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

    Article - En anglais

    Objective 

    To determine which attributes of clinical practice guidelines influence the use of guidelines in decision making in clinical practice.

    Design 

    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.

    Setting 

    General practice in the Netherlands.

    Subjects 

    61 general practitioners who made 12 880 decisions in their contacts with patients.

    Main outcome measures 

    Compliance of decisions with clinical guidelines according to the attribute of the guideline.

    Results 

    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)). (...)

    Mots-clés Pascal : Médecine générale, Condition observation, Critère décision, Guide pratique, Organisation information, Attribution, Application médicale, Recommandation, Homme, Pays Bas, Europe, Organisation santé

    Mots-clés Pascal anglais : Internal medicine, Observational condition, Decision criterion, Handbook, Information organization, Attribution, Medical application, Recommendation, Human, Netherlands, Europe, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0458039

    Code Inist : 002B30A09. Création : 25/01/1999.