This focus group study provided new insights into the value general practitioner (GPs) attribute to guidelines when they are applied to patients with multimorbidity, and their empirical solutions to manage perceived obstacles from inappropriate guideline adherence in these patients.
Finally, permission to exclude patients with multimorbidity from regular pay-for-performance systems could reduce the burden of imposed but inappropriate guideline adherence, and improve the quality of care delivered to patients with multimorbidity (BB, CC).
Despite the IDSA guidelines, inappropriate treatment of CA-ABU with antibiotics is widespread, and guidelines adoption remains modest [ 4].
Challenges in low-resource settings include lack of standards and guidelines, inappropriate training, inadequate supervision, and insufficient supplies.
The nature of variceal haemorrhage in cirrhotic patients with its complex range of complications makes rigid guidelines inappropriate.
Therefore, it can be affected by a number of issues, namely lack of compliance with guidelines, inappropriate prescribing given the patients' characteristics, prescribing errors or insufficient prescribing of low-cost generics.
Patients who had a history of upper gastrointestinal cancers or other gastrointestinal disorders that would make management by the usual guidelines inappropriate were excluded (see Appendix I for specific exclusion criteria).
The result is an inappropriate comparison with guideline values that ignore noise character and context in the assessment of noise acceptability at dwellings.
Moreover, in about one quarter of the cases, the use of ILRs proved to be potentially inappropriate according to guideline indications.
She called the guidelines "completely inappropriate".
