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Clinical guidelines aim to disseminate evidence and thus to change behaviour. This process is complex and needs a coherent approach. Aims to develop a model for…
Clinical guidelines aim to disseminate evidence and thus to change behaviour. This process is complex and needs a coherent approach. Aims to develop a model for implementing clinical guidelines in primary care and thus influencing prescribing by general practitioners (GPs). A total of 25 semi‐structured interviews were conducted with GPs and primary care academics. To enrich the model an ongoing literature review of guideline implementation and changing prescribing behaviour was used. A simple model was derived to guide primary care organisations and GPs in implementing guidelines for prescribing, which comprises six steps: choose the condition; choose the guideline; identify influential people; identify organisational factors; plan and adopt an implementation strategy; and monitor the resulting adherence. The model provides a framework for planning the implementation of guidelines, and recognising barriers that hinder adherence to guidelines. It may help to explain why clinical guidelines vary in their uptake.
Of matters concerning man's day‐to‐day living, none receives more attention than his diet; the foods which housewives should buy, how they should be prepared and cooked. All women's journals and most daily newspapers profess to give expert advice on diet, nutritional needs, recipes, meals, etc. Radio and television have programmes on the subject and television advertisements, when not eulogising drink of all sorts, cigarettes or soap, are largely devoted to extolling proprietary foods, without the generous addition of which to the diet, one gathers, malnutrition is unavoidable.
The Rt. Hon. the Lord Tombs of Brailes F.Eng. earlier this month performed the Official Opening Ceremony of Blandburgh Nemo's new subcontract heat treatment plant at Chard, Somerset. As chairman of Rolls‐Royce plc, it was fitting that Lord Tombs should open this plant, created to provide vital metallurgical services to the aerospace and advanced engineering sectors in the South West.
Traditionally, the specialist subject expertise required of librarians and information workers has been of two types: