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Related Experiment Videos

Evolution of physicians' attitudes towards practice guidelines.

R Grilli1, R Trisolini, R Labianca

  • 1Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.

Journal of Health Services Research & Policy
|January 6, 2000
PubMed
Summary

Physicians increasingly accept empirical evidence and broader input for practice guidelines. This shift reflects a growing acknowledgment of data-driven approaches and collaborative development in healthcare.

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Area of Science:

  • Medical Practice
  • Health Policy
  • Evidence-Based Medicine

Background:

  • Physicians' perspectives on practice guidelines are crucial for their adoption and effectiveness.
  • Understanding shifts in these attitudes over time can inform guideline development processes.
  • Previous attitudes may have favored subjective experience over empirical data.

Purpose of the Study:

  • To evaluate changes in physician attitudes regarding practice guidelines.
  • To assess evolving views on the role of empirical evidence in guideline creation.
  • To examine shifts in the perceived goals and inclusivity of practice guideline development.

Main Methods:

  • A comparative analysis of two surveys conducted in 1993 and 1997.
  • Utilized a consistent random sample from two Italian medical specialty societies.

Related Experiment Videos

  • Physicians responded to questionnaires on guideline goals, decision-making influence, and evidence basis.

    • Main Results:

    • Increased acceptance of cost containment as a guideline goal (26% to 40%).
    • Greater support for empirical evidence over clinical experience (43% to 57%).
    • Higher endorsement for including consumers, patient representatives, and administrators in development.

    Conclusions:

    • Physicians show a greater recognition of empirical evidence in guideline development.
    • There is an increased openness to dialogue with non-medical professionals and patient groups.
    • These changes indicate an evolution towards more inclusive and evidence-based practice guidelines.