Specialists' expectations regarding joint treatment guidelines for primary and secondary care.
Objective: To identify factors that may hinder or facilitate specialists' use of joint treatment guidelines for primary and secondary care.Design: Qualitative study using focus group discussions based on a topic guide with open-ended questions.Main Outcome Measures: Themes identified by two research...
| Published in: | International Journal for Quality in Health Care Vol. 14; no. 6; pp. 509 - 519 |
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| Main Authors: | , , |
| Format: | research Journal Article |
| Published: |
Oxford University Press / USA
Dec2002
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104730522&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104730522 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13534505 N5L jtl: International Journal for Quality in Health Care issn: 13534505 maglogo: N pubinfo: dt: Dec2002 vid: 14 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104730522 104730522 NLM12515337 2011088368 NLM12515337 104730522 ppf: 509 ppct: 10 formats: tig: atl: Specialists' expectations regarding joint treatment guidelines for primary and secondary care. aug: au: Kasje, W N Denig, P Haaijer-Ruskamp, F M affil: Department of Clinical Pharmacology, Faculty of Medical Sciences, University of Groningen, The Netherlands. W.N.Kasje@med.rug.nl sug: subj: Attitude of Health Personnel Guideline Adherence Statistics and Numerical Data Medical Staff, Hospital Psychosocial Factors Medicine Standards Practice Guidelines Specialization Adult Cardiology Standards Continuity of Patient Care Family Practice Standards Focus Groups Internal Medicine Standards Human Interprofessional Relations Male Middle Age Netherlands Organizational Culture Physician Incentive Plans Adult: 19-44 years Middle Aged: 45-64 years Male ab: Objective: To identify factors that may hinder or facilitate specialists' use of joint treatment guidelines for primary and secondary care.Design: Qualitative study using focus group discussions based on a topic guide with open-ended questions.Main Outcome Measures: Themes identified by two researchers that specify the specialists' views on the use and implementation of treatment guidelines in general, and transmural guidelines in particular.Setting: Departments of Cardiology and Internal Medicine in three Dutch hospitals.Study Participants: Ten general internists, 11 cardiologists, and six gastroenterologists participating in seven group discussions.Results: Specialists did not perceive the treatment guidelines as useful for their own field of expertise, but expected that joint guidelines might improve integration between primary and secondary care. Furthermore, the guidelines could be useful for areas outside their expertise, for specialists in training, and for general practitioners. Concerns were expressed regarding their content and development process. In addition, specialists feared negative consequences, such as loss of autonomy, extra administrative workload, and organizational and financial barriers such as loss of industry-sponsored research and conferences.Conclusion: Specialists are not very motivated to use the guidelines themselves. This is a major obstacle that should be addressed in an implementation programme. Furthermore, negative outcomes at the organizational and financial levels must be minimized or compensated for. A joint implementation programme seems worthwhile, making use of the advantage seen by specialists in making agreements with general practitioners. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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