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Related Experiment Videos

A model for adapting clinical guidelines for electronic implementation in primary care

D F Lobach1

  • 1Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina, USA.

Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1995
PubMed
Summary

Implementing clinical guidelines electronically requires clinician agreement. This study presents a consensus-building model, involving surveys and opinion leaders, to ensure clinician support before electronic implementation, enhancing guideline adoption.

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Area of Science:

  • Medical Informatics
  • Health Services Research

Background:

  • A gap exists between clinical guideline development and utilization.
  • Clinician agreement with guidelines is crucial for effective implementation.
  • Electronic implementation requires pre-implementation clinician support.

Purpose of the Study:

  • To present a model process for building clinician consensus on guidelines before electronic implementation.
  • To facilitate the adoption and compliance of electronic clinical guidelines.

Main Methods:

  • A model process involving specialist presentation, iterative opinion surveying, guideline revision, and opinion leader supervision.
  • Utilizing a practice opinion leader to facilitate consensus building.
  • Conducting final group discussions for consensus.

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Main Results:

  • The model was successfully applied to adapt diabetes mellitus continuing care guidelines.
  • Electronic implementation of adapted guidelines achieved broad support from primary care clinicians.
  • The approach minimized lengthy group discussions by focusing on individual attitudes and opinion leaders.

Conclusions:

  • An efficient consensus-building model can secure practitioner support for guidelines.
  • Facilitating clinician agreement enhances electronic guideline implementation and compliance.
  • This model supports the effective integration of clinical guidelines into practice.