Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Payment for a service or for a commodity such as a body part.
A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.
Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Voluntary cooperation of the patient in taking drugs or medicine as prescribed. This includes timing, dosage, and frequency.
The study, based on direct observation, use of statistical records, interviews, or experimental methods, of actual practices or the actual impact of practices or policies.
Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Artificial introduction of SEMEN or SPERMATOZOA into the VAGINA to facilitate FERTILIZATION.
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The term "United States" in a medical context often refers to the country where a patient or study participant resides, and is not a medical term per se, but relevant for epidemiological studies, healthcare policies, and understanding differences in disease prevalence, treatment patterns, and health outcomes across various geographic locations.
Voluntary cooperation of the patient in following a prescribed regimen.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Physicochemical property of fimbriated (FIMBRIAE, BACTERIAL) and non-fimbriated bacteria of attaching to cells, tissue, and nonbiological surfaces. It is a factor in bacterial colonization and pathogenicity.
An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)

Management of asthma and COPD patients: feasibility of the application of guidelines in general practice. (1/3472)

OBJECTIVE: To examine the feasibility of the application of guidelines to the management of asthma and chronic obstructive pulmonary disease (COPD) by assessing compliance with the guidelines and listing the barriers general practitioners (GPs) encountered during implementation. Insight into the feasibility of individual items in the guidelines can guide implementation strategies in the future and, if necessary, support revision of the guidelines. DESIGN: Descriptive study of care delivered during the implementation of guidelines by means of documentation of the care provided, education, feedback on compliance and peer review. SETTING: General practice. STUDY PARTICIPANTS: Sixteen GPs in 14 general practices. MAIN OUTCOME MEASURES: Compliance was expressed as the percentage of patients per practice managed by the GPs according to the guidelines. For each patient (n=413) data were collected on the care delivered during the first year of the implementation. Barriers encountered were derived from the summaries of the discussions held during the monthly meetings. RESULTS: The GPs were most compliant on the items 'PEFR measurement at every consultation' (98%), 'allergy test' (78%) and 'advice to stop smoking' (82%), and less compliant on the items 'four or more consultations a year' (46%), 'ordering spirometry' (33%), 'adjustment of medication' (42%), 'check on inhalation technique' (38%) and referral to a chest physician (17%) or a district nurse (5%). The main barriers were the amount of time to be invested, doubts about the necessity of regular consultations and about the indications for ordering spirometry and for referral to a chest physician or a district nurse. CONCLUSION: Although the feasibility was assessed in a fairly optimal situation, compliance with the guidelines was not maximal, and differed between the individual items of care. Suggestions are given for further improvements in compliance with the guidelines and for revision of the guidelines.  (+info)

Voluntary euthanasia under control? Further empirical evidence from The Netherlands. (2/3472)

Nineteen ninety-six saw the publication of a major Dutch survey into euthanasia in the Netherlands. This paper outlines the main statistical findings of this survey and considers whether it shows that voluntary euthanasia is under effective control in the Netherlands. The paper concludes that although there has been some improvement in compliance with procedural requirements, the practice of voluntary euthanasia remains beyond effective control.  (+info)

Slippery slopes in flat countries--a response. (3/3472)

In response to the paper by Keown and Jochemsen in which the latest empirical data concerning euthanasia and other end-of-life decisions in the Netherlands is discussed, this paper discusses three points. The use of euthanasia in cases in which palliative care was a viable alternative may be taken as proof of a slippery slope. However, it could also be interpreted as an indication of a shift towards more autonomy-based end-of-life decisions. The cases of non-voluntary euthanasia are a serious problem in the Netherlands and they are only rarely justifiable. However, they do not prove the existence of a slippery slope. Persuading the physician to bring euthanasia cases to the knowledge of the authorities is a problem of any euthanasia policy. The Dutch notification procedure has recently been changed to reduce the underreporting of cases. However, many questions remain.  (+info)

When do HIV-infected persons start with antiretroviral therapy? A retrospective analysis of patients' monitoring and treatment status in general practice, as compared with the 1991 Dutch HIV treatment guidelines. (4/3472)

