Implementing physician buy-in to practice guidelines.
A major obstacle in the quest for health care quality improvement is physician acceptance of clinical practice guidelines. Typically objective and autonomous, physicians do not readily "buy-in" to standards that challenge their judgement. In this article, the authors identify the necessary conditions for physician acceptance if not active participation in the development and promulgation of these living documents.
Blue Cross and Blue Shield of Western New York, Buffalo, USA.
J G
JG
Kaplan
J
J
Lamprey
D001291:Attitude of Health Personnel; D003142:Communication; D004282:Documentation; D006801:Humans; D016365:Liability, Legal; D008329:Managed Care Programs / Q000191:economics / Q000592:standards; D017410:Practice Guidelines as Topic / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000458:organization & administration / Q000592:standards*; D017009:Professional Autonomy; D016730:Program Development; D014481:United States