Guidelines and reality
Whether doctors have knowledge of guidelines or not appears to be unsuitable as an indicator of how guidelines are being put into practice in the clinical routine.
Taking the case of treatment by primary care physicians of three target diseases – hypertension, heart failure, and chronic coronary heart disease – in the current edition of Deutsches Ärzteblatt International (Dtsch Arztebl Int 2011; 108(5) 61-9) Ute Karbach and her coauthors investigate the relationship for physicians between knowing the guidelines and acting in compliance with them. Data on 437 physicians' ...







