What has trust got to do with it? Cardiac risk reduction and family physicians' discussions of evidence-based recommendations

Lois A. Jackson; Wayne Putnam; Peter L. Twohig; Frederick I. Burge; Kelly Nicol; Jafna L. Cox

doi:10.1080/1369857042000275650

What has trust got to do with it? Cardiac risk reduction and family physicians' discussions of evidence-based recommendations

Lois A. Jackson, Wayne Putnam, Peter L. Twohig, Frederick I. Burge, Kelly Nicol, Jafna L. Cox

Medicine

Medicine

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5 Citas (Scopus)

Resumen

The management of patients through the use of evidence-based medicine has become the 'mantra' of medicine within many Western countries. Evidence-based medicine is aimed at providing the best objective, scientific care to all patients, and reducing as far as possible patients' risks of disease and complications from disease. Based on family physicians' discussions of the use of evidence-based recommendations for two cardiac diseases, this paper explores how subjectively-based trust enters into family physicians' decision to use evidence-based medicine. In addition, we show how trust influences physicians' work of recommending evidence-based medicine to patients, and physicians' perceptions of why patients follow recommendations aimed at risk reduction. We conclude that although much of the current discussion about evidence-based medicine assumes a 'rational' model of physician behaviour based on the application of the 'best objective scientific' results, subjectively-based perceptions of trust influence physician practices, and point to the need to understand the power of relational issues in influencing physician practices even when utilizing evidence-based knowledge.

Idioma original	English
Páginas (desde-hasta)	239-255
Número de páginas	17
Publicación	Health, Risk and Society
Volumen	6
N.º	3
DOI	https://doi.org/10.1080/1369857042000275650
Estado	Published - sep. 2004

Nota bibliográfica

Funding Information:
We wish to thank the family physicians who gave of their time and expertise to participate in the focus groups. We also wish to thank and acknowledge Natalie Dawson for her careful transcription of the audiotapes. Study 1 was funded by the Medical Research Council of Canada (now the Canadian Institutes of Health Research), and Study 2 the Nova Scotia Health Research Foundation (NSHRF). L. Jackson and J. Cox are both recipients of the Canadian Institutes of Health Research (CIHR)/Regional Partnership Program, Investigator Award. J. Cox and F. Burge both hold a Clinical Research Scholarship from the Faculty of Medicine, Dalhousie University, and P. Twohig is a Canada Research Chair, Saint Mary’s University, Nova Scotia (Canada). We collectively thank the funding agencies for their support.

ASJC Scopus Subject Areas

Public Health, Environmental and Occupational Health

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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abstract = "The management of patients through the use of evidence-based medicine has become the 'mantra' of medicine within many Western countries. Evidence-based medicine is aimed at providing the best objective, scientific care to all patients, and reducing as far as possible patients' risks of disease and complications from disease. Based on family physicians' discussions of the use of evidence-based recommendations for two cardiac diseases, this paper explores how subjectively-based trust enters into family physicians' decision to use evidence-based medicine. In addition, we show how trust influences physicians' work of recommending evidence-based medicine to patients, and physicians' perceptions of why patients follow recommendations aimed at risk reduction. We conclude that although much of the current discussion about evidence-based medicine assumes a 'rational' model of physician behaviour based on the application of the 'best objective scientific' results, subjectively-based perceptions of trust influence physician practices, and point to the need to understand the power of relational issues in influencing physician practices even when utilizing evidence-based knowledge.",

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What has trust got to do with it? Cardiac risk reduction and family physicians' discussions of evidence-based recommendations

Resumen

Nota bibliográfica

ASJC Scopus Subject Areas

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