About this Medicine article
Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement by Michael D. Cabana; Cynthia S. Rand; Neil R. Powe; Albert W. Wu; Modena H. Wilson; Paul-André C. Abboud; Haya R. Rubin is a Medicine article available to read on EtoBox.
LINICAL PRACTICE GUIDElines are "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." 1 Their successful implementation should improve quality of care by decreasing inappropriate variation and expediting the application of effective advances to everyday practice. 2,3 Despite wide promulgation, guidelines have had limited effect on changing physician behavior. [4][5][6][7] In general, little is known about the process and factors responsible for how physicians change their practice methods when they become aware of a guideline. 8,9 Physician adherence to guidelines may be hindered by a variety of barriers. A theoretical approach can help explain these barriers and possibly help target interventions to specific barriers. In this article, we review barriers to physician adherence to practice guidelines. Such knowledge can help developers of guidelines, practice directors, and health care services researchers design effective interventions to change physician practice. METHODS ## Data Sources We conducted a systematic review of the literature to identify barriers to guideline adherence. We s
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- Author
- Michael D. Cabana; Cynthia S. Rand; Neil R. Powe; Albert W. Wu; Modena H. Wilson; Paul-André C. Abboud; Haya R. Rubin
- Publisher
- American Medical Association (AMA)
- Published
- 1999
- Language
- EN
- Field
- Medicine (Health Sciences)