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3.
Niger J Clin Pract ; 22(8): 1063-1069, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31417048

RESUMO

Aim: The objective of this study was to determine the prevalence of burnout syndrome and associated factors among family physicians before and after family medicine system (FMS). Materials and Method: The first part of the study was conducted in 2008 (pre-FMS) and the second part in 2012 (post-FMS). Physician's burnout was investigated by using the Maslach Burnout Inventory (MBI). In total, 139 physicians had been participating pre-FMS and 246 physician's post-FMS. Results: The mean pre-FMS emotional exhaustion score was 15.7 ± 5.8, increasing significantly to 17.14 ± 7.5 post-FMS (P = 0.045). Mean pre-FMS and post-FMS depersonalization and reduced personal accomplishment scores were similar (P > 0.05). Age was negatively correlated with depersonalization in this study (P = 0.012) and positively correlated with personal accomplishment (P = 0.001). The primary care physicians in the post-FMS period were older, female physicians had a greater preference for primary care, and the levels of married doctors were higher. In addition, a higher level of physicians also owned their own home and cars compared to the pre-FMS period. A negative correlation has been reported between physicians' burnout levels and home or car ownership in the present study. Conclusion: Our findings suggest that physicians working under the family medicine system, a new primary care model, are at greater risk of emotional exhaustion, but that no change has occurred in terms of personal accomplishment or depersonalization, despite this new system.


Assuntos
Esgotamento Profissional/psicologia , Estresse Ocupacional/psicologia , Médicos de Família/psicologia , Carga de Trabalho , Adulto , Esgotamento Profissional/epidemiologia , Estudos Transversais , Despersonalização , Emoções , Medicina de Família e Comunidade/organização & administração , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Prevalência , Atenção Primária à Saúde/organização & administração , Inquéritos e Questionários , Turquia/epidemiologia
4.
S D Med ; 72(7): 306-308, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31461585

RESUMO

PURPOSE: Physician burnout is prevalent in family physicians. Burnout has been associated with an intent to leave practice location. This is especially concerning in many rural areas, which already have physician shortages. While other demographic characteristics of burnout have been assessed, no previously published studies were found that have specifically compared family physician burnout rates in rural versus metropolitan areas. We hypothesized that rural family physicians have higher burnout rates due to increased practice demands and lack of resources. METHODS: Three hundred and two graduates of a Midwest family medicine residency program were surveyed to assess burnout rates in rural (practicing in towns less than 10,000 people) versus medium-sized towns (10,000- 50,000 people) and metropolitan areas (greater than 50,000 people). Burnout was determined by a one question assessment tool that has been validated with the Maslach Burnout Inventory Emotional Exhaustion Index. FINDINGS: Ninety-nine surveys were completed. Twenty-five percent of rural respondents reported burnout, compared to 37.5 percent of respondents in medium-sized towns, and 51.4 percent of respondents practicing in metropolitan areas. These results were statistically significant (p value=0.0183). CONCLUSION: These results were unexpected and may indicate that a rural practice location has a positive effect on physician well-being, which could encourage physicians to pursue rural practice. A larger study of this issue would be beneficial.


Assuntos
Esgotamento Profissional , Médicos de Família , Esgotamento Psicológico , Humanos , Médicos de Família/psicologia , Projetos Piloto , Saúde da População Rural , População Rural
6.
Afr J Prim Health Care Fam Med ; 11(1): e1-e15, 2019 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-31038332

