A multidisciplinary guideline for the acute phase of stroke: barriers perceived by Dutch neurologists.

Abstract:

RATIONALE, AIMS AND OBJECTIVES:Guidelines for stroke management should improve quality of care. Dissemination of guidelines, however, does not guarantee guideline adherence. The aim of this paper is to investigate barriers for guideline adherence to bring about suggestions for possible implementation strategies. METHOD:Questionnaire survey among all Dutch neurologists working on neurology wards in general hospitals during the year 2000 in The Netherlands. RESULTS:The neurologists expressed a high degree of agreement with the diagnostic and preventive recommendations, but expressed doubts with regard to the therapeutic recommendations, especially for the recombinant tissue plasminogen activator therapy. In general, barriers at the organizational and the multidisciplinary team level were most prominent. CONCLUSIONS:Active implementation of the guidelines seems necessary. Implementation strategies should be focused on the different sources of barriers: the caregiver, the patient and the organization of care.

journal_name

J Eval Clin Pract

authors

Van Der Weijden T,Hooi JD,Grol R,Limburg M

doi

10.1111/j.1365-2753.2003.00460.x

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

241-6

issue

2

eissn

1356-1294

issn

1365-2753

pii

JEP460

journal_volume

10

pub_type

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