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Improving adherence to cardiovascular guidelines: realistic transition from paper to patient

Dhruv Mahtta1, Fatima Rodriguez2, Hani Jneid3,4

  • 1Health Policy, Quality & Informatics Program, Michael E. DeBakey VA Medical Center Health Services Research & Development Center for Innovations, Houston, TX, USA.

Expert Review of Cardiovascular Therapy
|January 17, 2020
PubMed

Insights

Bridging the gap between cardiovascular guidelines and clinical practice requires addressing clinician barriers. Further research is needed to evaluate strategies for improving guideline adherence and patient outcomes.

Area of Science:

  • Cardiovascular Medicine
  • Evidence-Based Practice
  • Healthcare Guideline Implementation

Background:

  • Clinical trials are crucial for evidence-based medicine in cardiology.
  • A significant gap exists between guideline development and clinical practice implementation.
  • Adherence to cardiovascular guidelines remains a challenge.

Purpose of the Study:

  • To outline barriers impeding guideline adherence in cardiovascular medicine.
  • To discuss strategies for overcoming these implementation barriers.
  • To review the structured process of guideline implementation, including adoption, diffusion, and dissemination.

Main Methods:

  • Discussion of intrinsic and extrinsic barriers faced by clinicians.
  • Analysis of the structured process of guideline implementation.
  • Review of current and future elements of guideline diffusion and dissemination.

Main Results:

  • Guideline adherence is hindered by various clinician-related barriers.
  • Structured implementation processes involve adoption, diffusion, and dissemination phases.
  • Effective strategies for improving adherence require further investigation.

Conclusions:

  • Improving guideline adherence necessitates understanding and navigating multifaceted barriers.
  • More research is needed on the effectiveness of strategies for cardiovascular guidelines.
  • Cost-effectiveness of dissemination strategies for improving adherence and outcomes is largely unknown.

Keywords:
Adherencebarrierscardiovascular medicinediffusiondisseminationguidelinesimplementation

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