PMID: 15251095Jul 15, 2004Paper

Clinical guidelines of depression: a qualitative study of GPs' views

The Journal of Family Practice
Liz SmithKen Gilhooly

Abstract

Clinical guidelines have become an increasingly familiar component of health care, although their passive dissemination does not ensure implementation. This study is concerned with general practitioners' (GPs) views of guideline implementation in general practice. It focuses specifically on their views about guidelines for the management of patients with depression. To elicit and explore GPs' views about clinical guidelines for the management of depression, their use in practice, barriers to their use, and how best to implement guidelines. Qualitative study using in-depth interviews with a purposive sample of GPs. General Practices across the Scottish Grampian region, and Northeast England. Eleven GPs who had participated in a previous questionnaire based depression study were interviewed. Interviews were transcribed and analyzed using the "framework technique." Several participating GPs did not agree with recommendations of the current depression guidelines; some thought they were insufficiently flexible to use with the variety of patients they see. The volume of guidelines received, lack of time and resources (particularly mental health professionals for referrals) were seen as the main barriers to guideline use. A range of f...Continue Reading

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