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'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice

BACKGROUND: Uptake of interventions to improve quality of care by clinicians is variable and is influenced by clinicians' attitudes. The influence of clinicians' experience with an intervention on their preference for adopting interventions is largely unknown. METHODS: Thematic analysis of...

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Autores principales: Cals, Jochen WL, Butler, Christopher C, Dinant, Geert-Jan
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742510/
https://www.ncbi.nlm.nih.gov/pubmed/19737382
http://dx.doi.org/10.1186/1748-5908-4-57
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author Cals, Jochen WL
Butler, Christopher C
Dinant, Geert-Jan
author_facet Cals, Jochen WL
Butler, Christopher C
Dinant, Geert-Jan
author_sort Cals, Jochen WL
collection PubMed
description BACKGROUND: Uptake of interventions to improve quality of care by clinicians is variable and is influenced by clinicians' attitudes. The influence of clinicians' experience with an intervention on their preference for adopting interventions is largely unknown. METHODS: Thematic analysis of semi-structured interviews exploring views and attitudes towards an illness-focused intervention (specific communication skills training) and a disease-focused intervention (C-reactive protein, or CRP, point-of-care testing) to optimize management of lower respiratory tract infections (LRTI) among general practitioners (GPs) who had used both interventions for two years in a randomised trial (exposed GPs), and GPs without experience of either intervention (non-exposed GPs). RESULTS: All but two of the ten non-exposed GPs indicated that they would prioritise implementation of the disease-focused intervention of CRP testing over communication skills training, while all but one GP in the exposed group said that they would prioritise the illness-focused approach of communication skills training as it was more widely applicable, whereas CRP testing was confirmatory and useful in a subgroups of patients. CONCLUSION: There are differences in attitudes to prioritising contrasting interventions for optimising LRTI management among GPs with and without experience of using the interventions, although GPs in both groups recognised the importance of both approaches to optimise management of acute cough. GPs' experiences with and attitudes towards interventions need to be taken into account when planning rollout of interventions aimed at changing clinical practice.
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spelling pubmed-27425102009-09-12 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice Cals, Jochen WL Butler, Christopher C Dinant, Geert-Jan Implement Sci Research Article BACKGROUND: Uptake of interventions to improve quality of care by clinicians is variable and is influenced by clinicians' attitudes. The influence of clinicians' experience with an intervention on their preference for adopting interventions is largely unknown. METHODS: Thematic analysis of semi-structured interviews exploring views and attitudes towards an illness-focused intervention (specific communication skills training) and a disease-focused intervention (C-reactive protein, or CRP, point-of-care testing) to optimize management of lower respiratory tract infections (LRTI) among general practitioners (GPs) who had used both interventions for two years in a randomised trial (exposed GPs), and GPs without experience of either intervention (non-exposed GPs). RESULTS: All but two of the ten non-exposed GPs indicated that they would prioritise implementation of the disease-focused intervention of CRP testing over communication skills training, while all but one GP in the exposed group said that they would prioritise the illness-focused approach of communication skills training as it was more widely applicable, whereas CRP testing was confirmatory and useful in a subgroups of patients. CONCLUSION: There are differences in attitudes to prioritising contrasting interventions for optimising LRTI management among GPs with and without experience of using the interventions, although GPs in both groups recognised the importance of both approaches to optimise management of acute cough. GPs' experiences with and attitudes towards interventions need to be taken into account when planning rollout of interventions aimed at changing clinical practice. BioMed Central 2009-09-08 /pmc/articles/PMC2742510/ /pubmed/19737382 http://dx.doi.org/10.1186/1748-5908-4-57 Text en Copyright © 2009 Cals et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Cals, Jochen WL
Butler, Christopher C
Dinant, Geert-Jan
'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
title 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
title_full 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
title_fullStr 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
title_full_unstemmed 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
title_short 'Experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
title_sort 'experience talks': physician prioritisation of contrasting interventions to optimise management of acute cough in general practice
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742510/
https://www.ncbi.nlm.nih.gov/pubmed/19737382
http://dx.doi.org/10.1186/1748-5908-4-57
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