tailieunhanh - Báo cáo y học: " Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners | BioMed Central Implementation Science Open Access Research article Why don t physicians adhere to guideline recommendations in practice An analysis of barriers among Dutch general practitioners Marjolein Lugtenberg 1 Judith M Zegers-van Schaick1 2 Gert P Westert1 3 and Jako S Burgers4 Address Scientific Centre for Transformation in Care and Welfare Tranzo Tilburg University PO Box 90153 5000 LE Tilburg The Netherlands 2Amphia hospital Department of Cardiology PO Box 90158 4800 RK Breda The Netherlands 3National Institute for Public Health and the Environment RIVM PO Box 1 3720 BA Bilthoven The Netherlands and 4Scientific Institute for Quality of Healthcare IQ Healthcare University Medical Centre St. Radboud PO Box 9101 6500 HB Nijmegen The Netherlands Email Marjolein Lugtenberg - Judith M Zegers-van Schaick - Gert P Westert - Jako S Burgers - Corresponding author Published 12 August 2009 Received 16 April 2009 Accepted 12 August 2009 Implementation Science 2009 4 54 doi 1748-5908-4-54 This article is available from http content 4 1 54 2009 Lugtenberg et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Despite wide distribution and promotion of clinical practice guidelines adherence among Dutch general practitioners GPs is not optimal. To improve adherence to guidelines an analysis of barriers to implementation is advocated. Because different recommendations within a guideline can have different barriers in this study we focus on key recommendations rather than guidelines as a whole and explore the barriers to implementation perceived by Dutch GPs. Methods A qualitative study using six focus