title: Physicians, guidelines, and cognitive tasks.
abstract: Using a case study analysis of the Expert Panel Report 3 (EPR-3): Guidelines for the Diagnosis and Treatment of Asthma, this article compares the workflows and knowledge requirements of primary care practice to the structure and content of a well-respected set of clinical guidelines. The authors show that there are discrepancies between physician workflow and the structure of the EPR-3, as well as between physicians' knowledge requirements and the content of the EPR-3. The analysis suggests that closing the gap between medical knowledge and practice will require alternative ways to represent guidelines' knowledge and recommendations.
authors.affiliation: University of Minnesota, Minneapolis, MN 45229, USA.
authors.forename: Yiscah
authors.initials: Y
authors.lastname: Bracha
authors.forename: Gail
authors.initials: G
authors.lastname: Brottman
authors.forename: Angeline
authors.initials: A
authors.lastname: Carlson
mesh_terms: D026683:Advisory Committees; D001249:Asthma / Q000175:diagnosis / Q000188:drug therapy; D003071:Cognition; D055317:Evidence-Based Practice; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care; D057188:Workflow