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US family physicians' experiences with practice guidelines
M Wolff1, D J Bower, A M Marbella
1Department of Family and Community Medicine, Medical College of Wisconsin, USA. mwolff@mcw.edu
Family Medicine
|March 12, 1998
Summary
Family physicians desire adaptable, concise practice guidelines. Integrating them into electronic medical records and considering generalist needs can improve adoption and use.
Area of Science:
- Medical Practice
- Health Services Research
Background:
- Practice guidelines aim to enhance medical outcomes and cost-effectiveness.
- Family physicians' experiences are vital for guideline development and implementation.
- Understanding physician perspectives is key to guideline adoption.
Purpose of the Study:
- To survey US family physicians on factors influencing practice guideline adoption and use.
- To identify physician preferences for guideline format and accessibility.
Main Methods:
- A structured survey was mailed to a national random sample of 400 family physicians.
- The survey targeted members of the American Academy of Family Physicians.
Main Results:
- A 51% response rate was achieved.
- 69% had positive attitudes toward guidelines, but only 44% used them.
- Physicians preferred modifiable (87%), short (≤2 pages) guidelines, with 43% finding electronic integration useful.
Conclusions:
- Future guideline development must incorporate a generalist perspective for practicing family physicians.
- Younger physicians demonstrated more positive attitudes toward practice guidelines.
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