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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.