scholarly journals Editorial: Reflections on Research Impact in Primary Health Care

2007 ◽  
Vol 13 (3) ◽  
pp. 7 ◽  
Author(s):  
Rae Walker

The primary health sector has had a long-standing interest in evidence-based practice. Two decades ago the focus was on a primary health care equivalent of evidence-based medicine described by Hennen (1992, p. ix) as "self-criticism in primary care practice through research" or by Ovretveit (1998, p. 266) as "the use of best evidence in making decisions about the care of individual patients". The focus was on clinical interventions and their effects, or lack thereof. Furthermore, the aspiration to systematically use evidence in the provision of care was a central part of the quality movement in both clinical care and health service management (Ovretveit, 1992). More recently, evidence-based practice has been advancing in health services management and policy (Lin & Gibson, 2003).

2020 ◽  
Author(s):  
Tobias Abelsson ◽  
Helena Morténius ◽  
Ann-Kristin Karlsson ◽  
Stefan Bergman ◽  
Amir Baigi

Abstract Background: The vast availability of and demand for evidence in modern primary health care forces clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary health care managers play a key role in implementing these governing documents. Thus, the aim of this article was to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary health care managers.Methods: The study utilized a quantitative method based on a national survey of primary health care managers. The study population was recruited nationally from Sweden and consisted of 186 respondents. The data were analysed using empirically constructed themes and validated using factor analysis. To determine the statistical significance in making comparisons, the chi-square test was utilized. Associations between variables were calculated using Spearman’s correlation. All tests were two-sided, and the significance level was set to 0.05.Results: A majority (97%) of managers stated there was an impact of guidelines and policy documents on primary health care; 84% of managers could see a direct influence in daily practices. Most of the managers (70%) stated that some adaptation had to be made when new evidence was introduced. The managers emphasised the importance of keeping themselves updated and open to new information about work routines (96%). Conclusions: Evidence-based practice has a fundamental impact on Swedish primary health care. The study illustrated a nearly unanimous response about evidence influencing daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date can be seen as a direct result of this. An information-dense organization such as a primary health care organization would have much to gain from cooperation with regional information resources such as clinical libraries.Trial registration: Not applicable.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Susana González-Torrente ◽  
Jordi Pericas-Beltrán ◽  
Miguel Bennasar-Veny ◽  
Rosa Adrover-Barceló ◽  
José M Morales-Asencio ◽  
...  

2015 ◽  
Vol 17 (04) ◽  
pp. 405-414 ◽  
Author(s):  
Saulat Jahan ◽  
Abdullah Mohammed Al-Saigul ◽  
Amel Abdalrhim Suliman

AimTo investigate primary health care (PHC) physicians’ attitudes to statistics, their self-reported knowledge level, and their perceived training needs in statistics.BackgroundIn spite of realization of the importance of statistics, inadequacies in physicians’ knowledge and skills have been found, underscoring the need for in-service training. Understanding physicians’ attitudes to statistics is vital in planning statistics training.MethodsThe study was based on theory of planned behavior. A cross-sectional survey of all PHC physicians was conducted in Qassim province, from August to October 2014. Attitudes to statistics were determined by a self-administered questionnaire. The attitudes were assessed on four subscales including general perceptions; perceptions of knowledge and training; perceptions of statistics and evidence-based medicine; and perceptions of future learning.FindingsOf 416 eligible participants, 338 (81.25%) responded to the survey. On a scale of 1–10, the majority (73.6%) of the participants self-assessed their level of statistics knowledge as five or below. The attitude scores could have a minimum of 20 and a maximum of 100, with higher scores showing a positive attitude. The participants showed a positive attitude with the mean score of 71.14 (±7.73). Out of the four subscales, ‘perceptions of statistics and evidence-based medicine’ subscale scored the highest, followed by ‘perceptions of future learning’.ConclusionPHC physicians have a positive attitude to statistics. However, they realize their gaps in knowledge in statistics, and are keen to fill these gaps. Statistics training, resulting in improved statistics knowledge is expected to lead to clinical care utilizing evidence-based medicine, and thus improvement to health care services.


2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Leif Eriksson ◽  
Nguyen Thu Nga ◽  
Mats Målqvist ◽  
Lars-Åke Persson ◽  
Uwe Ewald ◽  
...  

Health Policy ◽  
2007 ◽  
Vol 80 (2) ◽  
pp. 314-327 ◽  
Author(s):  
Roshan Perera ◽  
Tony Dowell ◽  
Peter Crampton ◽  
Robin Kearns

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