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Implementing clinical practice guidelines: social influence strategies and practitioner behavior change.

B S Mittman1, X Tonesk, P D Jacobson

  • 1Health Sciences Program, RAND, Santa Monica, CA 90407-2138.

QRB. Quality Review Bulletin
|December 1, 1992
PubMed
Summary

Implementing clinical practice guidelines effectively requires understanding social influences on healthcare practitioners. This article outlines strategies to bridge the gap between guideline development and actual practice changes for improved patient care.

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Area of Science:

  • Health Services Research
  • Medical Quality Improvement
  • Behavioral Science in Medicine

Background:

  • Clinical practice guidelines aim to standardize care and enhance patient outcomes.
  • Despite advancements in guideline development, their translation into clinical practice remains a significant challenge.
  • Physician resistance and a lack of understanding contribute to implementation difficulties.

Purpose of the Study:

  • To explore strategies for effective implementation of clinical practice guidelines.
  • To analyze the role of social influences on healthcare practitioner behavior in guideline adoption.
  • To guide the selection and combination of strategies for improving healthcare quality.

Main Methods:

  • Review of existing literature on guideline implementation.

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  • Analysis of social influence theories impacting healthcare professionals.
  • Examination of practical strategies for guideline adoption in diverse clinical settings.

    • Main Results:

    • Guideline implementation is complex and influenced by multiple social factors.
    • A range of strategies, tailored to specific contexts, can enhance guideline uptake.
    • Understanding practitioner behavior is key to overcoming implementation barriers.

    Conclusions:

    • Effective guideline implementation necessitates a focus on social influences and practitioner behavior.
    • Strategic selection and application of interventions are crucial for successful practice change.
    • Further research is needed to optimize strategies for improving healthcare quality through guideline adoption.