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British Journal of General Practice
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Research Article

Clinical guidelines: their implementation in general practice.

M Conroy and W Shannon
British Journal of General Practice 1995; 45 (396): 371-375.
M Conroy
Department of General Practice, Royal College of Surgeons in Ireland, Dublin.
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W Shannon
Department of General Practice, Royal College of Surgeons in Ireland, Dublin.
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Abstract

In recent years the development of clinical guidelines has received increasing attention from medical educators and those involved in standard setting, and has been initiated at both central and local levels. This review article outlines the current state of knowledge with regard to clinical guideline implementation in medical practice. It deals with the main aspects of the current guideline debate, such as, clinical freedom and doctor autonomy, the importance of ownership in guideline implementation, the effectiveness of guidelines in changing practice and, in particular, the strategies needed to implement clinical guidelines in general practice. Mechanisms of behavioural change that have been recognized as being important for implementation are also discussed. If implementation strategies are not treated as an integral part of the development process then clinical guidelines may fail to achieve their potential in changing clinical practice.

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British Journal of General Practice: 45 (396)
British Journal of General Practice
Vol. 45, Issue 396
July 1995
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Clinical guidelines: their implementation in general practice.
M Conroy, W Shannon
British Journal of General Practice 1995; 45 (396): 371-375.

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Clinical guidelines: their implementation in general practice.
M Conroy, W Shannon
British Journal of General Practice 1995; 45 (396): 371-375.
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