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Barriers to clinical guidelines: the need for concerted action

Robbie Foy (Robbie Foy is in the Department of Obstetrics and Gynaecology, University of Edinburgh, Edinburgh, Scotland.)
Anne Walker (Anne Walker is Senior Research Fellow, Health Services Research Unit, University of Aberdeen, Aberdeen, Scotland.)
Gillian Penney (Gillian Penney is Programme Coordinator, SPCERH, Dugald Baird Centre for Research into Women’s Health, Aberdeen Maternity Hospital, Aberdeen, Scotland.)

British Journal of Clinical Governance

ISSN: 1466-4100

Article publication date: 1 September 2001

1280

Abstract

Aims to provide a framework for identifying barriers to the implementation of a clinical guideline by examining a clinical effectiveness programme and a review of relevant literature. A total of 41 types of barrier were identified and categorised according to characteristics of the guideline to be introduced, the individuals who need to change behaviour and the organisation or environment in which the change is to occur. Several groups have the potential to overcome such barriers, ranging from individual clinicians to national policy makers. Multi‐level as well as multi‐faceted strategies may be required to overcome barriers to the effective implementation of clinical guidelines.

Keywords

Citation

Foy, R., Walker, A. and Penney, G. (2001), "Barriers to clinical guidelines: the need for concerted action", British Journal of Clinical Governance, Vol. 6 No. 3, pp. 166-174. https://doi.org/10.1108/EUM0000000005680

Publisher

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MCB UP Ltd

Copyright © 2001, MCB UP Limited

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