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Related Experiment Videos

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
PubMed
Summary
This summary is machine-generated.

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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.

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  • 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.