Use and Perceptions of Clinical Practice Guidelines by Internal Medicine Physicians

Center for Clinical and Genetic Economics, Duke Clinical Research Institute, NC 27715, USA.
American Journal of Medical Quality (Impact Factor: 1.25). 05/2007; 22(3):170-6. DOI: 10.1177/1062860607300291
Source: PubMed


The authors sought to explore the use and perceptions of clinical practice guidelines among internal medicine physicians. Through a Web-based survey, 201 board-certified internal medicine physicians rated their opinions on several statements using 7-point Likert scales. Most respondents (74.7%) felt that guidelines were suitable for at least half of their patients, although a failure to take comorbid conditions into account was a frequently cited barrier. For patients with cardiovascular disease, there was no difference between individual internists' perceptions of their own compliance with guidelines and their estimates of cardiologists' compliance (P = .14). A large majority of respondents (70.7%) believed that guideline committee member participation in industry-funded research introduces bias into guideline content (median [interquartile range], 5 [4-6]). Although most respondents felt that measuring physicians against guideline-based performance measures encourages evidence-based medicine (76.5%), opinions were split as to whether this practice distracts from patient care or compromises physician autonomy.

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    • "Although numerous guidelines exist for prevention of CVD, risk factor control remains sub-optimal in high-risk patients and in those with established CVD [1]. Physician adherence to guidelines for prevention of CVD in general has been less than optimal [2], [3]. Moreover, published literature has demonstrated a ‘discrepancy between intentions and practise’ in the treatment of hypertension and have highlighted the physicians’ difficulty in following the complex clinical guidelines [4]. "
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    Full-text · Article · Oct 2012 · PLoS ONE
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    • "In fact, physicians see guidelines and other initiatives based on experimental medicine as appropriate and clearly consistent with the intended nature of practice (Malacco et al., 2005; Shea, DePuy, Allen, &Weinfurt, 2007). In one survey, only 3% of family practice physicians disagreed in principle with evidence-or guideline-based practice and indicated resistance to such practice (Wolfe, Sharp, & Wang, 2004). "
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    Full-text · Article · Jan 2009 · Psychological Science in the Public Interest
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    • "In fact, physicians see guidelines and other initiatives based on experimental medicine as appropriate and clearly consistent with the intended nature of practice (Malacco et al., 2005; Shea, DePuy, Allen, & Weinfurt, 2007). In one survey, only 3% of family practice physicians disagreed in principle with evidence-or guideline-based practice and indicated resistance to such practice (Wolfe, Sharp, & Wang, 2004). "

    Preview · Article · Nov 2008 · Psychological Science in the Public Interest
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