropriation of Health. Penguin, London.
41. Jacobson L.D., Edwards A.G., Granier S.K. & Butler C.C. (1997) Evidence-based medicine and general practice. British Journal of General Practice 47, 449-452.
42. Larme A.C. & Pugh J.A. (1998) Attitudes of primary care providers toward diabetes: barriers to guideline implementation. Diabetes Care 21 (9), 1391-1396.
43. Lind J. (1753) A Treatise of the Scurvy in Three Parts. A. Millar, London.
44. Lipman T. (1998) Discrepancies exist between general practitioners' clinical work and a guidelines implementation programme [letter]. British Medical Journal 317, 604.
45. Lipman T. (1999a) Shifting professional roles in the primary health care team. In Visions of Primary Care (eds T. Coffey, G. Boersma, L. Smith & P. Wallace), pp. 36-39. Kings Fund Publishing, London.
46. Lipman T. (1999b) Is there a clinical future for the general practitioner? [letter]. British Medical Journal 318, 7195.
47. Lipman T. (2000a) Evidence-based practice in general practice and primary care. In Evidence-Based Practice: A Critical Appraisal (eds L. Trinder & S. Reynolds),pp. 36-65. Blackwell Science, Oxford.
48. Lipman T. (2000b) Power and influence in clinical effectiveness and evidence-based medicine. Family Practice 17 (6), 557-563.
49. Lipman T. (2000c) The future general practitioner: out of date and running out of time. British Journal of General Practice 50, 743-746.
50. Lipman T. (2003a) Computerised evidence based guidelines in primary care: computerised decision support and reflection in action. British Medical Journal 326, 1087-1088.
51. Lipman T. (2003b) Once more unto the beach, dear friends .... British Journal of General Practice 53, 83.
52. Lipman T., Murtagh M.J. & Thomson R. (2004) How research conscious general practitioners make decisions about anti-coagulation in patients with atrial fibrillation: a qualitative study. Family Practice (in press).
53. Lipman T., Rogers S. & Elwyn G. (1997) Evidence-based medicine in primary care: some views from the 3rd UK workshop on teaching evidence-based medicine. Evidence-Based Medicine 2, 133-135.
54. Lupton D. (1994) Medicine as Culture: Illness, Disease and the Body in Western Societies. SAGE Publications Ltd, London.
55. Lu-Yao G., Albertsen P.C., Stanford J.L., Stukel T.A., Walker-Corkery E.S. & Barry M.J. (2002) Natural experiment examining impact of aggressive screening and treatment on prostate cancer mortality in two fixed cohorts from Seattle area and Connecticut. British Medical Journal 325, 740.
56. Malterud K. (2002) Reflexivity and metapositions: strategies for appraisal of clinical evidence. Journal of Evaluation in Clinical Practice 8 (2), 121-126.
57. McColl A., Smith H., White P. & Field J. (1998) General practitioner's perceptions of the route to evidence based medicine: a questionnaire survey. British Medical Journal 316, 361-365.
58. Miles A., Grey J., Polychronis A. & Melchiorri B.A. (2002) Critical advances in the evaluation and development of clinical care. Journal of Evaluation in Clinical Practice 8 (2), 87-102.
59. Miles A., Grey J.E., Polychronis A., Price N. & Melchiorri C. (2003) Current thinking in the evidence-based health care debate. Journal of Evaluation in Clinical Practice 9, 95-109.
60. Montgomery A.A., Fahey T., Peters T.J., MacIntosh C. & Sharp D.J. (2000) Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: randomised controlled trial. British Medical Journal 320, 686-690.
61. Neighbour R. (1987) The Inner Consultation. Kluwer Academic Publishers, Lancaster.
62. NHS Executive North Thames Region (1998) Clinical Governance in North Thames: a paper for discussion and consultation. NHS North Thames Regional Office, London.
