Improved quality and more attractive work by applying EBM in disability evaluations: a qualitative survey

The uptake of evidence in practice by physicians, even if they are trained in the systematic method of evidence-based medicine (EBM), remains difficult to improve. The aim of this study was to explore perceptions and experiences of physicians doing disability evaluations regarding motivators and pre...

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Bibliographic Details
Published in:BMC medical education 2016-02, Vol.16 (76), p.77-77, Article 77
Main Authors: Hoving, Jan L, Kok, Rob, Ketelaar, Sarah M, Smits, Paul B A, van Dijk, Frank J H, Verbeek, Jos H
Format: Article
Language:English
Subjects:
Analysis
Attitude of Health Personnel
Coding
Compensation (Remuneration)
Continuing medical education
Control Groups
Data analysis
Decision making
Disability Evaluation
Ethics
Evidence
Evidence-based medicine
Evidence-Based Medicine - methods
Family physicians
Focus Groups
Group Discussion
Humans
Introductory Courses
Job Satisfaction
Medical Education
Middle Aged
Peer Groups
Perceptions
Physicians
Physicians - psychology
Practice Patterns, Physicians
Qualitative Research
Quality
Quality Improvement
Randomized Controlled Trials
Training
Tutoring
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Summary:The uptake of evidence in practice by physicians, even if they are trained in the systematic method of evidence-based medicine (EBM), remains difficult to improve. The aim of this study was to explore perceptions and experiences of physicians doing disability evaluations regarding motivators and preconditions for the implementation of EBM in daily practice. This qualitative study was nested in a cluster randomized controlled trial (Trial registration NTR1767; 20-apr-2009) evaluating the effects of training in EBM. The 45 physicians that participated received a comprehensive 6-months training program in EBM of which the last course day included audio-recorded interviews in groups. During these interviews participating physicians discussed perceptions and experiences regarding EBM application in daily practice. In an iterative process we searched for common motivators or preconditions for the implementation of EBM. Three main concepts or themes emerged after analyzing the transcriptions of the discussions: 1) improved quality of physicians' actions, such as clients benefiting from the application of EBM; 2) improved work attractiveness of physicians; and 3) preconditions that have to be met in order to work in an evidence-based manner including professional competence, facilitating material conditions and organizational support and demands. Physicians trained in EBM are motivated to use EBM because they perceive it as a factor improving the quality of their work and making their work more attractive. In addition to personal investments and gains, organizational support should further facilitate the uptake of evidence in practice.
ISSN:1472-6920
1472-6920
DOI:10.1186/s12909-016-0599-z