Doctor Survey

Before contacting potential interviewees about Choosing Wisely I made a survey for doctors to complete about the initiative. I took a copy of the survey to every interview I had with a doctor and asked them to fill it out and left them with copies of the survey for their colleagues in their practices to fill out. I informed and assured them their answers will be confidential as I only need to collect data to inform my readers about their thought and practices towards Choosing Wisely. They all kindly filled out the survey and

I informed and assured them their answers will be confidential as I only need to collect data to inform my readers about their thought and practices towards Choosing Wisely. They all kindly filled out the survey and i have just received the last of the survey forms back and I thought I am excited to share the results with you guys.

1.  Do you agree with the general principles of Choosing Wisely

1

Strongly Agree 20
Tend to agree 20
Neither agree nor disagree 5
Tend to disagree 3
Strongly disagree 1
Uncertain 2

2. Why do you agree with the general principles of Choosing Wisely? (Those who selected “Strongly disagree” or “Tend to disagree” for the question no1, were asked to response to this question.)2

Better resources for NHS/ Safer for patients/ cost effective 19
Avoid unnecessary investigations/ Should be evidence based 10
Rational/ sensible 6
Other 5
Considering evidence based medicine 4
Less anxiety in patients and improved clinical thinking/ overall care 2
Many of the procedures are done to protect doctors/ Guidelines are based on more investigations 2
Minimise side effects 1
Avoid antibiotic resistance 1

3. Why do you disagree with the general principles of Choosing Wisely? (Those who selected “Strongly disagree” or “Tend to disagree” for the question no1, were asked to response to this question.)3

I generaly disagree with the contents 25
I disagree with generalisations in medicine 5
other 3
Suing doctors for negligence 6
I disagree with some words in the article 2
We already know what we should and should not be doing without a specific list 4
Physician choice/ Quality of treatment is more important 5

4. Do you feel you have you ever prescribed or carried out a treatment which could be considered as unnecessary?

12

No 39
Yes 11

5. Why did you prescribe or carry out a treatment or request a test which could be considered as unnecessary? (Those who selected “Yes” for the question no4, were asked to response to this question.)13

Patient expectation/insisting/ pressure 20
Clinical uncertainty/ I thought that the result might be valuable/ To be on the safe side 13
To be in the safe side/Fear of litigation 5
To reassure patient/ To finish the course of the treatment 4
Other 3
Protocol driven 2
Colleague or consultant pressure 1
Lack of experience/knowledge 1
It was not harmful to the patient 1

 

6. What was the prescription or treatment or test which could be considered as unnecessary? (Those who selected “Yes” for the question no4, were asked to response to this question.)14

Antibiotics prescribing 20
Other 16
X-Ray 3
CT scan 2
Blood tests 3
MRI scan 1
Don’t remember 2
Ultrasound 1
PSA 0
Test for prostate cancer 0
Thyroid function tests 0

7. The Academy of Royal Colleges is recommending that an approach similar to that taken by the Choosing Wisely initiative should be adopted by the NHS. How do you feel this would be perceived by PATIENTS?

15

Cost cutting exercise 31
Good idea not to use unnecessary drugs or treatments 12
Patients may not get the medication or treatments or tests that they need 5
Other 2

8. The Academy of Royal Colleges is recommending that an approach similar to that taken by the Choosing Wisely initiative should be adopted by the NHS. How do you feel this would be perceived by DOCTORS?

16

Cost cutting exercise 2
Good idea not to use unnecessary drugs or treatments 39
Patients may not get the medication or treatments or tests that they need 3
Other 6

9. What do you feel your reaction would be in this type of scenario?

A patient asks you to re-prescribe a drug that had previously been given. However, based on your clinical experience and guidelines you feel that the patient should not have it.

17

Neither difficult nor easy. 20
Quite easy to re-prescribe the medication 5
Quite easy to say no 18
Very easy to re-prescribe the medication 4
Very easy to say no 3

10. What do you feel your reaction would be in this type of scenario?

A patient asks you to re-prescribe a drug that had previously been given and the guidelines suggest it should be continued. However, based on your clinical experience you feel that the patient should not have it.

18

 

Neither difficult nor easy. 19
Quite easy to re-prescribe the medication 16
Quite easy to say no 10
Very easy to re-prescribe the medication 4
Very easy to say no 1

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