OBJECTIVE: We aimed to compare, in a sample of Amsterdam general practices, the monitoring and treatment status of HIV-infected patients according to the 1991 Dutch consensus guidelines for antiretroviral treatment of HIV-infection, which advise that therapy be started at a peripheral blood CD4+ cell count of < or = 300 x 10(6)/l in asymptomatic patients, or < or = 400 x 10(6)/l in symptomatic patients. METHOD: In 1994, data were collected from the records of all 511 HIV-infected patients registered in 14 Amsterdam general practices (20 doctors). The main outcome measures were the antiretroviral treatment status of all patients who were eligible for treatment, and the disease stage and CD4+ cell counts at the onset of therapy for patients who started treatment after publication of the 1991 guidelines. RESULTS: For 472 patients, data were available on CD4+ cell measurement status and disease stage. For 15.9% of patients, CD4+ cells had never been measured; most of them were asymptomatic. In 84.1 % of patients, CD4+ cells had been measured. Of the 8.9% of patients whose results were not known to GPs, 93% were treated by a specialist and 76% were symptomatic. Of the remaining 355 (75.2%) patients whose CD4+ count and disease status were known, 201 (56.7%) met the guideline criteria for treatment. Of these, 53.7% received treatment, 27.4% were never treated and 18.9% had discontinued treatment. Of the 67 patients who started treatment after publication of the guidelines, 36.2% of asymptomatic patients and 92.8% of symptomatic patients started later than the guidelines advised. CONCLUSION: In the population studied, we found a discrepancy between the 1991 treatment guidelines and the actual situation. In a substantial proportion of eligible patients, antiretroviral treatment was either not administered at all or was administered at a (very) late disease stage. This can only be attributed to physicians' and/or patients' attitudes towards antiretroviral treatment. Other studies confirm that a number of psychological factors may influence treatment decisions. The new combination treatment of HIV-infection requires an early start and compliance with the guidelines. The degree to which doctors and patients are willing and able to comply with the guidelines is an important factor to be taken into account, both in research and in the development of guidelines.  (+info)

A design model for computer-based guideline implementation based on information management services. (5/3472)

Clinical practice guidelines must be implemented effectively if they are to influence the behavior of clinicians. The authors describe a model for computer-based guideline implementation that identifies eight information management services needed to integrate guideline-based decision support with clinical workflow. Recommendation services determine appropriate activities in specific clinical circumstances. Documentation services involve data capture. Registration services integrate demographic and administrative data. Explanation services enhance the credibility of automated recommendations by providing supportive evidence and rating the quality of evidence. Calculation services measure time intervals, suggest medication dosages, and perform other computational tasks. Communication services employ standards for information transfer and provide data security. Effective presentation services facilitate understanding of complex data, clarify trends, and format written materials (including prescriptions) for patients. Aggregation services associate outcomes with specific guideline interventions. The authors provide examples of the eight services that make up the model from five evidence-based practice parameters developed by the American Academy of Pediatrics.  (+info)

Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. (6/3472)

In this systematic review, the authors analyze the functionality provided by recent computer-based guideline implementation systems and characterize the effectiveness of the systems. Twenty-five studies published between 1992 and January 1998 were identified. Articles were included if the authors indicated an intent to implement guideline recommendations for clinicians and if the effectiveness of the system was evaluated. Provision of eight information management services and effects on guideline adherence, documentation, user satisfaction, and patient outcome were noted. All systems provided patient-specific recommendations. In 19, recommendations were available concurrently with care. Explanation services were described for nine systems. Nine systems allowed interactive documentation, and 17 produced paper-based output. Communication services were present most often in systems integrated with electronic medical records. Registration, calculation, and aggregation services were infrequently reported. There were 10 controlled trials (9 randomized) and 10 time-series correlational studies. Guideline adherence improved in 14 of 18 systems in which it was measured. Documentation improved in 4 of 4 studies.  (+info)

Measuring the effects of reminders for outpatient influenza immunizations at the point of clinical opportunity. (7/3472)

