Barriers and facilitators for guideline adherence in diagnostic imaging: an explorative study of GPs' and radiologists' perspectives

BMC Health Services Research
Ann Mari GransjøenBjørn Morten Hofmann

Abstract

Diagnostic imaging has been a part of medicine for the last century. It has been difficult to implement guidelines in this field, and unwarranted imaging has been a frequent problem. Some work has been done to explain these phenomena separately. Identifying the barriers to and facilitators of guideline use has been one strategy. The aim of this study is to offer a more comprehensive explanation of deviations from the guideline by studying the two phenomena together. Eight general practitioners and 10 radiologists from two counties in Norway agreed to semi-structured interviews. Topics covered in the interviews were knowledge of the guideline, barriers to and facilitators of guideline use, implementation of guidelines and factors that influence unwarranted imaging. Several barriers to and facilitators of guideline use were identified. Among these are lack of time, pressure from patients, and guidelines being too long, rigid or unclear. Facilitators of guideline use were easy accessibility and having the guidelines adapted to the target group. Some of the factors that influence unwarranted imaging are lack of time, pressure from patients and availability of imaging services. There are similarities between the perceived barriers f...Continue Reading

References

Apr 1, 1997·Journal of General Internal Medicine·A O BergW Tierney
Feb 15, 2001·Archives of Internal Medicine·I B WilsonB Hillman
Jun 29, 2001·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·S DammasP C Goodman
Oct 3, 2003·Journal of General Internal Medicine·Joel M SchectmanJohn D Voss
Aug 4, 2006·Implementation Science : IS·Rachel BakerSenga Bond
Feb 17, 2007·BMC Health Services Research·Kristin Bakke Lysdahl, Ingelin Børretzen
Apr 7, 2007·Journal of the American College of Radiology : JACR·Milton J GuiberteauSandra Bjork
Dec 2, 2008·The American Journal of Emergency Medicine·Maria Eugenia CoboJavier Zamora
Aug 26, 2010·Radiology·William R HendeePaul E Wallner
Dec 12, 2012·Scandinavian Journal of Public Health·Kirsti Malterud
Aug 21, 2013·Insights Into Imaging·Heljä OikarinenOsmo Tervonen
Jan 1, 2014·The Spine Journal : Official Journal of the North American Spine Society·André E BussièresJeremy M Grimshaw
Apr 2, 2014·Journal of the American College of Radiology : JACR·Sean A KennedyMehran Midia
Dec 10, 2015·Clinical Chemistry and Laboratory Medicine : CCLM·Julian H BarthWytze P Oosterhuis
Jan 23, 2016·International Emergency Nursing·Catherine M ClementJeffrey J Perry
Jan 13, 2017·Lancet·Vikas SainiElliott S Fisher

❮ Previous
Next ❯

Citations

Jul 5, 2019·The International Journal of Health Planning and Management·Nader JahanmehrSoheila Damiri
Nov 6, 2018·BMC Research Notes·Ann Mari GransjøenBjørn Morten Hofmann
Mar 29, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Lauren M WestaferPeter K Lindenauer
May 13, 2020·BMC Health Services Research·Ann Mari GransjøenBjørn Morten Hofmann
Apr 22, 2020·BMC Emergency Medicine·Patapong TowiwatBodin Buttham
Nov 9, 2021·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·Rajendra GyawaliIsabelle Jalbert

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.