RESUMO

BACKGROUND:  Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies. AIM:  The aim of this study was to determine the relationship between physician lifestyle practices, CVD prevention knowledge and patient CVD counselling practices among family physicians (FPs) and family medicine (FM) trainees affiliated to FM colleges and organisations in SSA. SETTING:  FPs and FM trainees affiliated to FM colleges and organisations in Anglophone SSA. METHODS:  A web-based cross-sectional analytical study was conducted using validated, self-administered questionnaires. Following collation of responses, the relationship between the participants' CVD prevention knowledge, lifestyle practices and CVD counselling rates was assessed. RESULTS:  Of the 174 participants (53% response rate), 83% were married, 51% were females and the mean age was 39.2 (standard deviation [SD] 7.6) years. Most of the participants responded accurately to the CVD prevention knowledge items, but few had accurate responses on prioritising care by 10-year risk. Most participants had less than optimal lifestyle practices except for smoking, vegetable or fruit ingestion and sleep habits. Most participants (65%) usually counselled patients on nutrition, but less frequently on weight management, exercise, smoking and alcohol. The region of practice and physicians with poor lifestyle were predictive of patient counselling rates. CONCLUSION:  Training on patient counselling and self-awareness for CVD prevention may influence patient counselling practice. Promoting quality training on patient counselling among FPs as well as a healthy self-awareness for CVD prevention is thus needed. The complex relationship between physician lifestyle and patient counselling warrants further study.


Assuntos
Doenças Cardiovasculares/prevenção & controle , Aconselhamento/estatística & dados numéricos , Medicina de Família e Comunidade/estatística & dados numéricos , Corpo Clínico Hospitalar/psicologia , Médicos de Família/psicologia , Padrões de Prática Médica/estatística & dados numéricos , Adulto , África ao Sul do Saara , Doenças Cardiovasculares/psicologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Médicos de Família/educação , Inquéritos e Questionários
8.
Health Care Women Int ; 40(3): 241-258, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30829147

RESUMO

In the US, medical training is inadequate regarding the symptomatology, prognosis, and treatment for myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS). As a result, many physicians lack the appropriate level of knowledge about effective methods for ME and CFS symptom reduction and often suggest inappropriate treatments, such as increased exercise or psychiatric services. The authors' purpose in this study was to analyze negative patient experiences with health care professionals. Patients with ME and CFS who reported experiencing a dismissive physician attitude were asked to detail the encounter via open-ended response on an international, online survey. Participant responses were thematically coded and analyzed using processes outlined by Patton. Emergent themes related to perceived physician attitudes and how they impact patient wellbeing are described and their implications discussed. Additionally, we highlight suggestions for how the health care system can effectively approach this often marginalized patient group.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Síndrome de Fadiga Crônica/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Satisfação do Paciente , Médicos de Família/psicologia , Adulto , Síndrome de Fadiga Crônica/diagnóstico , Síndrome de Fadiga Crônica/terapia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Relações Médico-Paciente , Pesquisa Qualitativa
9.
Niger J Clin Pract ; 22(2): 167-173, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30729938

RESUMO

Background: Burnout is a psychosocial syndrome, involving feelings of emotional exhaustion, depersonalization, and diminished personal accomplishment at work. Its occurrence is high in healthcare personnel. Job satisfaction is achieved through the feeling of being professionally competent and is an important condition that prevents burnout syndrome. Aim: This study aimed to determine the impact of family physicians' thoughts on self-efficacy of family physician's core competencies on burnout syndrome in Izmir. Subjects and Methods: The study was a nested case-control study and was carried out within the Izmir province from 2013 to 2014. The subject population included 2185 family physicians working in the family medicine centers in the metropolitan districts of Izmir. A total of 395 family physicians who were employed at family medicine centers agreed to participate in the study. After the assessment according to the Maslach Burnout Inventory, 185 physicians had burnout, whereas 210 physicians did not have burnout. Physicians who had burnout were considered as 50% prevalence in the control group; the sampling size was calculated as at least 138 individuals for unpaired cases and control groups, with 0.05 error margin and 80% power. Results: While burnout syndrome was detected in 80.0% of physicians who thought that they were incompetent, it was detected in 30.1% of physicians who believed that they were sufficiently competent in terms of core competencies. Conclusion: Insufficient belief in core competencies by family physicians increases the occurrence of burnout syndrome in these individuals.


