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  1. Why general practitioners and consultants change their clinical practice : a critical incident study.

    Article - En anglais

    Objective 

    To describe the complete range of factors whicb doctors recognise as changing their clinical practice and provide a measure of how often education is involved in change.

    Design 

    Interviews using the critical incident technique.

    Setting 

    Primary and secondary care.

    Subjects 

    Random sample of 50 general practitioners and 50 consultants.

    Main outcome measures 

    Categories of reasons for change in clinical practice.

    Results 

    Doctors described 361 changes in clinical practice, with an average of 3.0 reasons per change.

    The three most frequently mentioned reasons were organisational factors, education, and contact with professionals, together accounting for 47.9% of the total number of reasons for change.

    Education accounted for one sixth (16.9%) of the reasons for change and was involved in one third (37.1%) of the changes.

    Education was seldom mentioned as a reason for change in referral practice but was more often mentioned in management and prescribing changes.

    Consultants were influenced by medical journals and scientific conferences, while general practitioners were mole influenced by medical newspapers and postgraduate meetings.

    Conclusions 

    Education is involved in about a third of changes in clinical practice.

    The wide range of other factors affecting changes in practice need to be taken into account in providing and evaluating education. (...)

    Mots-clés Pascal : Enquête, Médecin généraliste, Cause, Changement, Pratique professionnelle, Homme

    Mots-clés Pascal anglais : Survey, General practitioner, Cause, Change, Professional practice, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0274895

    Code Inist : 002B30A05. Création : 15/07/1997.