Evidence based general practice: a retrospective study of interventions in one training practice

Gill, Paramjit; Dowell, A C; Neal, Richard D; Smith, N. J. T.; Heywood, Philip; Wilson, Adrian

doi:10.1136/bmj.312.7034.819

Cited by 182 publications

(111 citation statements)

References 26 publications

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“…18 Second, patient intuition may assume increased credibility when there are significant limitations to the expertise of clinicians as may occur in the absence of consistent scientific evidence. [32][33][34] Medical evidence, even when available, is typically incomplete and provisional; 35 indeed "for most study designs and settings, it is more likely for a research claim to be false than true" (p.696). 36 Even when findings are internally valid, their translation to individualized patient care may be problematic.…”

Section: Credibilitymentioning

confidence: 99%

When Should Patient Intuition be Taken Seriously?

Buetow

Mintoft

2010

J GEN INTERN MED

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As a style of information processing, intuition involves implicit perceptual and cognitive processes that can be quickly and automatically executed without conscious mental will, such that people know more than they can describe. Patient intuition can influence patient and clinician decision-making and behavior. However, physicians may not always see patient intuition as credible or important, and its management in the clinical setting is poorly understood. This paper takes a step toward suggesting conditions under which patient intuition should be taken seriously. These conditions relate to the credibility or accuracy of the intuitive beliefs held by the patient, and their significance to the patient. Credibility may be increased when the intuitions of patients (1) reflect their individualized knowledge, (2) can complement the common absence of scientific evidence in managing health problems, and (3) can quickly and effectively process key information in complex cognitive tasks. Even intuitions that lack credibility can be subjectively rational and meaningful to patients, and help to shape the decisions they and clinicians make.

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Section: Credibilitymentioning

confidence: 99%

When Should Patient Intuition be Taken Seriously?

Buetow

Mintoft

2010

J GEN INTERN MED

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“…(1995) and the subsequent general practice equivalent (Gill et al 1996), stimulated a debate around the evidence base of other specialities and the appropriateness of the approach. In the latter study, the authors stress that their results cannot be generalized, but the interest of the study lies in the issues and questions it identifies, rather than solely in the figures it reveals.…”

Section: Discussionmentioning

confidence: 99%

Evidence‐based practice in primary care: past, present and future

Benech

Rgn

Dowell

1996

Evaluation Clinical Practice

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“…Il résulte de cette convergence entre la frange la plus positiviste du domaine médical et le domaine de la gestion un contexte Evidence Based (Colyer et Kamath, 1999), des politiques Evidence Based (Mullen, 2002), ainsi qu'une gestion Evidence Based (Kieran et Rundall, 2001) fondée sur la Cost-effectiveness evidence (Niessen, et al, 2001). Au total, émerge un paradigme Evidence Based (Gill et al, 1996) qui tend à s'imposer, pour certains, de façon totalitaire (Holmes et al, 2006).…”

Section: La Perspective Evidence Based Practice Et La Conduite Des Pounclassified

Management des conduites professionnelles par les résultats probants de la recherche. Une analyse critique

Couturier

Gagnon

Carrier

2009

crimino

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Résumé En provenance d’un monde médical en butte à une croissance exponentielle des savoirs nécessaires au jugement clinique, la perspective des pratiques fondées sur les résultats probants, mieux connue sous le label Evidence Based Practice, se présente comme une solution pour rationaliser les pratiques professionnelles dans le secteur de la santé et des services sociaux. Cette perspective comporte cependant quelques limites découlant notamment d’une série de réductionnismes méthodologiques qu’il est nécessaire d’élucider pour bien identifier ce qu’elle peut apporter. Ces réductionnismes seront par la suite analysés au regard de l’inscription plus ou moins volontaire de la perspective Evidence Based Practice dans une nouvelle philosophie de gestion des services publics.

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Evidence based general practice: a retrospective study of interventions in one training practice

Abstract: Most interventions within general practice are based on evidence from clinical trials, but the methods used in such trials may not be the most appropriate to apply to this setting.

Cited by 182 publications

References 26 publications

When Should Patient Intuition be Taken Seriously?

When Should Patient Intuition be Taken Seriously?

Evidence‐based practice in primary care: past, present and future

Management des conduites professionnelles par les résultats probants de la recherche. Une analyse critique

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