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Methodology for development and distribution of guidelines.
It is difficult to control drug-prescribing behaviour in general practice, despite the development and distribution of guidelines.
But, development and distribution of guidelines do not necessarily lead to better patient care [ 21].
There are numerous possible barriers to implementation, from the distribution of guidelines to the use of guidelines in practice by physicians.
Current paradigms of dissemination by educational material, industry distribution of guidelines, and local or regional meetings have a generally ill-defined impact.
But the distribution of guidelines had little effect: empirical work demonstrated that passive dissemination was an ineffective method of changing practice [ 31].
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The detailed distribution of guideline-defined and doctor-defined indications is shown in online additional file 2. The different modes of delivery were broken down accordingly into (1) vaginal delivery (VD), (2) CS on maternal request, (3) CS with doctor-defined indications and (4) CS with guideline-defined indications.
Participants in both districts acknowledged the IPTp strategy, considering the seriousness of malaria in pregnancy problem; government allocation of funds to support healthcare staff training programmes in focused antenatal care (fANC) issues, procuring essential drugs distributed to districts, staff remuneration, distribution of fANC guidelines, and administrative activities performed by CHMTs.
Mr. Mayhew said another positive development was the creation and wide distribution of national guidelines developed by driver education groups and N.H.T.S.A.
Lehrmann et al. [13] found that increased knowledge of the ACEP Clinical Policy on Hypertension following distribution of the guidelines did not translate into changes in physician practice.
The interventions introduced in 2006 after that study—e.g., distribution of referral guidelines recommended by the EC and education on indications of different examinations may also have contributed to the results of the present study.
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