Why don’t physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners

Background Despite wide distribution and promotion of clinical practice guidelines, adherence among Dutch general practitioners (GPs) is not optimal. To improve adherence to guidelines, an analysis of barriers to implementation is advocated. Because different recommendations within a guideline can have different barriers, in this study we focus on key recommendations rather than guidelines as a whole, and explore the barriers to implementation perceived by Dutch GPs. Methods A qualitative study using six focus groups was conducted, in which 30 GPs participated, with an average of seven per ses... Mehr ...