Table 1 |
|
|
Preferences of exposed and non-exposed GPs towards illness or disease-focused interventions to improve LRTI management |
|
| Exposed GPs |
Preference |
|
|
|
| 'You can't take them apart, I want them both.' (GP1) |
Undecided |
| 'I found CRP less useful than communication skills training.' (GP2) |
CST |
| 'Communication is the key component of our profession. If not doing it [communication
skills as thought in the training] yet, one should immediately consider it. The other
thing [CRP] is an addition, but a very useful one in my opinion.' (GP7) |
CST |
| 'Communication, as I think this is the most important in consultations, either in
LRTI or another condition... CRP as a value is wonderful, but it doesn't tell you
everything.' (GP8) |
CST |
| 'Communication skills training.' (GP9) |
CST |
| 'If I really need to choose I need to say communication skills training.... That was
great fun to do, to systematically use it, it works.' (GP10) |
CST |
| 'The communicative bit has my preference yes. I always try to do without the test,
but well, if I don't succeed I pull out CRP to convince patients.' (GP13) |
CST |
| 'Communication. I try to structure my consultation to give attention to all aspects,
and CRP can be one of them.' (GP14) |
CST |
| 'Communication training... in the majority of patients you do well with these skills,
and when in doubt with CRP.' (GP17) |
CST |
| 'You'll achieve most by doing communication skills training.' (GP18) |
CST |
|
|
|
| Non-exposed GPs |
Preference |
|
|
|
| 'I'd choose CRP. Two reasons: I'm a games person, so I love such a test very much...
and because I feel that communication skills training thing, well... I don't think
I need to improve that much in that field... I don't feel communication is the problem
in antibiotic prescribing.' (GP3) |
CRP |
| 'Yes, CRP.' (GP4) |
CRP |
| 'CRP, as it is useful in my practice and because I feel I can get patients on my side
with it. I think that the magic of the machine is more than the magic of my words.'
(GP5) |
CRP |
| 'Most obvious would be CRP, easier and less time consuming.' (GP6) |
CRP |
| 'CRP, as I think that I will not improve that much when knowing how to give information
back to the patient, but I would find it useful to have such a test in my practice.'
(GP11) |
CRP |
| 'I think communication training, as I can buy CRP myself.' (GP12) |
CST |
| 'CRP, it is useful to know that it is there to be used.' (GP15) |
CRP |
| 'CRP could help me in case of doubt, I don't see how communication would help me in
that regard.' (GP16) |
CRP |
| 'In the end communication skills training will benefit the most. It is, in any form,
always an eye-opener and even if only small bits are remembered, it is nice.' (GP19) |
CST |
| 'CRP for sure. Much easier, much faster. I expect more of it than of communication
skills training. Such a training will offer some extra, but not much.' (GP20) |
CRP |
|
|
|
|
CST = Communication skills training (Illness focused approach) CRP = C-reactive protein point-of-care testing (Disease focused approach) |
|
|
Cals et al. Implementation Science 2009 4:57 doi:10.1186/1748-5908-4-57 |
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