63. Norman G. (2003) The paradox of evidence-based medicine. Commentary on Gupta (2003). A critical appraisal of evidence-based medicine: some ethical considerations. Journal of Evaluation in Clinical Practice 9 (2), 129-132.
64. Peckham M. (1998) Future health scenarios and public policy. In Clinical Futures (eds M. Marinker & M. Peckham), pp. 184-209. BMJ Books, London.
65. Pendleton D., Schofield T., Tate P. & Havelock P. (1984) The Consultation: An Approach to Learning and Teaching. Oxford General Practice Series. Oxford University Press, Oxford.
66. Purchas S. (1625) Purchas, His Pilgrimes, in Five Books. Henry Featherstone, London.
67. Risk A. (2002). Surprise surprise! British Medical Journal Rapid Responses. Available at: http://bmj.bmjjournals.com/cgi/eletters/325/7370/ 941#26599
68. Roland M. & Coulter A. (1992) Hospital Referrals. Oxford General Practice Series. Oxford University Press, Oxford.
69. Rousseau N., McColl E., Newton J., Grimshaw J. & Eccles M. (2003a) Practice based, longitudinal, qualitative interview study of computerised evidence based guidelines in primary care. British Medical Journal 326, 314-318.
70. Royal College of General Practitioners (1969) The Future General Practitioner: Learning and Teaching. BMJ Publishing, London.
71. Sackett D.L., Haynes R.B., Guyatt G.H. & Tugwell P. (1991) Clinical Epidemiology: A Basic Science for Clinical Medicine, 2nd edn. Little, Brown, Boston, MA.
72. Sackett D.L., Richardson W.S., Rosenberg W. & Haynes R.B. (1997) Evidence-Based Medicine. How to Practice and Teach EBM. Churchill, Livingstone, London.
73. Sackett D.L., Rosenberg W.M., Gray J.A., Haynes R.B. & Richardson W.S. (1996) Evidence based medicine: what it is and what it isn't [editorial]. British Medical Journal 312, 71-72.
74. Schön D.A. (1983) From technical rationality to reflection-in- action. In Professional Judgement: A Reader in Clinical Decision Making (eds J. Dowie & A. Elstein), pp. 60-77. Cambridge University Press, Cambridge.
75. Sowerby P. (1977) Balint reassessed: the doctor, his patient, and the illness: a reappraisal. Journal of the Royal College of General Practitioners 27 (183), 583-589.
76. Sullivan F.M. & MacNaughton R.J. (1996) Evidence in consultations: interpreted and individualised. Lancet 348, 941-943.
77. Sweeney K. (1996) How can evidence-based medicine help patients in general practice? [editorial]. Family Practice 13 (6), 489-490.
78. Sweeney K. & Kernick D. (2002) Clinical evaluation: constructing a new model for post-normal medicine. Journal of Evaluation in Clinical Practice 8 (2), 131-138.
79. Taylor F.C., Cohen H. & Ebrahim S. (2001) Systematic review of long term anticoagulation or antiplatelet treatment in patients with non-rheumatic atrial fibrillation, British Medical Journal 322, 321-326.
80. Thomson R., McElroy H. & Sudlow M. (1998) Guidelines on anticoagulant treatment in atrial fibrillation in Great Britain: variation in content and implications for treatment. British Medical Journal 316, 509-513.
81. Wallis E.J., Ramsay L.E., Haq I.U., Ghahramani P., Jackson P.R., Rowland-Yeo K. & Yeo W.W. (2000) Coronary and cardiovascular risk estimation for primary prevention: validation of a new Sheffield table in the 1995 Scottish health survey population. British Medical Journal 320, 671-676.
82. Watkins C., Harvey I., Langley C., Gray S. & Faulkner A. (1999) General practitioners' use of guidelines in the consultation and their attitudes to them. British Journal of General Practice 49 (438), 11-15.
83. Welsby P.D. (2002) Evidence-based medicine, guidelines, personality types, relatives and absolutes. Journal of Evaluation in Clinical Practice 8 (2), 163-166.