BackgroundSeveral studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources of scientific information that are used by family physicians to keep their medical knowledge up to date and barriers to use these sources. Our main objective was to examine medical knowledge translation (KT) practices of Swiss family physicians.MethodsThe population consisted of French- and German-speaking private practice physicians specialised in family medicine. We conducted four interviews and three focus groups (n = 25). The interview guides of the semi-structured interviews and focus groups focused on (a) ways and means used by physicians to keep updated with information relevant to clinical practice; (b) how they consider their role in translating knowledge into practice; (c) potential barriers to KT; (d) solutions proposed by physicians for effective KT.ResultsFamily physicians find themselves rather ambivalent about the translation of knowledge based on scientific literature, but generally express much interest in KT. They often feel overwhelmed by “information floods” and perceive clinical practice guidelines and other supports to be of limited usefulness for their practice. They often combine various formal and informal information sources to keep their knowledge up to date. Swiss family physicians report considering themselves as artisans, caring for patients with complex needs.ConclusionImproved performance of KT initiatives in family medicine should be tailored to actual needs and based on high quality evidence-based sources.
Cet article s'intéresse aux enregistrements vidéo comme données de sciences sociales, en particulier dans l'étude des institutions de santé. Sont abordés leurs apports et les enjeux entourant leur production et leur analyse. La vidéo permet la captation de situations naturelles et d'un nombre élevé d'informations. Si cet outil a été principalement utilisé par des études consacrées aux actions situées, il peut être pertinent pour différents types d'études. L'article présente les choix pratiques et les contraintes techniques qu'il implique. Le texte s'intéresse également aux négociations nécessaires afin de faire accepter la présence de caméras au sein Note des auteurs : Les deux projets servant de base à la réflexion présentée dans cet article ont été financés par le Fonds national suisse de la recherche scientifique (subsides 13DPD6_134835 et 100017_159327/1). 64 RECHERCHES QUALITATIVES / VOL. 36(2) des institutions de santé et le degré variable de résistance qui peut y être opposée. Finalement sont abordées les questions éthiques associées à la captation vidéo de données médicales. Au final, l'article souhaite montrer la pertinence de la prise en compte de cet outil de récolte de données parmi ceux étant disponibles aux sciences sociales.
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