ArticleInternational journal of general medicine2021
Barriers to Clinical Practice Guideline Implementation Among Physicians: A Physician Survey.
Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.
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Who cites it
62 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Nutrition Recommendations for People Living After Cancer: A Systematic Review and Critical Appraisal of Clinical Practice Guidelines.Nutrients · 2026Pooled it
- The impact of a digital guideline version on schizophrenia guideline knowledge: results from a multicenter cluster-randomized controlled trial.BMC medicine · 2024Trial
- Level of Evidence and Strength of Recommendations in US Medical Society Clinical Practice Guidelines, 2019-2023: A Cross-Sectional Analysis.Journal of general internal medicine · 2026Article
- Benchmarking large language models for question answering on German clinical practice guidelines.BMJ health & care informatics · 2026Article
- Challenges implementing treatment guidelines in electronic health records: the American Diabetes Association Standards of Care as a case example.JAMIA open · 2026Article
- A longitudinal analysis of published clinical practice guidelines and their effect on disease burden.Nature communications · 2026Article
- From guidelines to practice: general practitioners' consensus on indicators for managing selected multimorbidity in primary care in Western Australia.Family practice · 2026Article
- Article
- The landscape of lung cancer screening globally: a comparison of established programs and estimates of eligibility to participate.The Lancet regional health. Western Pacific · 2026Review
- Omission and hallucination prevalence of clinical guidelines in diagnostic large language model outputs.BMJ health & care informatics · 2026Article
- Closing the Guideline Gap: AI and the Rise of Living Cardiovascular Recommendations.JACC. Advances · 2026Article
- Implementation of Reference Framework for Preventive Care for Older Adults: Cross-sectional Qualitative Study.Journal of medical Internet research · 2026Article
- Evaluating Retrieval Augmented Generation-enhanced Large Language Models for Question Answering On German Neurovascular Guidelines.Clinical neuroradiology · 2026Article
- Clinical practice guidelines in fibromyalgia. Physiotherapists' adherence in Denmark: a cross-sectional web-based survey study.Rheumatology international · 2026Article
- Deep learning in the early diagnosis of acute aortic dissection.Frontiers in cardiovascular medicine · 2026Review
- Assessing Clinical Inertia on Implementing Clinical Guideline Recommendations in Patients with Type 2 Diabetes: A Clinician Survey Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Clinical outcomes in hospitalized patients with community-acquired pneumonia: A comprehensive analysis of associated factors.PloS one · 2026Article
- Article
- Appropriateness of empiric antibiotic therapy for community-acquired pneumonia: A multicenter cross-sectional study.Exploratory research in clinical and social pharmacy · 2025Article
- Behavioral Profiles and Sociodemographic Predictors of Planetary Health Diet Engagement Among Health Care Professionals to Inform Public Health Promotion: Cross-Sectional Study.JMIR public health and surveillance · 2025Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionClinical practice guidelines can help physicians provide evidence-based, standardized clinical decisions. We aimed to assess physician attitudes toward and barriers to guideline adherence.
methodsWe conducted a single center, cross-sectional, survey-based study. Physicians from many specialties participated in the study. All outcomes were measured using a validated survey tool. The primary outcome of interest was barriers to guideline adherence. Secondary outcomes included general attitudes toward guidelines and factors that could improve adherence to guidelines. Outcomes were measured by the survey tool. All outcomes were reported on a 5-point Likert scale.
resultsThe email survey was received by 1819 physicians with 400 responders (22% response rate). About 50% (n=200) were in practice for >5 years, while 27% (n=107) were still in training. Trainees were less likely to understand the process of guideline development (RR= 0.76 [0.65-0.88], p=0.0017), to have input in guideline development (RR= 0.52 [0.41-0.65], p<0.0001), and to report up-to-date knowledge in practice guidelines (RR=0.53 [0.30-0.73], p=0.0002). Three factors were identified as major barriers to guideline adherence: complexity of guideline documents (61%, n=240), high number of weak or conditional recommendations (62%, n=245), and time constraints due to clinical responsibilities (65%, n=255). Factors that would improve guideline adherence included access to relevant guidelines at the point of care (87%), improved focus on guidelines during training (82%), and transparency on physician commercial affiliation (62%).
conclusionImproved focus on guidelines during training and access to relevant guidelines at the point of care may be important to improve adherence to guidelines.
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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.