期刊
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
卷 22, 期 1, 页码 32-37出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02813430310004489
关键词
cardiovascular diseases; health plan implementation; practice guidelines; quality assurance health care; risk factors
Design - Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations. Setting - Primary health care. Subjects - A sample of 15 GPs who audiotaped 22 consultations. Main outcome measures - Barriers hampering GPs from following the guideline. Results - Data saturation was reached after about 13 interviews. The 25 identified barriers were related to the risk table, the GP or to environmental factors. Lack of knowledge and poor communication skills of the GP, along with pressure of work and demanding patients, cause GPs to deviate from the guideline. GPs regard barriers external to themselves as most important. Conclusion - Using the risk table as a key element of the high-risk approach in primary prevention encounters many barriers. Merely incorporating risk tables in guidelines is not sufficient for implementation of the guidelines. Time-efficient implementation strategies dealing in particular with the communication and presentation of cardiovascular risk are needed.
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