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Why Don't Physicians Follow Clinical Practice Guidelines?

JAMA · 1999 · Vol. 282(15) · pp. 1458–1458
Michael D. CabanaCynthia S. RandNeil R. PoweAlbert W. WuModena WilsonPaul-André C. AbboudHaya R. Rubin

Abstract

Studies on improving physician guideline adherence may not be generalizable, since barriers in one setting may not be present in another. Our review offers a differential diagnosis for why physicians do not follow practice guidelines, as well as a rational approach toward improving guideline adherence and a framework for future research.

Clinical practice guidelines implementationPrimary Care and Health OutcomesPatient-Provider Communication in HealthcareMedicineMEDLINEGuidelineFamily medicineClinical PracticePublic healthNursingPathology

MeSH terms

Attitude of Health PersonnelData CollectionHealth Knowledge, Attitudes, PracticePractice Patterns, Physicians'United StatesPractice Guidelines as TopicGuideline Adherence
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References
Stages and processes of self-change of smoking: Toward an integrative model of change.
Journal of Consulting and Clinical Psychology · 1983 · 8,577 citations
Social Foundations of Thought and Action : A Social Cognitive Theory
Medical Entomology and Zoology · 1985 · 19,075 citations
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