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Comparative Study
. 2006:2006:219-23.

Textual guidelines versus computable guidelines: a comparative study in the framework of the PRESGUID project in order to appreciate the impact of guideline format on physician compliance

Jean-Charles Dufour  1 , Julien Bouvenot, Pierre Ambrosi, Dominique Fieschi, Marius Fieschi
Affiliations
Comparative Study

Textual guidelines versus computable guidelines: a comparative study in the framework of the PRESGUID project in order to appreciate the impact of guideline format on physician compliance

Jean-Charles Dufour et al. AMIA Annu Symp Proc. 2006.

Abstract

Background: The compliance of physicians with the clinical practice guidelines (CPG) is insufficient and needs to be improved.

Objective: To determine whether standalone computerized CPG within the PRESGUID project could improve compliance with the recommendations than the use of CPG in textual format.

Method: Comparative analyses of the responses made by two groups of resident physicians to a set of clinical cases. One group of residents had access to the CPG exclusively in textual format (paper document) while the second group had access to the CPG exclusively in computerized format within the PRESGUID software applications.

Results: The computable CPG are more efficient than the paper-based CPG regarding responses in compliance with the recommendations especially those judged to be relevant by an expert.

Conclusion: These results should encourage the bodies responsible for diffusing CPG to promote the computable format and to facilitate the computerization process.

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Figures

Figure 1
Figure 1
Compliance rate (CR) of resident i to question j
Figure 2
Figure 2
Weighted Compliance Rate (WCR) of resident i to question j.
See this image and copyright information in PMC

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