First author (year) | Type of review | Phenomena of interest | Participants | Settings | Included studies | Synthesis methods | Quality score (0–11) |
---|---|---|---|---|---|---|---|
Clinical management | |||||||
 aSinnott (2013) [52] | SR | GPs’ perceptions on the clinical management of multimorbidity. | 275 GPs | UK (3), Netherlands (2), USA (2), Belgium (1), Germany (1), Ireland (1) | 10 studies: Qualitative | Meta-ethnography | 10.5high |
 aO’Brien (2016) [61] | SR | PCPs’ perceptions of the barriers that prevent effective management of child and adolescent mental health problems. | 9624 PCPs (FPs, GPs, paeds) | USA (22), UK (9), Australia (4), Canada (4), Ireland (2), South Africa (2), Malta (1), Puerto Rico (1) | 43 studies: Qualitative and quantitative | Thematic synthesis | 9.5high |
 Barley (2011) [56] | SR | Barriers to and facilitators for good depression management. | GPs (2738) PNs (476) | UK (17) | 17 studies: Qualitative and quantitative | Meta-ethnography | 9high |
 Lucas (2015) [50] | SR | Views, beliefs and attitudes that influence prescribing for acute childhood infection. | 207 PCPs (FPs, GPs, paeds) | UK (7), Iceland (3), France (2), USA (2), Belgium (1), Norway (1), New Zealand (1), Poland (1), Spain (1) | 15 studies: Qualitative | Meta-ethnography | 9high |
 Lawrence (2016) [58] | SR | PCPs’ perspectives of their role within cancer care. | 10941 PCPs (FPs, GPs, obs-gynae, paeds) | USA (10), Canada (9), Netherlands (4), Australia (3), Norway (3), France (2), UK (2), Germany (1), Italy (1), Ireland (1), Israel (1) | 35 studies: Qualitative and quantitative | Thematic synthesis | 8.5high |
 Sirdifield (2013) [53] | SR | Clinicians’ experiences and perceptions of benzodiazepine prescribing. | 187 PCPs (FPs, GPs, obs-gynae, paeds) | UK (2), Australia (1), Belgium (1), Canada (1), Norway (1), Slovenia (1), USA (1) | 8 studies: Qualitative | Thematic synthesis | 8.5high |
 Tonkin-Crine (2011) [65] | SR | GPs’ attitudes and experiences of antibiotic prescribing for acute respiratory tract infections. | 321 PCPs (GPs, nurse prescribers) | UK (5), Iceland (2), Norway (2), Belgium (1), France (1), New Zealand (1), Netherlands (1), Poland (1), Spain (1), USA (1) | 12 studies: Qualitative | Meta-ethnography | 5.5mod |
Diagnosis | |||||||
 Schumann (2012) [51] | SR | Family physicians’ perceived barriers to diagnosing depression. | 239 PCPs (FPs, GIs, NPs) | UK (5), USA (3), Australia (1), Canada (1), Germany (1), Netherlands (1), Sweden (1) | 15 articles reporting 13 studies: Qualitative | Thematic synthesis | 10.5high |
 aMcDonagh (2018) [59] | SR | Barriers and facilitators to chlamydia testing for young people and PCPs. | > 1733 PCPs | UK (15), Australia (9), Estonia (1), France (1), New Zealand (1), Sweden (1) | 25 studies: Qualitative and quantitative | Framework synthesis (COM-B Model) | 7.5mod |
 aYeung (2015) [63] | NR | Barriers and facilitators to chlamydia testing. | > 11993 GPs | Not reported | 37 studies: Qualitative and quantitative | Framework synthesis (patient, GP and general practice-level) | 3.5low |
 Ogeil (2020) [33] | NR | Barriers to the assessment and diagnosis of insomnia. | > 127 GPs | USA (4), Australia (2), Germany (2), UK (2) | 10 studies: Qualitative and quantitative | Framework synthesis (TDF Framework) | 3low |
Communication and engagement with patients | |||||||
 aDe Vleminck (2013) [57] | SR | Perceived factors hindering or facilitating GPs in engaging in advance care planning (ACP). | > 2149 PCPs (FPs, GPs, obs-gynae, paeds) | UK (4), USA (3), Australia (2), Netherlands (2), Belgium (1), Canada (1), Israel (1), Singapore (1) | 15 studies: Qualitative and quantitative | Framework synthesis (initial emergent themes) | 9.5high |
 Vogt (2005) [55] | SR | Family physicians’ beliefs and attitudes towards discussing smoking cessation with patients. | GPs (5475) FPs (1143) Response rate 37-95%. | UK (5), USA (5), Italy (2), Australia (1), Bosnia and Herzegovina (1), Canada (1), Finland (1), France (1), New Zealand (1), Norway (1), Sweden (1) | 20 studies: Quantitative | Thematic synthesis and pooled proportions | 5.5mod |
Implementation of EBM in general | |||||||
 Zwolsman (2012) [64] | SR | Barriers encountered by GPs in the practice of EBM. | 2390 GPs | UK (7), Australia (5), Bahrain (1), Belgium (1), Canada (1), Germany (1), Jordan (1), Norway (1), Singapore (1), Spain (1), Turkey (1), USA (1) | 22 studies: Qualitative and quantitative | Framework synthesis (conceptual model | 9high |
 Carlsen (2007) [48] | SR | GPs’ attitudes to and experiences with clinical practice guidelines. | GPs (172) FPs (147) | UK (6), Canada (3), Netherlands (2), USA (1) | 12 studies: Qualitative | Thematic synthesis | 5.5mod |
Prevention | |||||||
 Vedel (2011) [54] | SR | Barriers and facilitators to breast and colorectal cancer screening of older adults. | 11022 PCPs (FPs, GPs, obs-gynae, paeds) Response rate 21–93%. | USA (12), Canada (3), Australia (2), France (2), Italy (1), Switzerland (1) | 21 studies: Quantitative | Framework synthesis (own taxonomy) | 8high |
 Ju (2018) [49] | SR | GPs’ perspectives on the prevention of cardiovascular disease. | > 1223 GPs | Not reported | 34 studies: Qualitative | Thematic synthesis | 7.5mod |
Service provision | |||||||
 aMikat-Stevens (2015) [60] | SR | Primary care providers’ perceived barriers against provision of genetics services. | > 8494 PCPs (FPs, GPs, obs-gynae, paeds, advanced practice nurses, PAs) | USA (17), UK (6), Australia (4), Canada (4), Netherlands (3), Germany (1), New Zealand (1), Switzerland (1) | 38 studies: Qualitative and quantitative | Thematic synthesis | 7.5mod |
Collaborative practice | |||||||
 Schadewaldt (2013) [62] | SR | Views and experiences of nurse practitioners and medical practitioners with collaborative practice. | PCPs (1641 medical practitioners, 380 NPs) | USA (11), Canada (6), UK (6), Ireland (1), Netherlands (1), New Zealand (1), Sweden (1) | 30 articles reporting 27 studies: Qualitative and quantitative | Thematic synthesis | 5.5mod |