Document Detail

When guidelines need guidance: considerations and strategies for improving the adoption of chronic disease evidence by general practitioners.
MedLine Citation:
PMID:  20367709     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This paper provides a review of key issues affecting the uptake of clinical guidelines by general practitioners (GPs) in Australia and internationally. Attention is given to the barriers that affect guideline uptake, the quality of guidelines and the dissemination of guidelines to GPs in practice settings. METHOD: A comprehensive cross-disciplinary literature review of peer-reviewed journals was conducted between January and April 2008. The literature review was undertaken by three independent researchers from diverse disciplinary backgrounds. The review focused on studies that explored the barriers and issues associated with the use of guidelines in general practice and suggestions for more effective use. RESULTS: Pathways for clinicians to evaluate and use guidelines are still not clear. The majority of contemporary literature promotes linear 'uptake' and 'accessibility' models for clinical guidelines that may not attend to more complex issues associated with GPs' ways of practising on a daily basis. There are also few clear guidelines for GPs on how to 'adapt' guidelines for local and individual patient circumstances. CONCLUSIONS: Peak organizations such as General Practice Queensland in Australia can have a significant role in helping GPs to evaluate and use clinical guidelines. The suggested approach emphasizes the need for such peak bodies to promote respect for practitioner experience, interpretation and patient insight.
Elizabeth Kendall; Naomi Sunderland; Heidi Muenchberger; Kylie Armstrong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of evaluation in clinical practice     Volume:  15     ISSN:  1365-2753     ISO Abbreviation:  J Eval Clin Pract     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609066     Medline TA:  J Eval Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  1082-90     Citation Subset:  IM    
Centre of National Research on Disability and Rehabilitation, Griffith Institute of Health & Medical Research, Griffith University, Meadowbrook, Queensland, Australia.
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MeSH Terms
Attitude of Health Personnel*
Chronic Disease
Evidence-Based Medicine*
Guideline Adherence*
Physicians, Family / psychology*
Practice Guidelines as Topic / standards*
Review Literature as Topic

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

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