Implementation of guidelines in clinical practice; barriers and strategies.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

Current Opinion in Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-17 DOI:10.1097/ACO.0000000000001344

Stefan De Hert, Waynice Neiva de Paula-Garcia

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引用次数: 0

Abstract

Purpose of review: Published clinical practice guidelines frequently have difficulties for implementation of the recommendations and adherence in daily clinical practice. The present review summarizes the current knowledge on the barriers encountered when implementing clinical practice guideline and the strategies proposed to address these barriers.

Recent findings: Studies on strategies for implementation of clinical guidelines are scarce. Evidence indicates that a multidisciplinary policy is necessary in order to address the barriers at various levels. Continuous education and motivation of the stakeholders, together with structural adaptations are key elements in the process.

Summary: The barriers for implementation of guidelines involve different levels, including the healthcare system, organizational, societal and cultural specificities, and individual attitudes. All of these should be addressed with policy-driven strategies. Such strategies could include optimization of resources allocations, and establishing well coordinated multidisciplinary networks, finally, future studies should also evaluate the effectiveness of the potential strategies.

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在临床实践中实施指南；障碍与策略。

审查目的：已发布的临床实践指南往往难以在日常临床实践中实施和遵守建议。本综述总结了目前关于实施临床实践指南时遇到的障碍的知识，以及为解决这些障碍而提出的策略：有关临床指南实施策略的研究很少。有证据表明，有必要制定一项多学科政策，以解决各个层面的障碍。总结：实施指南的障碍涉及不同层面，包括医疗保健系统、组织、社会和文化特性以及个人态度。所有这些都应通过政策驱动型战略加以解决。这些策略可包括优化资源分配、建立协调良好的多学科网络，最后，未来的研究还应评估潜在策略的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.