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Actual utilization of guidelines was assessed, including explicatory reasons.
Organizational values and culture impede the utilization of guidelines.
The low level of awareness and utilization of guidelines was associated with inadequate training and supervision.
The low utilization of guidelines at the lower facilities was associated with poor supervision and involvement of unqualified laboratory staff.
Utilization of guidelines was high at national level; but relatively low at the district, health centre and dispensary levels.
The PALM PLUS package involved development of a set of algorithm- and symptom-based guidelines and training program to facilitate utilization of guidelines in the workplace.
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Despite higher utilization of guideline based medications, cardiac catheterization and revascularization in academic centers, there were no differences in 1-year mortality compared to non-academic center patients [ 27].
The documented low quality of HIV laboratory diagnosis may also be associated with non-utilization of guidelines and SOPs at district, health centre and dispensary levels as previously shown by other studies [ 12, 19].
In addition, they believe that the more professionals discuss the guidelines in daily practice, the more utilization of the guidelines will be promoted.
Despite dissemination of the newer recommendations in an effort to increase primary care physician's utilization of COPD guidelines, many primary care physicians remain unaware of COPD guidelines and the diagnosis of COPD continues to be based on clinical findings alone [ 15].
Some of the surveyed experts in the current study considered the depression guidelines to be important, but they indicated that they were not experienced in application and utilization of the guidelines.
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