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Physicians' changing attitudes toward guidelines

J Inouye1, R Kristopatis, E Stone

  • 1Department of Health Services Research, Cedars-Sinai Health Systems, Los Angeles, Calif, USA.

Journal of General Internal Medicine
|June 5, 1998
PubMed
Summary
This summary is machine-generated.

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Physicians increasingly viewed clinical guidelines as cost-saving tools rather than quality enhancers over two years. This shift may hinder the adoption of essential practice guidelines in healthcare settings.

Area of Science:

  • Health Services Research
  • Medical Practice Management
  • Physician Attitudes

Background:

  • Managed care organizations face significant price competition.
  • Physician adoption of clinical guidelines is crucial for quality improvement.
  • Understanding physician perceptions of guidelines is vital for effective implementation.

Purpose of the Study:

  • To assess changes in primary care physicians' attitudes towards preventive care guidelines over a two-year period.
  • To investigate the influence of a competitive market on physician perceptions of clinical guidelines.

Main Methods:

  • Longitudinal analysis of individualized survey responses from 62 primary care physicians.
  • Study conducted at a Southern California managed care medical group.

Related Experiment Videos

  • Comparison of physician beliefs regarding guideline utilization for cost containment versus quality improvement between two survey points.

    • Main Results:

    • A significant increase in physicians believing guidelines were used for cost containment (71% to 92%, p < .005).
    • A significant decrease in physicians believing guidelines were used for quality improvement (85% to 67%, p < .008).
    • Perception shift occurred over the two-year study period.

    Conclusions:

    • Physician perceptions of clinical guidelines shifted towards cost containment and away from quality improvement.
    • This change in attitude may present a barrier to the successful adoption and implementation of practice guidelines.
    • Healthcare organizations should address physician perceptions to foster guideline adherence.