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9. Support for guideline repository storage.
Peleg et al. [ 1] and Mulyar et al. [ 12] focused on various dimensions of expressivity; de Clercq et al. [ 2] dealt with knowledge representation and support for guideline acquisition, verification and runtime execution.
In a multivariate study conducted in the U.S. Veterans Health Administration, four other practices affected a composite process measure of quality (monitoring tests and physical examinations): the level of support for guideline efforts, regional office leadership for guideline use, hospital use of guideline performance data, and hospital culture [ 16].
The GP's environment was modified to provide support for guideline adherence, in that prompts were designed to appear on the GP's computer screen during a consultation for RTI or stroke (for the intervention trial which follows, prompts will automatically appear at appropriate consultations based on electronic condition read codes).
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Overall support for guidelines was measured as the mean of responses (range = 1-4.75; mean = 2.28; Cronbach's alpha = 0.74) to these eight questions with 5-level Likertypeale type responses with the higher response indicating greater support.
This paradoxical support for guidelines but failure often to promote their application we suggest was due to the fact that such guidelines and ETAT + provided a shortcut to being knowledgeable and an ability to teach evidence-based medicine with minimal effort.
Organizational supports for guideline implementation such as policy revision to comply with the Fall Prevention CPG and accreditation standards, were important stimuli for change in practice.
We conclude that guideline developers could benefit from including an assessment of what the specific focus areas (e.g. preventive, treatment) of guidelines may imply for their future use and how these areas impact the support needed for guideline implementation.
This explanation provides support for current guideline instructions.
There is little support for this guideline in the literature.
The study hospital and ME provided financial support for the guideline dissemination.
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