Assuntos
Esgotamento Profissional/epidemiologia , Esgotamento Psicológico , Competência Clínica , Satisfação no Emprego , Médicos de Família/psicologia , Autoeficácia , Adulto , Idoso , Esgotamento Profissional/psicologia , Estudos de Casos e Controles , Estudos Transversais , Despersonalização , Emoções , Medicina de Família e Comunidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Turquia
10.
Br J Gen Pract ; 69(680): e208-e216, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30692087

RESUMO

BACKGROUND: Patients and physicians have traditionally valued compassion; however, there is concern that physician compassion has declined with the increasing emphasis on science and technology in medicine. Although the literature on compassion is growing, very little is known about how family physicians experience compassion in their work. AIM: To explore family physicians' capacity for and experiences of compassion in practice. DESIGN AND SETTING: This was a qualitative study designed using a phenomenological approach in rural and urban Ontario, Canada. METHOD: In-depth interviews were audiotaped and transcribed verbatim, followed by independent and team coding. An iterative and interpretive analysis was conducted using immersion and crystallisation techniques. Purposive sampling recruited 22 participants (nine males and 13 females aged 26-64 years) that included family medicine residents from Western University (n = 6), and family physicians practising <5 years (n = 7) or >10 years (n = 9) in Ontario, Canada. RESULTS: From the data, the authors derived the Compassion Trichotomy as a theoretical model to describe three interrelated areas that determine the evolution or devolution of compassion experienced by family physicians: motivation (core values), capacity (energy), and connection (relationship). CONCLUSION: The Compassion Trichotomy highlights the importance and interdependence in physician compassion of motivation (personal reflection and values), capacity (awareness and regulation of energy, emotion, and cognition), and connection (sustained patient-physician relationship). This model may assist practising family physicians, educators, and researchers to explore how compassion development might enhance physician effectiveness and satisfaction.


Assuntos
Inteligência Emocional , Motivação , Relações Médico-Paciente , Médicos de Família , Adulto , Atitude do Pessoal de Saúde , Empatia , Estudos de Avaliação como Assunto , Medicina de Família e Comunidade/métodos , Feminino , Humanos , Desenvolvimento Industrial , Internato e Residência , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Médicos de Família/psicologia , Médicos de Família/normas
11.
Diabetes Res Clin Pract ; 148: 81-92, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30583035

RESUMO

AIMS: Clinical guidelines advocate that cardiovascular benefits of statin treatment overweigh the risk of impairment of glucose metabolism. The aim of the study was to examine the attitudes of family doctors towards statin treatment in patients with type 2 diabetes. METHODS: We disseminated a questionnaire examining doctors' attitudes to existing clinical guidelines and the factors leading to a doctor's decision to prescribe statins to diabetic patients. RESULTS: Clinical policy and guidelines were defined by doctors as having the greatest influence on the decision to prescribe statins for diabetic patients particularly by salaried doctors in comparison to self-employed doctors (χ2 = 9.138, df = 3, p ≤ 0.01). When considering the ways healthcare services can assist cholesterol control, monetary compensation yielded higher importance by young doctors compared to mature doctors (χ2 = 8.15, df = 2, p ≤ 0.01), while nursing services in the clinic yielded higher importance by mature doctors in comparison to younger doctors(χ2 = 13.7, df = 2, p ≤ 0.01). CONCLUSIONS: Doctors defined a list of priorities for organizational support mechanisms that are likely to lead to the formation of an intervention plan for increasing the percentage of balanced cholesterol levels in patients with diabetes.


