Effective guidelines take implementation into account
The increase in the number of published clinical guidelines has
stimulated debate about their value. On p 858 Grol et al report the
results of an observational study to determine which attributes of
clinical guidelines are related to their use in decision making in
general practice. Compliance with 47 specific recommendations for
general practice was studied for over 12 000 decisions made by 61 general practitioners. Recommendations that were controversial, were
not precisely defined, or demanded a change of fixed routines were less
used.
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- Attributes of clinical guidelines that influence use of guidelines in general practice: observational study
- Richard Grol, Johannes Dalhuijsen, Siep Thomas, Cees in 't Veld, Guy Rutten, and Henk Mokkink
BMJ 1998 317: 858-861.[Abstract] [Full Text] [PDF]
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