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GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study
BACKGROUND: The purpose was to examine how General Practitioners (GPs) use clinical information and rules from guidelines in their decisions on drug treatment for high cholesterol values. METHODS: Twenty GPs were presented with six case vignettes and were instructed to think aloud while successively...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2004
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC539306/ https://www.ncbi.nlm.nih.gov/pubmed/15596005 http://dx.doi.org/10.1186/1472-6947-4-23 |
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author | Backlund, Lars Skånér, Ylva Montgomery, Henry Bring, Johan Strender, Lars-Erik |
author_facet | Backlund, Lars Skånér, Ylva Montgomery, Henry Bring, Johan Strender, Lars-Erik |
author_sort | Backlund, Lars |
collection | PubMed |
description | BACKGROUND: The purpose was to examine how General Practitioners (GPs) use clinical information and rules from guidelines in their decisions on drug treatment for high cholesterol values. METHODS: Twenty GPs were presented with six case vignettes and were instructed to think aloud while successively more information about a case was presented, and finally to decide if a drug should be prescribed or not. The statements were coded for the clinical information to which they referred and for favouring or not favouring prescription. RESULTS: The evaluation of clinical information was compatible with decision-making as a search for reasons or arguments. Lifestyle-related information like smoking and overweight seemed to be evaluated from different perspectives. A patient's smoking favoured treatment for some GPs and disfavoured treatment for others. CONCLUSIONS: The method promised to be useful for understanding why doctors differ in their decisions on the same patient descriptions and why rules from the guidelines are not followed strictly. |
format | Text |
id | pubmed-539306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2004 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-5393062004-12-26 GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study Backlund, Lars Skånér, Ylva Montgomery, Henry Bring, Johan Strender, Lars-Erik BMC Med Inform Decis Mak Research Article BACKGROUND: The purpose was to examine how General Practitioners (GPs) use clinical information and rules from guidelines in their decisions on drug treatment for high cholesterol values. METHODS: Twenty GPs were presented with six case vignettes and were instructed to think aloud while successively more information about a case was presented, and finally to decide if a drug should be prescribed or not. The statements were coded for the clinical information to which they referred and for favouring or not favouring prescription. RESULTS: The evaluation of clinical information was compatible with decision-making as a search for reasons or arguments. Lifestyle-related information like smoking and overweight seemed to be evaluated from different perspectives. A patient's smoking favoured treatment for some GPs and disfavoured treatment for others. CONCLUSIONS: The method promised to be useful for understanding why doctors differ in their decisions on the same patient descriptions and why rules from the guidelines are not followed strictly. BioMed Central 2004-12-13 /pmc/articles/PMC539306/ /pubmed/15596005 http://dx.doi.org/10.1186/1472-6947-4-23 Text en Copyright © 2004 Backlund et al; licensee BioMed Central Ltd. |
spellingShingle | Research Article Backlund, Lars Skånér, Ylva Montgomery, Henry Bring, Johan Strender, Lars-Erik GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study |
title | GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study |
title_full | GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study |
title_fullStr | GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study |
title_full_unstemmed | GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study |
title_short | GPs' decisions on drug treatment for patients with high cholesterol values: A think-aloud study |
title_sort | gps' decisions on drug treatment for patients with high cholesterol values: a think-aloud study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC539306/ https://www.ncbi.nlm.nih.gov/pubmed/15596005 http://dx.doi.org/10.1186/1472-6947-4-23 |
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