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[Use of clinical practice guidelines in medicine : what's new ?]

Oriane Aebischer1, Mathilde Rochat1, Marie Méan1

  • 1Service de médecine interne, Département de médecine, CHUV, 1011 Lausanne.

Revue Medicale Suisse
|November 23, 2017
PubMed

Insights

Clinical practice guidelines (CPGs) improve care but face low adherence due to accessibility issues. Informatics and new online platforms are key to enhancing CPG implementation and clinician engagement.

Area of Science:

  • Health Informatics
  • Clinical Practice Guidelines
  • Healthcare Quality Improvement

Background:

  • Clinical practice guidelines (CPGs) demonstrably improve patient outcomes, reducing mortality and hospital resource utilization.
  • Despite proven benefits, clinician adherence to CPGs is often suboptimal.
  • Barriers to adherence include lack of awareness, unfamiliarity, and limited applicability for diverse patient populations.

Purpose of the Study:

  • To address the challenge of low adherence to clinical practice guidelines.
  • To explore the role of informatics in improving CPG accessibility and implementation.
  • To introduce a new online platform for accessing Swiss CPGs.

Main Methods:

  • Review of existing literature on CPG adherence barriers and facilitators.
  • Analysis of the impact of accessibility and format on guideline utilization.
  • Introduction of an informatics-driven solution: an online platform for Swiss CPGs.

Main Results:

  • Low adherence to CPGs is linked to awareness, familiarity, and applicability challenges.
  • Informatics and improved accessibility are crucial for enhancing CPG implementation.
  • An online platform for Swiss CPGs has been developed and is now available.

Conclusions:

  • Improving CPG adherence requires addressing practical barriers through enhanced accessibility and format.
  • Informatics solutions, such as online platforms, are vital for the future development and implementation of CPGs.
  • The availability of a centralized online platform aims to improve clinician access to and utilization of Swiss CPGs.

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