Dear all,
 
I am developing a tool for performing observations to gain deeper understanding WHY diverse groups of physicians (do not) show EBM behaviour in routine hospital practice. (This will be linked to a questionnaire; resulting in a mixed method approach).
 
 
Has anybody performed observations of EBM-behaviour in routine clinical practice?
 
How did you make the elements of EBM-behaviour, and the context in which it is performed, operational during your field work?
 
Do you have any suggestions how to find an equilibrium between focus and generality, to keep it both practical and valid? For example, EBM implies more than adhering to a guideline (too much focus), but observing the 'full-blown' practice without any restrictions could be too complex (too much generality).
 
Thank you for responding.
Kind regards,
 
M.H.J. Swennen, MD MSc
Member Concern Staff for Board of Directors
University Medical Centre Utrecht
Local post box: Q05.4.312
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