Perceived barriers to guideline adherence: A survey among general practitioners

摘要: Background: Despite considerable efforts to promote and support guideline use, adherence is often suboptimal. Barriers vary not only across guidelines but also recommendations within guidelines. The aim of this study was assess the perceived barriers among GPs by focusing on key Methods: We conducted a cross-sectional electronic survey 703 in Netherlands. Sixteen were derived from four national Six statements included address attitudes towards general. In addition, asked rate their (one statement) (fourteen statements) for each recommendations, based an existing framework. Results: 264 (38%) completed questionnaire. Although 35% reported difficulties changing routines habits follow guidelines, 89% believed that following leads improved patient care. Perceived varied between 52 95% (mean: 77%). most related external factors, particular ability behaviour 30%) preferences 23%). Lack applicability general 22%) more specifically individual patients 25%) frequently as barriers. scores differed largely [minimum range 14%; maximum 67%]. Conclusions: Dutch have positive attitude NHG report high rates low levels However, recommendations. are related, suggesting current do always adequately incorporate preferences, needs abilities. It may be useful provide tools such decision aids, supporting flexible use practice.