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Physicians' attitudes towards treatment guidelines: differences between teaching and nonteaching hospitals
Jacoba P Greving1, Petra Denig, Dick de Zeeuw
1Department of Clinical Pharmacology, University Medical Center Groningen, A Deusinglaan 1, 9713 AV, Groningen, The Netherlands. j.p.greving@med.umcg.nl
European Journal of Clinical Pharmacology
|January 4, 2006
Summary
Physicians in nonteaching hospitals had less positive attitudes toward treatment guidelines than those in teaching hospitals. These differing views on guideline usefulness persisted over four years, impacting implementation strategies.
Area of Science:
- Medical Practice
- Healthcare Management
Background:
- Treatment guidelines are crucial for standardizing care.
- Understanding physician attitudes is key to successful guideline implementation.
Purpose of the Study:
- To compare physician attitudes towards treatment guidelines in teaching versus nonteaching hospitals.
- To assess changes in these attitudes before and after guideline introduction.
Main Methods:
- Self-administered questionnaires were used to survey internists and cardiologists.
- Data were collected at two time points: pre-guideline and four years post-guideline.
Main Results:
- Nonteaching hospital physicians viewed guidelines as too restrictive and rigid.
- Teaching hospital physicians found guidelines useful for drug recommendations and communication.
- Negative attitudes towards guideline usefulness increased in both settings over time.
Conclusions:
- Nonteaching hospitals showed less positive attitudes towards joint treatment guidelines.
- Findings from teaching hospitals regarding guideline implementation may not apply to nonteaching settings.