Document Detail


Dissemination of guidelines: which sources do physicians use in order to be informed?
MedLine Citation:
PMID:  9690886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To gain insight into processes of dissemination of clinical guidelines, sources of information physicians use to become informed about them, and factors influencing these processes. DESIGN: National survey among a random sample of family physicians using a structured questionnaire. SETTING: Family practice in The Netherlands; evaluation of a national programme of (evidence based) practice guidelines. STUDY PARTICIPANTS: A random sample of 1531 family physicians. MAIN MEASURES: Being informed about national guidelines and specific recommendations from these guidelines; being informed about specific educational programmes on the national guidelines; sources of information used in order to be informed; doctor and practice characteristics. RESULTS: The response rate was 67%, the responders being younger than the non-responders. The scientific journal for family physicians proved to be the most important source of information (85%), discussing the guidelines in the local family doctor group was also important (53%). Following continuing medical education courses was less important (33%). On average 80% knew about the different guidelines and recommendations, 63% about the educational programmes. Doctors who use the scientific journal as a source, who are members of the professional organization of family doctors, who are younger and who are actively involved in education on family medicine, proved to be better informed. CONCLUSIONS: Segmentation of the target group is necessary for effective dissemination of guidelines or new research findings. For some doctors it is desirable to make evidence available quickly, for others spreading the guidelines through the local network may be effective, while for another group a more active, personal approach may be necessary.
Authors:
R Grol; A Zwaard; H Mokkink; J Dalhuijsen; A Casparie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua     Volume:  10     ISSN:  1353-4505     ISO Abbreviation:  Int J Qual Health Care     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-10-30     Completed Date:  1998-10-30     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9434628     Medline TA:  Int J Qual Health Care     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  135-40     Citation Subset:  IM    
Affiliation:
Centre for Quality of Care Research, University of Nijmegen, (WOK), The Netherlands. r.grol@hsv.kun.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Education, Medical, Continuing / statistics & numerical data*
Family Practice / education
Female
Humans
Information Services / statistics & numerical data,  utilization*
Male
Middle Aged
Netherlands
Practice Guidelines as Topic*
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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