ArticleBMC health services research2018
Barriers and facilitators for guideline adherence in diagnostic imaging: an explorative study of GPs' and radiologists' perspectives.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact and effect of imaging referral guidelines on patients and radiology services: a systematic review.European radiology · 2025Pooled it
- Outcomes of guidelines from health technology assessment organizations in community-based primary care: a systematic mixed studies review.International journal of technology assessment in health care · 2024Pooled it
- Cultural bias in large language models' ability to follow neuroradiology guidelines.European radiology · 2026Article
- Adherence to Diagnostic Imaging Pathways for Patients Presenting to Emergency Departments With Undifferentiated Acute Abdominal Pain: Impact on Radiation Exposure and Multiple Imaging Testing.Journal of medical radiation sciences · 2026Article
- Patient Agency in Imaging: Radiologists' Insights.Public health challenges · 2025Article
- Effect of continuous professional development and clinical imaging guidelines on reducing inappropriate computerized tomography utilization among children and young patients in low resource settings: a before-and-after study.African health sciences · 2025Article
- Deep vein thrombosis in Ethiopia: a systematic review and meta-analysis, 2025.Thrombosis journal · 2025Review
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- Barriers to radiographers' use of radiation safety principles: A qualitative perspective.Journal of medical radiation sciences · 2024Article
- Appropriateness of exercise therapy delivery in chronic low back pain management: cross-sectional online survey of physiotherapy practice in Germany.BMC musculoskeletal disorders · 2024Article
- Impact of an online training tool on individual and organizational resilience and mindfulness among radiological personnel in Norway.BMC research notes · 2023Article
- Patients' requests for radiological imaging: A qualitative study on general practitioners' perspectives.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Factors contributing to healthcare professionals' adaptive capacity with hospital standardization: a scoping review.BMC health services research · 2023Article
- Assessing Adherence to Clinical Practice Guidelines Among Primary Care Physicians in Bahrain: A Cross-sectional Study.Oman medical journal · 2023Article
- Diverticulitis is a population health problem: Lessons and gaps in strategies to implement and improve contemporary care.World journal of gastrointestinal surgery · 2023Review
- Factors influencing adherence to clinical practice guidelines in patients with suspected chronic coronary syndrome: a qualitative interview study in the ambulatory care sector in Germany.BMC health services research · 2023Article
- Automated vetting of radiology referrals: exploring natural language processing and traditional machine learning approaches.Insights into imaging · 2022Article
- MRI in female pelvis: an ESUR/ESR survey.Insights into imaging · 2022Article
- GP strategies to avoid imaging overuse. A qualitative study in Norwegian general practice.Scandinavian journal of primary health care · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiagnostic imaging has been a part of medicine for the last century. It has been difficult to implement guidelines in this field, and unwarranted imaging has been a frequent problem. Some work has been done to explain these phenomena separately. Identifying the barriers to and facilitators of guideline use has been one strategy. The aim of this study is to offer a more comprehensive explanation of deviations from the guideline by studying the two phenomena together.
methodsEight general practitioners and 10 radiologists from two counties in Norway agreed to semi-structured interviews. Topics covered in the interviews were knowledge of the guideline, barriers to and facilitators of guideline use, implementation of guidelines and factors that influence unwarranted imaging.
resultsSeveral barriers to and facilitators of guideline use were identified. Among these are lack of time, pressure from patients, and guidelines being too long, rigid or unclear. Facilitators of guideline use were easy accessibility and having the guidelines adapted to the target group. Some of the factors that influence unwarranted imaging are lack of time, pressure from patients and availability of imaging services.
conclusionThere are similarities between the perceived barriers for guideline adherence and the perceived factors that influence unwarranted imaging. There may be a few reasons that explains the deviation from guidelines, and the amount of unwarranted imaging.
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