Primärvården och evidensen Evidensbaserad praktik i svensk offentlig primärvård från olika perspektiv

Sammanfattning: The development of information technology and growing insight into the limitations of the old paradigm of practicing medicine resulted in historical events that led to the emergence of evidence-based practice (EBP). Which centers upon putting the evidence of science and clinical knowledge of the health professional in dialogue with the patient and his or her needs and preferences in receiving care. The thesis aim to investigate the prerequisites of evidence-based practice following the evidence-based medicine (EBM) model. Which was accomplished by conducting four studies spread across the domains of evidence-based practice. The studies combined qualitative and quantitative methodology and results in a contemporary description of the attitudes towards evidence-based practice and its possibility to be applied within the primary healthcare organization of today. The key findings of the thesis show that increasing demand for efficiency results in a chronic lack of time and resources to properly execute individual notions of what evidence-based practices ought to be. The deficiency of knowledge and resources is present on both co-worker and managerial levels. In addition, the results indicate that there exist attitudes towards research are somewhat reluctant, that is, that research and evidence-based practice are recognized as something positive and needed. Although research and tasks associated with evidence-based practice seemed somewhat extracurricular. At the same time, it´s mentioned that co-workers also stated that it was sometimes hard to get information relevant for use in primary care. The perceived barrier signals that the influence of economic value and efficiency takes precedence on a practice that ought to be aimed at helping the patient. Primary healthcare is very much heavily reliant on information, which in turn is dependent of internal and external factors to direct resources such as time. Today, there is a growing patient-centered care. Aimed at reducing the existent gap between evidence and clinical practice.