title: Physicians' changing attitudes toward guidelines.
abstract: The objective of the study was to measure the change in physicians' attitudes toward preventive care guidelines over a 2-year period. The study was conducted at a Southern California managed care medical group that was experiencing intense price competition. We analyzed individualized survey responses of 62 HMO primary care physicians over the study period. We found that physicians increasingly believed that clinical guidelines were being used for cost containment (first survey 71% vs second survey 92%, p < .005) and less for quality improvement (first survey 85% vs second survey 67%, p < .008) over time. These findings may create a barrier to physicians' adoption of practice guidelines.
authors.affiliation: Department of Health Services Research, Cedars-Sinai Health Systems, Los Angeles, Calif, USA.
authors.forename: J
authors.initials: J
authors.lastname: Inouye
authors.forename: R
authors.initials: R
authors.lastname: Kristopatis
authors.forename: E
authors.initials: E
authors.lastname: Stone
authors.forename: M
authors.initials: M
authors.lastname: Pelter
authors.forename: M
authors.initials: M
authors.lastname: Sandhu
authors.forename: S
authors.initials: S
authors.lastname: Weingarten
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015331:Cohort Studies; D003363:Cost Control; D003625:Data Collection; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D008297:Male; D010821:Physicians, Family / Q000523:psychology*; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D011787:Quality of Health Care