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Less frequently mentioned impeding characteristics are flaws in the development procedure, such as lack of proof of effectiveness in general practice.
The most frequently mentioned impeding characteristics are the assumptions underlying guideline development, which are thought not to correspond with routine day-to-day practice.
Student/VU In this focus group study, we interviewed users of communication guidelines in order to explore facilitating and impeding characteristics of guidelines in respect of the actual utilisation of these guidelines.
Respondents who reported about the introduction of an electronic information system most often (35.1% versus 18.1% of the other respondents) mentioned impeding characteristics within the organisational and political context, such as not enough computers to use the new system.
Most suggestions for improvement concern ways to change the main impeding characteristics: developing flexible guidelines that are applicable in many situations and that have proven effectiveness for the settings in which they are to be used.
However, as our results stress the effect of the context of a consultation on the usefulness and applicability of recommendations for communication, we think it is important to explore facilitating and impeding characteristics of communication guidelines in the context of different health care settings.
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The most important impeding characteristic was that guidelines do not easily fit into GPs' day-to-day practice.
While discussing impeding and facilitating characteristics of the guidelines, the guideline users mentioned different ways of using a guideline.
Homogeneous values facilitate internal ownership, an organization structure which is centralized and not formalized, whereas heterogeneous values impede these governance characteristics.
Diffusion of alcohol skills training is enhanced or impeded by fundamental characteristics of the training mechanism, such as its complexity and accessibility [ 56].
Table 2 categories the impeding and facilitating guideline characteristics in accordance with these themes.
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