From: Swedish general practitioners’ attitudes towards treatment guidelines – a qualitative study
Theme | GP-related influencing factors | ||
---|---|---|---|
Category | Beliefs about adherence to guidelines | ||
Final coding | Reported adherence behaviour in everyday practice | ||
Initial coding | High adherence if guidelines similar to own experience | Lower adherence if more frequent changes to guidelines | High adherence when feeling unsure |
Condensed meaning unit | In the case of migraine drugs, when I did not have enough experience to say that the more expensive drugs were better, I supported my argument with the guidelines. | It was decided that the insulin kind would change to another, cheaper one, and soon afterwards it would change back again, but I have learned from previous experience and have not changed anything yet. | When I feel unsure I stick to the guidelines. |
Meaning unit | “… and an area where I’ve benefited from them … (guidelines) … in agreement with the patient or against the patient’s will … is when they want migraine drugs, triptans, more expensive ones … and when I didn’t have enough experience to say that that the more expensive ones were better, I supported my argument with the guidelines then …” | “… we were supposed to change from the usual insulin that we had used many years to a cheaper one, and it is a lot of work if you are going to change it for all patients, and then after a couple of months they lowered the price of the first one, so there was no difference any more. But I have some previous experience and have not changed anything yet, but will wait and see what happens.” | “You feel sometimes that you should be more informed, but if I feel unsure I stick to the guidelines”. |