Assuntos
Atitude do Pessoal de Saúde , Diabetes Mellitus Tipo 2/tratamento farmacológico , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Médicos de Família , Adulto , Idoso , Tomada de Decisões , Diabetes Mellitus Tipo 2/epidemiologia , Medicina de Família e Comunidade/estatística & dados numéricos , Feminino , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Israel/epidemiologia , Masculino , Pessoa de Meia-Idade , Médicos de Família/psicologia , Médicos de Família/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Grupos de Autoajuda/organização & administração , Grupos de Autoajuda/normas , Grupos de Autoajuda/estatística & dados numéricos , Inquéritos e Questionários
12.
Arch Environ Occup Health ; 74(1-2): 85-92, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29388882

RESUMO

OBJECTIVES: The incidence of occupational diseases (ODs) is below expectations. The approaches of family physicians are very important. In this study, we aimed to evaluate attitudes and behaviors of family physicians about ODs. METHODS: The questionnaire was first sent to family physicians via e-mail. Of 3663 responders, 3090 replies were included to study. RESULTS: 44.1% of them stated they obtained detailed occupational history. In logistic regression analysis, physicians who obtained detailed occupational history, discussed their patient's health with an occupational physician, had education about ODs and those who stated that they wanted to receive training in ODs were more likely to refer their patient. CONCLUSION: In this study, it was determined that those who received education on ODs and those who have worked as workplace physician obtained occupational history, knew occupational diseases hospitals and wanted to receive further education.


Assuntos
Atitude do Pessoal de Saúde , Doenças Profissionais/diagnóstico , Médicos de Família/psicologia , Adulto , Feminino , Humanos , Masculino , Anamnese , Pessoa de Meia-Idade , Inquéritos e Questionários , Turquia
13.
Int J Occup Saf Ergon ; 25(4): 630-637, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29436284

RESUMO

Aims. The aim of this study was to examine self-perceived compassion fatigue and compassion satisfaction among family physicians in Bosnia and Herzegovina and describe potential contributing factors. Methods. The cross-sectional study enrolled 120 family physicians. Professional quality of life compassion satisfaction and fatigue version 5 (ProQOL5) was used to assess compassion satisfaction and two components of compassion fatigue, secondary traumatic stress and burnout. The symptoms of chronic fatigue were evaluated using the Chalder fatigue scale. Results. The majority of family physicians had moderate levels of compassion satisfaction (70%), burnout (75%) and secondary traumatic stress (55.8%). Family physicians with higher levels of secondary traumatic stress reported chronic fatigue (p = 0.001), longer length of service (p = 0.024) and residency training (p = 0.041). Chronic fatigue (p = 0.001), living in a rural environment (p = 0.033), larger size of practice (p = 0.006) and high number of patients with chronic disease (p = 0.001) were associated with a higher risk of burnout. Conclusion. Family physicians with large practices, long years of experience, a high number of chronically ill patients and experiencing chronic fatigue are at risk of developing compassion fatigue. A systematic exploration of compassion fatigue in relation to working conditions might provide an appropriate starting point for the development of preventive interventions.


Assuntos
Fadiga por Compaixão/epidemiologia , Satisfação no Emprego , Médicos de Família/psicologia , Adulto , Bósnia e Herzegóvina/epidemiologia , Esgotamento Profissional/psicologia , Estudos Transversais , Medicina de Família e Comunidade/estatística & dados numéricos , Fadiga , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia , População Rural , Inquéritos e Questionários
14.
Fam Pract ; 36(1): 72-76, 2019 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-30346525

RESUMO

Background: Patients suffering from mental health disorders have complex care needs, associating poorer physical health status and depreved social condition. Given their central role in primary health care, GPs should be highly involved in providing global and cooperative care to these patients in partnership with mental health specialists. Objective: To understand the GP's views, attitudes and needs in the care of patients with mental disorders. Methods: We led a qualitative study from June to July 2017, with semi-structured interviews led on GPs' activity in Marseille (France). We performed an inductive thematic content analysis, using Excel software. Results: We interviewed 22 GPs. The GPs felt comfortable providing total care for their patients with anxiety and depression (most of the time perceived as 'minor cases'), whereas they felt uncomfortable and poorly integrated in the care of patients with psychotic symptoms (often perceived as 'severe'). They wanted to improve communication with psychiatrists. Conclusion: The GPs seemed to assess the complexity of the cases and therefore their ability to deal with them, based on the type of their patients' psychiatric symptoms. For the 'severe patients', they felt they didn't have a significant role to play as a family doctor, while it has been shown that these patients have poorer physical health and need more coordinated care than other patient groups. An improved communication between GPs and mental health providers could reduce the difficulties for GPs in the care of people with mental health disorders and make possible a whole patient-centred approach.


