Details

Autor(en) / Beteiligte

• Grol, R
• Dalhuijsen, J
• Thomas, S
• Veld, C
• Rutten, G
• Mokkink, H

Titel

Attributes of clinical guidelines that influence use of guidelines in general practice: observational study

Ist Teil von

• BMJ (Online), 1998-09, Vol.317 (7162), p.858

Auflage

International edition

Ort / Verlag

England: BMJ Publishing Group

Erscheinungsjahr

1998

Link zum Volltext

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• To determine which attributes of clinical practice guidelines influence the use of guidelines in decision making in clinical practice. Observational study relating the use of 47 different recommendations from 10 national clinical guidelines to 12 different attributes of clinical guidelines-for example, evidence based, controversial, concrete. General practice in the Netherlands. 61 general practitioners who made 12 880 decisions in their contacts with patients. Compliance of decisions with clinical guidelines according to the attribute of the guideline. Recommendations were followed in, on average, 61% (7915/12 880) of the decisions. Controversial recommendations were followed in 35% (886/2497) of decisions and non-controversial recommendations in 68% (7029/10 383) of decisions. Vague and non-specific recommendations were followed in 36% (826/2280) of decisions and clear recommendations in 67% (7089/10 600) of decisions. Recommendations that demanded a change in existing practice routines were followed in 44% (1278/2912) of decisions and those that did not in 67% (6637/9968) of decisions. Evidence based recommendations were used more than recommendations for practice that were not based on research evidence (71% (2745/3841) v 57% (5170/9039)). People and organisations setting evidence based clinical practice guidelines should take into account some of the other important attributes of effective recommendations for clinical practice.