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COMMENTS & OPINIONS
Nonadherence to Guidelines
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The article published by Linder et al1 brought again to our attention an interesting finding: a 66% rate of nonadherence to guidelines. This problem is beyond pharyngitis and strep throat. The literature is rich in examples of nonadherence to guidelines across different specialties (eg, antiemetic guidelines2 and percutaneous transluminal coronary angioplasty guidelines3).
Why do physicians not follow guidelines? According to Cabana et al,4 the following different factors contribute to this fact: awareness, familiarity, agreement, self-efficacy, outcome expectancy, ability to overcome the inertia of previous practice, and absence of external barriers to perform recommendations. James et al5 added patient-specific factors (finances, quality of life, and location of care).
Guidelines are updated and published continuously. Staying up to date requires a certain effort and adopting an efficient strategy to search the literature and hunt for the evidence. Publishing guidelines is important, but emphasis should be on promoting them and applying them. . . . [Full Text of this Article]
AUTHOR INFORMATION
Jihad Irani, MD
RELATED ARTICLE
Evaluation and Treatment of Pharyngitis in Primary Care Practice: The Difference Between Guidelines Is Largely Academic
Jeffrey A. Linder, Joseph C. Chan, and David W. Bates
Arch Intern Med. 2006;166(13):1374-1379.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Guidelines in real life. Why are they not always enforced?
Antunes
Eur. J. Cardiothorac. Surg. 2008;34:935-936.
FULL TEXT
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