Successes and Failures in the Implementation of Evidence-Based Guidelines for Clinical Practice
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TL;DR
Experiences with more than 10 years of development and dissemination of clinical guidelines for family medicine in the Netherlands show a multifaceted approach with written and personal approaches seems to be effective in the dissemination of guidelines.
Abstract
A program to implement a guideline should be well designed, well prepared, and preferably pilot tested before use. Such a program should be built into the normal channels and structures for improving care. More research into the details of implementation is needed to better understand the critical determinants of change in practice.
