2 To ensure compliance, physician prescribing behavior is then monitored over time.
Despite this, there is growing evidence that the guidelines are not implemented enough and there is under treatment [ 5- 7], poor patient compliance, physician's unawareness of the new recommendations [ 19], and non adherence to updating treatment and to targets of treatments [ 20, 21].
In most case of non-compliance, physicians were reluctant to stop antibiotics, even with a very low PCT level (Additional file 4: Table S4), possibly due to the concerns about the accuracy of single PCT value as a biomarker of infection [42, 43].
Furthermore, as a result of undetected or unreported therapeutic non-compliance, physicians may recommend a more complex regimen, which may increase costs and adverse events risks.
Furthermore, as a result of undetected or unreported therapeutic non-compliance, physicians may change the regimen, which may increase the cost or complexity of the treatment and eventually the incidence of adverse events.
Studies in various countries have concluded that low compliance of physicians with notification systems is partly caused by insufficient feedback of surveillance data to the physicians (1 – 3 ).
It was designed reduce blood pressure (BP) in hypertensive patients by improving their compliance with physicians' recommendations.
Overall compliance by physicians was 82.1%, for nonphysicians was 84.8%.
Despite mandatory education and reminders, compliance by physicians in our hospital remained stubbornly low.
The mean institutional HH compliance among physicians was 47.3% and 45.9% in 2013 and 2014 respectively.
The improved compliance for physicians observed in the post-intervention phase was lost in follow-up phases.
