The DOI matches its Crossref record; 78 of the 79 references it cites were found in a registry or an index.
Barriers to GPs' use of evidence-based medicine: a systematic review
Open accessAbstract
BACKGROUND: GPs report various barriers to the use and practice of evidence-based medicine (EBM). A review of research on these barriers may help solve problems regarding the uptake of evidence in clinical outpatient practice. AIM: To determine the barriers encountered by GPs in the practice of EBM and to come up with solutions to the barriers identified. DESIGN: A systematic review of the literature. METHOD: The following databases were searched: MEDLINE (PubMed), Embase, CINAHL, ERIC, and the Cochrane Library, until February 2011. Primary studies (all methods, all languages) that explore the barriers that GPs encounter in the practice of EBM were included. RESULTS: A total of 14 700 articles were identified, of which 22 fulfilled all inclusion criteria. Of the latter, nine concerned qualitative, 12 concerned quantitative, and one concerned both qualitative and quantitative research methods. The barriers described in the articles cover the categories: evidence (including the accompanying EBM steps), the GP's preferences (experience, expertise, education), and the patient's preferences. The particular GP setting also has important barriers to the use of EBM. Barriers found in this review, among others, include lack of time, EBM skills, and available evidence; patient-related factors; and the attitude of the GP. CONCLUSION: Various barriers are encountered when using EBM in GP practice. Interventions that help GPs to overcome these barriers are needed, both within EBM education and in clinical practice.
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In the citing paper
“Economics and financing including the economic climate, the ways in which the government allocated funding, and investment decisions made by local health authorities were shown to affect implementation of guidelines [66] and new roles [54, 55].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [66]
In the citing paper
“a lack of confidence in one’s own ability to carry out specific tasks and the feeling of not having authority or enough influence to change or carry out the procedures were found to impede implementation [31, 66].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [66]
In the citing paper
“Previous personal experience in clinical practice or with the information system affected professional attitudes to a new system or intervention [54, 66, 77, 81].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [66]
In the citing paper
“Additional workload caused by the implementation of new complex interventions was also found to hinder adoption [17, 31, 44, 54, 66, 81, 84].”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [66]
Citations
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Research works printed but not linked: 2
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Cited by
Sorted by citations
Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., Everitt, H., Kennedy, A., Qureshi, N., Rogers, A., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0396-4 · Cited by 533
“Zwolsman S 2012 [66] Barriers to GP’s use of evidence-based medicine: a systematic review Systematic review To determine the barriers encountered by GPs in the practice of evidence-based medicine and to come up with solutions to the barriers identified Inclusion criteria Studies about barriers in the practice of evide…”
BackgroundMethodInfluentialCore Competencies in Evidence-Based Practice for Health Professionals
Albarqouni, L., Hoffmann, T., Straus, S. E., Olsen, N. R., Young, T., Ilić, D., Shaneyfelt, T. M., Haynes, R. B., Guyatt, G. H., & Glasziou, P. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.0281 · Cited by 463
Barriers to evidence‐based medicine: a systematic review
Sadeghi‐Bazargani, H., Tabrizi, J. S., & Aghdash, S. A. (2014) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12222 · Cited by 313
What do physical therapists think about evidence-based practice? A systematic review
da Silva, T. M., Costa, L. D. C. M., Garcia, A. N., & Costa, L. O. P. (2014) · Manual Therapy · doi:10.1016/j.math.2014.10.009 · Cited by 269
The effect of scientific evidence on conservation practitioners’ management decisions
Walsh, J. C., Dicks, L. V., & Sutherland, W. J. (2014) · Conservation Biology · doi:10.1111/cobi.12370 · Cited by 257
Metadata
- Authors
- Zwolsman, S., te Pas, E., Hooft, L., Waard, M. W.-D., & van Dijk, N.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Venue
- British Journal of General Practice
- Published
- 2012-07
- Volume
- 62
- Issue
- 600
- Pages
- e511-e521
- ISSN
- 0960-1643 (ISSN-L)
- 1478-5242
- PMC
- PMC3381277
- OpenAlex
- W2102169654
- Cited by
- 208
- References
- 79
- Citations by year
- 2026: 11 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 23 · 2021: 17 · 2020: 22 · 2019: 21 · 2018: 14 · 2017: 17 · 2016: 13 · 2015: 18 · 2014: 17 · 2013: 11 · 2012: 1
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of General Practice (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- Universiteit van Amsterdam
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- evidence-based medicine, barriers to evidence use, general practitioners, primary care, patient preferences, time constraints, outpatient practice
- MeSH terms
- Attitude of Health Personnel, Clinical Competence, Decision Making, Humans, Patient Participation, Practice Patterns, Physicians', Quality Assurance, Health Care, Evidence-Based Medicine, Patient Preference, General Practice
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