The method of Balint group work and its contribution to research in general practice

Hull, Sally

doi:10.1093/oxfordjournals.fampra.a018277

Cited by 7 publications

(6 citation statements)

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“…B a h t groups,2 ' pioneered in the 1950s in Britain, provide another example. General practitioners met on a weekly basis for up to 3 years to discuss and follow up cases from their everyday work. In the late 1980s, practice-based small-group learning groups began in These groups of 8 to 10 family physicians meet regularly to review cases prepared by the Foundation for Medical Practice Education (Foundation), led by a family physician facilitator.…”

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confidence: 99%

Permanent small groups: Group dynamics, learning, and change

Pereles

Lockyer

Fidler

2002

Journal of Continuing Education in the Health Professions

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Small groups that meet regularly provide a supportive network to share knowledge and validate clinical experience. There is some evidence that the groups have the potential to become communities of practice but do not actually achieve that level of sharing. Research needs to be done to determine how these groups could become more powerful as communities of practice and vehicles for more substantive learning and change.

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confidence: 99%

Permanent small groups: Group dynamics, learning, and change

Pereles

Lockyer

Fidler

2002

Journal of Continuing Education in the Health Professions

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“…The GP and qualitative researcher use similar patientcentred approaches, but their roles are different. [1][2][3] The GP uses motivational interviewing to modify patient behaviour and interventions to treat their illness. In contrast, the researcher documents the subject's viewpoint without wanting to influence their attitudes or change their present state of health.…”

Section: Introductionmentioning

confidence: 99%

“…4 The close relationship between a patient and GP can bias qualitative research. 1,[3][4][5] There is a need to state explicitly the relationship between a researcher and subject, with most papers failing to do this adequately. 5,6 One method, to avoid this bias, is to use external researchers and recruit subjects outside your practice.…”

Section: Introductionmentioning

confidence: 99%

“…1 GP researchers using their practice population have the potential problems of limited external reliability and bias. Balint 3 or multi-disciplinary peer groups 2 or historical analysis 7,8 have been used to plan research and validate findings. Tensions can arise in the multidisciplinary research team as GPs are trained towards praxis, while other disciplines are more theoretical and descriptive about subjects and their attitudes.…”

Section: Introductionmentioning

confidence: 99%

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A case report: ethics of a proposed qualitative study of hospital closure in an Australian rural community

Fraser¹

2004

Family Practice

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“…For example, Hull proposed that qualitative research deals with social, as opposed to clinical phenomena. 5 Helman noted qualitative researchers collect only data about "what people say," "what people actually do," "what people actually believe," and "the context in which people answer questions," but, by inference, not data about, for example, cardiac physiology. 6 To bolster their arguments about the clinical usefulness of qualitative research, Berkwits and Aronowitz went on to criticize strongly the way in which quantitative research answers clinical questions.…”

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confidence: 99%

Qualitative research in medicine and health care

Poses

Isen

1998

J Gen Intern Med

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Qualitative research is becoming more prominent in medicine and health care. Recently, editorials advocating a larger role for qualitative research as a way to address both "clinical" and "biopsychosocial" phenomena have appeared in, for example, the Journal of General Internal Medicine , 1 the Annals of Internal Medicine , 2 and the British Medical Journal . 3 Increasing numbers of reports from qualitative studies have begun to appear in these and other prominent journals.Physicians and clinical and health services researchers, however, may be unfamiliar with qualitative research and unsure how it relates to their interests. The evidencebased medicine movement has taught that clinical practice and health policy should be based on critical review of the best available evidence. 4 To appreciate the evidence supplied by qualitative research, one must be able to address the general question: What are the goals of qualitative research? Principles of evidence-based medicine and behavioral sciences that further suggest that to review any study critically, one must be able to answer several more specific questions: Is the design of the study appropriate to its goals? How valid are its results? How well do they apply to one's practice or circumstances?Unfortunately, the discussion of qualitative research in the medical literature provides no easy answers to these questions. Rather, it reveals considerable controversy, if not confusion about how qualitative research can address either "clinical" or "biopsychosocial" questions. Thus, in this article we try to raise and discuss these questions based on our reading of some of the relevant literature. We hope that the resulting dialogue will contribute to the clarification of their answers, and help physicians and clinical and health services researchers to understand some of the limitations and potential contributions of qualitative research better. WHAT ARE THE GOALS? Addressing Clinical QuestionsThere is controversy about whether qualitative research can address and answer not only clinical but also biopsychosocial research questions. In their Journal of General Internal Medicine editorial, Berkwits and Aronowitz argued for the broad clinical applicability of qualitative research: "qualitative primary care research aims to identify the essential component parts of clinical phenomena," and is "especially suited to areas that have both social and clinical dimensions." 1 They suggested, for example, that qualitative research can identify "essential and fundamental" cardiovascular risk factors, leading to "a better understanding of which aspects of individual and group behavior and physiology 'hang together' and which are amenable to population interventions, individual behavior change, or physiologic manipulation." However, they did not explain how qualitative research could be used to answer specific clinical questions about cardiovascular risk, or more generally, how it could answer other traditional clinical questions about etiology, diagnosis, prognosis, or therapy. They...

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The method of Balint group work and its contribution to research in general practice

Cited by 7 publications

References 4 publications

Permanent small groups: Group dynamics, learning, and change

Permanent small groups: Group dynamics, learning, and change

A case report: ethics of a proposed qualitative study of hospital closure in an Australian rural community

Qualitative research in medicine and health care

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