ArticleBMC family practice2011
Perceived barriers to guideline adherence: a survey among general practitioners.
Article in BMC family practice, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 2 of them syntheses that pooled it.
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Who cites it
100 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation of healthcare guidelines in public health: an umbrella review.BMC public health · 2026Pooled it
- Factors shaping the implementation and use of Clinical Cancer Decision Tools by GPs in primary care: a qualitative framework synthesis.BMJ open · 2021Pooled it
- Trial
- Effectiveness of a multifaceted implementation strategy compared to usual care on low back pain guideline adherence among general practitioners.BMC health services research · 2018Trial
- Cluster randomised trial on the effectiveness of a computerised prompt to refer (back) patients with type 2 diabetes.PloS one · 2018Trial
- A tailored intervention to implement guideline recommendations for elderly patients with depression in primary care: a pragmatic cluster randomised trial.Implementation science : IS · 2016Trial
- Exposure to and experiences with a computerized decision support intervention in primary care: results from a process evaluation.BMC family practice · 2015Trial
- Barriers for general practitioners in post-stroke follow-up within a fragmented healthcare system in Sweden - a focus group study.The European journal of general practice · 2026Article
- Understanding health care practitioners' criteria regarding the decision to treat men with premature ejaculation.Sexual medicine · 2026Article
- A longitudinal analysis of published clinical practice guidelines and their effect on disease burden.Nature communications · 2026Article
- Need to take action for hypertension: insights from primary care blood pressure practices in Greece.Journal of human hypertension · 2026Article
- Usability and Usefulness of Machine Learning-Based Clinical Decision Support Software in Primary Care: Survey of Users in a Prospective Observational Study.JMIR medical informatics · 2026Observational
- Adoption of the Reference Framework for Preventive Care for Older Adults: a study of primary care physicians.Family medicine and community health · 2026Article
- Self-reported adherence of ambulance nurses to acute chest pain guidelines in Southern Sweden: a cross-sectional study.BMJ open · 2026Article
- Nationwide survey of adherence to the Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024 in the initial management of sepsis.Journal of intensive care · 2025Article
- Importance, facilitators and barriers for finnish general practitioner involvement in clinical practice guideline panels: a survey.BMC primary care · 2025Article
- Perceptions of the usefulness of Choosing Wisely among general practitioners in Norway: a nationwide survey.BMC primary care · 2025Article
- [Use of long-acting triple therapy for chronic obstructive pulmonary disease (COPD) in practice: The ELETHON physicians' survey].Pneumologie (Stuttgart, Germany) · 2025Article
- Article
- Application of EUS or MRCP prior to ERCP in patients with suspected choledocholithiasis in clinical practice.Endoscopy international open · 2025Article
40 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite considerable efforts to promote and support guideline use, adherence is often suboptimal. Barriers to adherence vary not only across guidelines but also across recommendations within guidelines. The aim of this study was to assess the perceived barriers to guideline adherence among GPs by focusing on key recommendations within guidelines.
methodsWe conducted a cross-sectional electronic survey among 703 GPs in the Netherlands. Sixteen key recommendations were derived from four national guidelines. Six statements were included to address the attitudes towards guidelines in general. In addition, GPs were asked to rate their perceived adherence (one statement) and the perceived barriers (fourteen statements) for each of the key recommendations, based on an existing framework.
results264 GPs (38%) completed the questionnaire. Although 35% of the GPs reported difficulties in changing routines and habits to follow guidelines, 89% believed that following guidelines leads to improved patient care. Perceived adherence varied between 52 and 95% across recommendations (mean: 77%). The most perceived barriers were related to external factors, in particular patient ability and behaviour (mean: 30%) and patient preferences (mean: 23%). Lack of applicability of recommendations in general (mean: 22%) and more specifically to individual patients (mean: 25%) were also frequently perceived as barriers. The scores on perceived barriers differed largely between recommendations [minimum range 14%; maximum range 67%].
conclusionsDutch GPs have a positive attitude towards the NHG guidelines, report high adherence rates and low levels of perceived barriers. However, the perceived adherence and perceived barriers varied largely across recommendations. The most perceived barriers across recommendations are patient related, suggesting that current guidelines do not always adequately incorporate patient preferences, needs and abilities. It may be useful to provide tools such as decision aids, supporting the flexible use of guidelines to individual patients in practice.
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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.