Assuntos
Atitude do Pessoal de Saúde , Prestação Integrada de Cuidados de Saúde , Transtornos Mentais/terapia , Médicos de Família/psicologia , Atenção Primária à Saúde , Feminino , França , Humanos , Entrevistas como Assunto , Masculino , Serviços de Saúde Mental , Assistência ao Paciente , Médicos de Família/estatística & dados numéricos , Pesquisa Qualitativa
15.
BMJ Open ; 8(11): e023488, 2018 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-30413511

RESUMO

OBJECTIVES: The validated Gut Feelings Questionnaire (GFQ) is a 10-item questionnaire based on the definitions of the sense of alarm and the sense of reassurance. The purpose of the GFQ is to determine the presence or absence of gut feelings in the diagnostic reasoning of general practitioners (GPs).The aim was to test the GFQ on GPs, in real practice settings, to check whether any changes were needed to improve feasibility, and to calculate the prevalence of the GPs' sense of alarm and sense of reassurance in three different countries. SETTING: Primary care, six participating centres in Belgium, France and the Netherlands. PARTICIPANTS: We performed a think-aloud study with 24 experienced Dutch GPs, GP trainees and medical clerks who filled in the GFQ after diagnosing each of six case vignettes. We then performed a feasibility study in two phases, using a mixed-method approach, with 42 French and Dutch GPs in the first phase and then 10 Belgian, 10 Dutch and 10 French GPs in the second phase. All GPs filled in the GFQ after each of eight consultations with patients presenting new complaints and were subsequently interviewed about the use of the GFQ. OUTCOME MEASURES: GPs' experiences on using the GFQ in real practice, more specifically the average time needed for filling in the questionnaire.The prevalence of GPs' sense of alarm and sense of reassurance. RESULTS: The modified version of the GFQ, created without altering the sense of the validated items, was easy to use in daily practice. The prevalence of the GPs' sense of alarm occurred during 23%-31% of the included consultations. CONCLUSIONS: After a two-step study and several minor adaptations, the final version of the GFQ proved to be a feasible and practical tool to be used for prospective observational studies in daily practice.


Assuntos
Atitude do Pessoal de Saúde , Tomada de Decisões , Medicina Geral/métodos , Médicos de Família/psicologia , Inquéritos e Questionários/normas , Adulto , Bélgica , Emoções , Estudos de Viabilidade , Feminino , França , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos
16.
J Am Board Fam Med ; 31(6): 941-943, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30413550

RESUMO

PURPOSE: The opioid epidemic in the United States is an ongoing public health concern. Health care institutions use standardized patient satisfaction surveys to assess the patient experience and some offer incentives to their providers based on the results. We hypothesized that providers who report being incentivized based on patient satisfaction surveys are more likely to report an impact of such surveys on their opioid prescribing practices. METHODS: We developed a 23-item survey instrument to assess the self-perceived impact of patient satisfaction surveys on opioid prescribing practices in primary care and the potential impact of institutional incentives. The survey was emailed to all 1404 members of the Colorado Academy of Family Physicians. RESULTS: The response rate to the online survey was 10.4% (n = 146). Clinical indications for which responders prescribe opioids included acute pain (93%), cancer pain (85%), and chronic nonmalignant pain (72%). Among physicians using patient satisfaction surveys, incentivized physicians reported at least a slight impact on opioid prescribing 3 times more often than physicians who were not incentivized (36% vs 12%, P = .004). CONCLUSIONS: Efforts to improve patient satisfaction may have potentially untoward effects on providers' opioid prescribing behaviors. Our results suggest a need to further study the impact of provider incentive plans that are based on patient satisfaction scores.


