Discrepancies exist between general practitioners' clinical work and a guidelines implementation programme

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7158.604 (Published 29 August 1998) Cite this as: BMJ 1998;317:604
  1. Toby Lipman, General practitioner
  1. Newcastle upon Tyne NE5 2LH

    EDITOR—Doctors need information on how to manage their patients' problems many times each day; one estimate was as high as three or four times per case.1 The problem of how to ensure that doctors base management on sound evidence has been widely debated in recent years. One approach is evidence based medicine, in which patients' problems are formulated into structured, answerable questions for which evidence is sought, found, appraised, and applied.2 Another is the implementation of evidence based guidelines, which expert groups …

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