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Davis et. al have previously reported that reasons for variable implementation of clinical practice guideline recommendations may include the following: the qualities of the guidelines, characteristics of the health professional, characteristics of the practice setting, incentives, regulation, and patient factors [47].
For included reporting guidelines, one person extracted guidelines' characteristics.
19 Several factors influence the implementation of guidelines: characteristics of the guideline, the implementation strategy, characteristics of professionals, characteristics of patients and environmental characteristics.
According to the BI-RADS guidelines, characteristics of the signal intensity vs time curve (i.e. the maximal amplitude, the wash-in and the delayed phase pattern via the wash-out parameter) were assessed.
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The participants identified more impeding guideline characteristics than facilitating ones.
Guideline characteristics that impeded and guideline characteristics that facilitated guideline use as well as suggestions for improvement were analysed for common themes and categorised according to these themes.
GP-characteristics as well as guideline characteristics were used as independent variables.
Our participants spent more time discussing impeding than facilitating guideline characteristics.
For other – not frequently described – influential guideline characteristics, see Additional file 1 (column 3).
Guideline characteristics according to the AGREE instrument [ 6] are summarized in Table 1.
Table 2 categories the impeding and facilitating guideline characteristics in accordance with these themes.
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