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Guidelines, protocols and outcomes.

A F Long1

  • 1Nuffield Institute for Health, University of Leeds, UK.

International Journal of Health Care Quality Assurance
|December 9, 1993
PubMed
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Clinical guidelines are advocated to improve healthcare outcomes. This discussion explores practitioner behavior change and the integration of research evidence into clinical practice and purchasing decisions.

Area of Science:

  • Health Services Research
  • Evidence-Based Practice
  • Clinical Decision-Making

Background:

  • Clinical guidelines are increasingly promoted to standardize and improve healthcare.
  • There is a need to understand the multifaceted perspectives of users, clinicians, and purchasers regarding healthcare outcomes.
  • The adoption of research evidence into routine practice remains a significant challenge.

Purpose of the Study:

  • To examine the agenda for healthcare outcomes.
  • To analyze the implications of clinical guidelines from purchasing, providing, user, and clinical viewpoints.
  • To debate the likelihood of practitioners altering behavior based on research evidence.

Main Methods:

  • Literature review and synthesis of existing research on clinical guidelines and behavior change.

Related Experiment Videos

  • Discussion of theoretical frameworks related to evidence adoption.
  • Analysis of stakeholder perspectives on healthcare outcomes.
  • Main Results:

    • The implementation of clinical guidelines requires addressing diverse stakeholder needs and perspectives.
    • Practitioner behavior change is influenced by various factors beyond the availability of research evidence.
    • Aligning purchasing and providing agendas with clinical and user perspectives is crucial for effective outcomes.

    Conclusions:

    • Successful implementation of clinical guidelines necessitates a comprehensive approach considering all stakeholders.
    • Facilitating behavior change among practitioners requires targeted strategies beyond simply disseminating research findings.
    • A unified agenda for healthcare outcomes is essential for maximizing the impact of clinical guidelines.