The role of etiquette and experimentation in explaining how doctors change behaviour: a qualitative study
The role of etiquette and experimentation in explaining how doctors change behaviour: a qualitative study
复制标题
DOI：
10.1111/j.1467-9566.2006.00514.x
复制
发表时间：
2006-11-01
影响因子：
2.9
通讯作者：
Ogden, Jane
中科院分区：
文献类型：
--
作者：
Armstrong, David;Ogden, Jane
尽管在过去的30年里，人们对临床实践中的个体差异越来越感兴趣，但各种研究对理解或改变医生的行为只有有限的了解。这一定性研究探讨了英国全科医生的帐户的影响，他们的处方样本，并确定了他们的专业身份，通过临床自主权，一种策略，排除使用更多的习惯改变代理人，如直线管理和经济激励的防御问题的所在地。该研究确定了两种机制，临床礼仪和临床实验，然而，使变化发生的约束条件下的承诺，临床自治。
Despite increasing interest over the last 30 years in individual variations in clinical practice, various research studies have thrown only limited light on either understanding or changing doctors' behaviour. This qualitative study explored a sample of British general practitioners' accounts of the influences on their prescribing, and identified the locus of the problem in their defence of professional identity through clinical autonomy, a tactic that precluded use of more customary change agents such as line management and economic incentives. The study identified two mechanisms, clinical etiquette and clinical experimentation, however, that enabled change to occur within the constraints imposed by the commitment to clinical autonomy.