Peering through the barriers in GPs' explanations for declining to participate in research: the role of professional autonomy and the economy of time

摘要: BACKGROUND: The level of participation in research by GPs is low internationally. Previous reports the reasons why practitioners decline opportunities for have tended to recount barriers that they describe as if are objective accounts. OBJECTIVE: By theoretical sampling who had declined participate a trial, we sought interpret functional significance and interrelationship reported. METHODS: Twenty-three trial training manage medically unexplained symptoms were interviewed their accounts analysed interpretatively. RESULTS: described general practice alien fields. Research lacked intrinsic, clinical or professional value was linked evidence-based medicine which rejected incompatible with person-centered care. Every doctor lack time research, but an elastic resource payment could release from reservoir 'own time'. CONCLUSION: findings should inform design interpretation future quantitative surveys identify how common attitudes report are. Doctors those whom will not be drawn into measures predicated on assumption it intrinsically, clinically professionally valuable. If cannot convinced its utility, conferred participation.