Why doctors don't always apply effective health care

Wanting to test the assumption that general practitioners regard clinical effectiveness as priority, Tomlin et al (p 1532) conducted a qualitative study of 24 general practitioners to explore their perceptions of effective health care and its application to their own practice. Most admitted not practising effectively; reasons included patient related reasons, lack of time and knowledge, and clashes with patients' beliefs and expectation. The respondents often placed higher priority on patients' values and satisfaction than on clinical effectiveness, and when seeking information were more likely to consult a colleague than the literature.


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Relevant Article

General practitioners' perceptions of effective health care
Zelda Tomlin, Charlotte Humphrey, and Stephen Rogers
BMJ 1999 318: 1532-1535. [Abstract] [Full Text] [PDF]




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