Use and perceptions of clinical practice guidelines by internal medicine physicians.

Journal Article

The authors sought to explore the use and perceptions of clinical practice guidelines among internal medicine physicians. Through a Web-based survey, 201 board-certified internal medicine physicians rated their opinions on several statements using 7-point Likert scales. Most respondents (74.7%) felt that guidelines were suitable for at least half of their patients, although a failure to take comorbid conditions into account was a frequently cited barrier. For patients with cardiovascular disease, there was no difference between individual internists' perceptions of their own compliance with guidelines and their estimates of cardiologists' compliance (P = .14). A large majority of respondents (70.7%) believed that guideline committee member participation in industry-funded research introduces bias into guideline content (median [interquartile range], 5 [4-6]). Although most respondents felt that measuring physicians against guideline-based performance measures encourages evidence-based medicine (76.5%), opinions were split as to whether this practice distracts from patient care or compromises physician autonomy.

Full Text

Duke Authors

Cited Authors

  • Shea, AM; DePuy, V; Allen, JM; Weinfurt, KP

Published Date

  • May 2007

Published In

Volume / Issue

  • 22 / 3

Start / End Page

  • 170 - 176

PubMed ID

  • 17485558

Pubmed Central ID

  • 17485558

International Standard Serial Number (ISSN)

  • 1062-8606

Digital Object Identifier (DOI)

  • 10.1177/1062860607300291

Language

  • eng

Conference Location

  • United States