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Comparative Study
. 2003 Summer;19(3):546-54.
doi: 10.1017/s0266462303000497.

Factors influencing adherence to guidelines in general practice

Roy E Stewart  1 , Sebastiaan Vroegop, Gerard B Kamps, Ger Th van der Werf, Betty Meyboom-de Jong
Affiliations
Comparative Study

Factors influencing adherence to guidelines in general practice

Roy E Stewart et al. Int J Technol Assess Health Care. 2003 Summer.

Abstract

Objectives: To identify and assess the effects of general practitioner and patient characteristics on global adherence to pharmacotherapeutic guidelines.

Methods: In a cross-sectional study in the northern Netherlands, a two-level multilevel model was applied to patients (n = 269,067) in 190 practices with a total of 251 general practitioners. The dependent variable was the global adherence to pharmacotherapeutic guidelines as a measure of good prescribing in a general practice setting.

Results: The mean global adherence was 82%. Two general practice variables, organization form and degree of urbanization influenced the global adherence, whereas all patient variables (age and gender) and the patient-related prescription characteristics (costs, volume, different ATC-codes) were significant predictors for the global adherence. The total explained variance was 28%.

Conclusions: Patient characteristics have a greater influence on prescribing behavior than general practitioner characteristics.

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