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Clinicians' evaluations of, endorsements of, and intentions to use practice guidelines change over time: a retrospective analysis from an organized guideline program

Overview
Title:
Clinicians' evaluations of, endorsements of, and intentions to use practice guidelines change over time: a retrospective analysis from an organized guideline program
Authors:
Brouwers M, Hanna S, Abdel-Motagally M, Yee J
Journal:
Implement Sci
Publication date:
2009
Volume:
4
First page:
34
ISSN:
1748-5908
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/19558716?dopt=Citation
Link to full text:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2715368/?tool=pubmed
Publication type:
Journal
Abstract
Purpose Clinical practice guidelines (CPGs) can improve clinical care but uptake and application are inconsistent. Objectives were: to examine temporal trends in clinicians’ evaluations of, endorsements of, and intentions to use cancer CPGs developed by an established CPG program; and to evaluate how predictor variables (clinician characteristics, beliefs, and attitudes) are associated with these trends. Design and methods Between 1999 and 2005, 756 clinicians evaluated 84 Cancer Care Ontario CPGs, yielding 4,091 surveys that targeted four CPG quality domains (rigour, applicability, acceptability, and comparative value), clinicians’ endorsement levels, and clinicians’ intentions to use CPGs in practice. Results Time: In contrast to the applicability and intention to use in practice scores, there were small but statistically significant annual net gains in ratings for rigour, acceptability, comparative value, and CPG endorsement measures (p
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Clinicians' evaluations of, endorsements of, and intentions to use practice guidelines change over time: a retrospective analysis from an organized guideline program Brouwers M, Hanna S, Abdel-Motagally M, Yee J. Implement Sci 2009; 4:34.

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