[Why do physicians not use clinical guidelines? A view from the perspective of the biology of knowledge].
A frequent problem with clinical practice guidelines is their low level of acceptance and implementation by physicians. The diverse strategies used up until now have been shown to be ineffective. Practical applications of the Theory of the Biology of the Cognition by Humberto Maturana can be useful in identifying the present local barriers and how to incorporate effective intervention strategies. On the other hand, guidelines will not modify clinical practice nor will they improve health indicators.
Cárcamo-Quezada
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Hospital Clínico Mutual de Seguridad C.Ch.C., Director Médico del Hospital Clínico Mutual de Seguridad C.Ch.C., Santiago de Chile, Chile. ccarcamo@mutual.cl
D001695:Biology; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D019359:Knowledge; D010820:Physicians / Q000523:psychology