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
