Physicians' views on joint treatment guidelines for primary and secondary care.
Objective: Joint drug formularies and treatment guidelines have been developed to reduce problems arising at the interface between primary and secondary care. The aim is to compare the willingness of hospital specialists and general practitioners to use joint treatment guidelines, and to determine t...
| Publicado en: | International Journal for Quality in Health Care Vol. 16; no. 3; pp. 229 - 237 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
June,2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104738973&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104738973 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: June,2004 vid: 16 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104738973 104738973 NLM15150154 2011096932 NLM15150154 104738973 ppf: 229 ppct: 8 formats: tig: atl: Physicians' views on joint treatment guidelines for primary and secondary care. aug: au: Kasje, W N Denig, P De Graeff, P A Haaijer-Ruskamp, F M affil: Department of Internal Medicine, University Hospital Groningen, Groningen, the Netherlands. sug: subj: Attitude of Health Personnel Practice Guidelines Primary Health Care Administration Referral and Consultation Administration Continuity of Patient Care Prescriptions, Drug Health Services Research Human Netherlands Primary Health Care Standards Questionnaires Referral and Consultation Standards ab: Objective: Joint drug formularies and treatment guidelines have been developed to reduce problems arising at the interface between primary and secondary care. The aim is to compare the willingness of hospital specialists and general practitioners to use joint treatment guidelines, and to determine the most relevant barriers and facilitators.Study Design: A structured survey, consisting of questions about the use of guidelines and formularies in general, and possible barriers and facilitators for using a specific joint guideline. These specific guidelines concerned the treatment of hypertension, heart failure, or diabetes mellitus.Setting and Study Participants: One hundred and ninety-seven general practitioners and 34 general internists and cardiologists from the north of the Netherlands.Results: Most hospital specialists relied for their prescribing on international guidelines and agreements within their own department, while general practitioners relied more on national and regional guidelines. General practitioners were more supportive than specialists of the initiative to develop joint treatment guidelines, although both groups had concerns regarding the development process. An important barrier for specialists was that they did not perceive a need for these guidelines. As enabling factors, physicians stated that these joint guidelines can lead to harmonization between specialists and general practitioners, and that they can be useful as an educational tool.Conclusion: Specialists are less ready to adopt joint treatment guidelines than general practitioners, indicating the need for a different approach to implement such guidelines in the two sectors. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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