In reply: We thank Sturmberg and Martin1 for their thoughtful comments on our MJA research letter,2 which highlight the potential for an overly reductionist approach when using big data to examine the implementation of guidelines in real world general practice. As they note, there are many nuances and assumptions inherent in using general practitioner electronic medical record data and we agree that this does not provide a holistic account of the complex care practices that are jointly negotiated between care provider and patient.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
No relevant disclosures.