Guideline Orientation of Family Physicians

german translation / full article

Julian Wangler, Michael Jansky

Keywords: adherence attitudes family physician guidelines implementation

BackgroundThe effectiveness of clinical guidelines depends crucially on family physicians being open-minded and seeing concrete advantages in implementation. For German-speaking countries, there are hardly any current findings on the question of what attitudes and experiences family physicians have with regard to guidelines, what expectations they have and what improvements could be made to increase the willingness of family physicians to use such instruments.MethodsBetween December 2019 and March 2020, a total of 743 family physicians in Hesse were interviewed using a written survey. In addition to the descriptive evaluation, a t-test for independent samples was used to determine significant differences between two groups.Results51 % of those surveyed are clearly positive about guidelines; they are associated with great benefits for patient care. Guidelines are associated with increased evidence orientation (70 %), a standardization of diagnostic and treatment standards (61 %) and an avoidance of over or under supply (58 %). 61 % of doctors who use guidelines observe positive effects on the quality of care. Implementation is often perceived as complicated (43 %) and restricting the freedom of action for doctors (59 %). In order to further optimize, the respondents favor greater consideration of non-drug alternatives (45 %) as well as a discussion of quality of life questions (40 %) and a comparison of therapy options (36 %). There are significant differences between doctors in urban and rural practice environments.ConclusionsIn order to further promote the attractiveness of guidelines for family medicine, guidelines should be designed to be practical and clear. In addition, medical scope for action should be emphasized. The recommendations that guidelines provide should show the possibilities of delegation to other members of the practice staff. When developing guidelines, the specific needs of guideline-skeptical and -hesitant doctors should be addressed.Keywordsguidelines; implementation; adherence; attitudes; family physician

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(State: 14.07.2020)

Latest Issue 7-8/2020

In Focus

  • Video Consultations in Times of a Pandemic
  • Patient and Family Engaged Care“– Does that Fit for Germany?
  • Guideline Orientation of Family Physicians