Assuntos
Analgésicos Opioides/uso terapêutico , Prescrições de Medicamentos/estatística & dados numéricos , Satisfação do Paciente , Planos de Incentivos Médicos , Médicos de Família/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Atitude do Pessoal de Saúde , Colorado , Correio Eletrônico/estatística & dados numéricos , Epidemias/prevenção & controle , Humanos , Motivação , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Médicos de Família/psicologia , Padrões de Prática Médica/estatística & dados numéricos , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/organização & administração , Inquéritos e Questionários/estatística & dados numéricos
17.
Can J Aging ; 37(4): 390-399, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30378533

RESUMO

ABSTRACTCurrently, 564,000 Canadians are living with dementia. This number will continue to rise as the population ages. Family physicians play an integral role in the diagnosis and management of dementia patients. Although studies have looked at family physician perspectives on dementia care in the urban setting, much less is known about challenges in rural areas. This study aimed to explore rural family physicians' experiences in caring for patients with dementia in rural Alberta, Canada. We conducted three semi-structured focus groups with 16 family physicians to evaluate barriers and facilitators to providing care to persons with dementia in three rural communities. We developed focus group questions based on the theoretical domains framework (TDF) and analysed them using a framework approach. Physician capabilities, opportunities, and motivations appear to play important roles in caring for these patients. These research findings can be used to advance quality of care for rural dementia patients.


Assuntos
Demência/terapia , Medicina de Família e Comunidade/métodos , Acesso aos Serviços de Saúde , Médicos de Família/psicologia , Adulto , Alberta/epidemiologia , Demência/epidemiologia , Medicina de Família e Comunidade/estatística & dados numéricos , Feminino , Grupos Focais , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , População Rural
18.
BMC Health Serv Res ; 18(1): 854, 2018 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-30428878

RESUMO

BACKGROUND: Both conventional health care providers and complementary therapists treat cancer patients. To provide effective treatment, both types of providers should to be familiar with their own as well as alternative types of treatment. Our aim was to compare how conventional health care providers (oncology doctors, oncology nurses, family physicians) and complementary therapists (acupuncturists, reflexologists, massage therapists) seek information about conventional and complementary cancer treatments. METHOD: This analysis was conducted on the basis of feedback from 466 participants. We used self-administered questionnaires in a cross-sectional study. RESULTS: The majority of the medical doctors (96%) searched for evidence-based information regarding conventional cancer treatments. They gathered this information mostly from guidelines, which is considered best practice and is expected from Norwegian health personnel. Eighty-one percent of the nurses gather this information from evidence based resources such as UpToDate. Colleagues were asked for information by 58% of the medical doctors and 64% of the nurses. Moreover, 50% of the medical doctors and 57% of the nurses searched for evidence-based information about complementary cancer modalities. The acupuncturists gathered evidence-based information for both conventional (79%) and complementary (77%) modalities, followed by the reflexologists (54 and 54%, respectively) and massage therapists (54 and 52%, respectively). Nearly half of the acupuncturist (49%) asked a colleague for information. CONCLUSION: To provide safe cancer care, it is important that advice about complementary modalities is based on current and evidence-based evaluations. The majority of the medical doctors and nurses in this study sought information according to evidence-based medicine regarding conventional cancer treatments, and about half of them gathered evidence-based information about complementary cancer modalities. This was also true for the complementary therapists as they gathered information about complementary and conventional treatments from evidence-based evaluations. This demonstrates that since the term evidence-based medicine was first introduced in 1991, the approach has grown extensively and both conventional and complementary providers use this approach to seek information.


Assuntos
Terapias Complementares/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Comportamento de Busca de Informação , Informática Médica/estatística & dados numéricos , Neoplasias/terapia , Terapias Complementares/psicologia , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Humanos , Masculino , Oncologia/estatística & dados numéricos , Pessoa de Meia-Idade , Noruega , Médicos de Família/psicologia , Médicos de Família/estatística & dados numéricos , Inquéritos e Questionários
20.
Acad Med ; 93(10): 1440, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30252741
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