ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
Characteristics of effective clinical guidelines for general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 5 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
53 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Printed educational materials: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2020Pooled it
- Pharmacological treatment of depression: A systematic review comparing clinical practice guideline recommendations.PloS one · 2020Pooled it
- Printed educational materials: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2012Pooled it
- Interventions for promoting information and communication technologies adoption in healthcare professionals.The Cochrane database of systematic reviews · 2009Pooled it
- Factors influencing the implementation of clinical guidelines for health care professionals: a systematic meta-review.BMC medical informatics and decision making · 2008Pooled it
- Effect of audit and feedback with peer review on general practitioners' prescribing and test ordering performance: a cluster-randomized controlled trial.BMC family practice · 2017Trial
- A Multifaceted Strategy to Implement Brief Smoking Cessation Counseling During Antenatal Care in Argentina and Uruguay: A Cluster Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016Trial
- Supervised versus non-supervised implementation of an oral health care guideline in (residential) care homes: a cluster randomized controlled clinical trial.BMC oral health · 2010Trial
- European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) steatotic liver disease special interest group position paper on screening, diagnosis and investigation of paediatric metabolic dysfunction-associated steatotic liver disease.Journal of pediatric gastroenterology and nutrition · 2026Article
- Diagnostic approach and management of patients with headache in Danish chiropractic practice.Chiropractic & manual therapies · 2026Article
- A scoping review of evidence-based guidance and guidelines published by general practice professional organizations.Family practice · 2024Article
- Documentary analysis of national and international guidance for community clinicians referring patients with suspected chronic limb-threatening ischaemia.BMJ open quality · 2024Article
- GP preferences for, access to, and use of evidence in clinical practice: a mixed-methods study.BJGP open · 2023Article
- Assessment of Saudi Physicians and Physical Therapists' Adherence to the Updated Clinical Practice Guideline for Benign Paroxysmal Positional Vertigo: A Cross-Sectional Study.International archives of otorhinolaryngology · 2023Article
- Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries.BMC family practice · 2021Article
- A scoping review protocol of evidence-based guidance and guidelines published by general practitioner professional organisations.HRB open research · 2021Article
- A study of guidelines for respiratory tract infections and their references from Swedish GPs: a qualitative analysis.Scandinavian journal of primary health care · 2020Article
- Effectiveness of an audit programme for dyslipidaemia management in a primary care setting in Macau: a quality improvement study.Family medicine and community health · 2020Article
- Adaptation of a Guide to Equip Employers to Manage the Gradual Return to Work of Individuals with a Musculoskeletal Disorder.Journal of occupational rehabilitation · 2019Article
- Practice Patterns after the Therapeutic Hypothermia After Pediatric Cardiac Arrest Out-of-Hospital Trial: A Survey of Pediatric Critical Care Physicians.Journal of pediatric intensive care · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of clinical guidelines in general practice is often limited. Research on barriers to guideline adherence usually focuses on attitudinal factors. Factors linked to the guideline itself are much less studied.
aimTo identify characteristics of effective clinical guidelines for general practice, and to explore whether these differ between therapeutic and diagnostic recommendations. DESIGN OF STUDY: Analysis of performance data from an audit study of 200 general practitioners (GPs) in The Netherlands conducted in 1997.
settingPanel of 12 GPs in The Netherlands who were familiar with guideline methodology.
methodA set of 12 attributes, including six potential facilitators and six potential barriers to guideline use, was formulated. The panel assessed the presence of these attributes in 96 guideline recommendations formulated by the Dutch College of General Practitioners. The attributes of recommendations with high compliance rates (70% to 100%) were compared with those with low compliance rates (0% to 60%).
resultsRecommendations with high compliance rates were to a lesser extent those requiring new skills (7% compared with 22% in recommendations with low compliance rates), were less often part of a complex decision tree (12% versus 25%), were more compatible with existing norms and values in practice (87% versus 76%), and more often supported with evidence (47% versus 31%). For diagnostic recommendations, the ease of applying them and the potential (negative) reactions of patients were more relevant than for therapeutic recommendations.
conclusionTo bridge the gap between research and practice, the evidence as well as the applicability should be considered when formulating recommendations. If the recommendations are not compatible with existing norms and values, not easy to follow or require new knowledge and skills, appropriate implementation strategies should be designed to ensure change in daily practice.
Indexed as
Identifiers
12569898PMC1314503What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.