OBJECTIVE: To evaluate the influence of computer-based reminders about influenza vaccination on the behavior of individual clinicians at each clinical opportunity. DESIGN: The authors conducted a prospective study of clinicians' influenza vaccination behavior over four years. Approximately one half of the clinicians in an internal medicine clinic used a computer-based patient record system (CPR users) that generated computer-based reminders. The other clinicians used traditional paper records (PR users). MEASUREMENTS: Each nonacute visit by a patient eligible for an influenza vaccination was considered an opportunity for intervention. Patients who had contraindications for vaccination were excluded. Compliance with the guideline was defined as documentation that a clinician ordered the vaccine, counseled the patient about the vaccine, offered the vaccine to a patient who declined it, or verified that the patient had received the vaccine elsewhere. The authors calculated the proportion of opportunities on which each clinician documented action in the CPR and PR user groups. RESULTS: The CPR and PR user groups had different baseline compliance rates (40.1 and 27.9 per cent, respectively; P<0.05). Both rates remained stable during a two-year baseline period (P = 0.34 and P = 0.47, respectively). The compliance rates in the CPR user group increased 78 per cent from baseline (P<0.001), whereas the rates for the PR user group did not change significantly (P = 0.18). CONCLUSIONS: Clinicians who used a CPR with reminders had higher rates of documentation of compliance with influenza-vaccination guidelines than did those who used a paper record. Measurements of individual clinician behavior at the point of each clinical opportunity can provide precise evaluation of interventions that are designed to improve compliance with guidelines.  (+info)

Understanding the relation between research and clinical policy: a study of clinicians' views. (8/3472)

OBJECTIVES: To describe the relation between research evidence and local obstetric unit policy for specific areas of care and to explore clinicians' views about the reasons for any discrepancies identified. DESIGN: An independent evaluation of a project undertaken by a district maternity services liaison committee (MSLC) to promote evidence based maternity care in specific areas of care. The evaluation involved a combination of qualitative methodologies including documentary analysis, non-participant observation, semi-structured interviews, and self completed open ended questionnaires. SETTING: One English health district with three obstetric units. MAIN MEASURES: Congruence between unit policies and research evidence in specific areas of care. Views expressed by unit staff concerning the reasons for any discrepancies identified. Consistency between staff views within and between units. Unit attitudes to modification of discrepant policies and details of any subsequent changes made. RESULTS: Of the 12 unit policies considered, seven were consistent with the research evidence. In all cases in which unit policy did not reflect the evidence, provider unit staff thought that the differences were justified. In several cases there were substantive differences of view between staff in different units. No differences of view were expressed between staff in the same unit. There were three different types of concern about the research evidence and the problems of using it as a basis for deciding unit policy. These were: concerns about the adequacy or completeness of the evidence; concerns about the applicability of the evidence in the local setting; and concerns about local capacity to act on the evidence. At the time of the project, none of the units expressed any intention of modifying the policies under discussion. Subsequently, two of them did make changes of this sort. CONCLUSION: The results suggest the need for further research to ascertain what factors may produce such varying assessments of the validity and adequacy of particular sets of research findings as were found between clinicians in this study and to understand what considerations other than views about evidence may affect decisions to alter clinical policy. IMPLICATIONS: When clinicians have clear reasons for not following research evidence, two contrasting responses are possible. One is to take the view that the clinicians are mistaken, and seek to change their attitudes or persuade them to change their behaviour regardless of their views. An alternative response is to accept that the concerns they express may be legitimate and consider how their doubts may be addressed. The challenge is to recognise which response is preferable in any particular situation.  (+info)

Guideline adherence, in the context of medicine, refers to the extent to which healthcare professionals follow established clinical practice guidelines or recommendations in their daily practice. These guidelines are systematically developed statements designed to assist practitioners and patient decisions about appropriate health care for specific clinical circumstances. Adherence to evidence-based guidelines can help improve the quality of care, reduce unnecessary variations in practice, and promote optimal patient outcomes. Factors that may influence guideline adherence include clinician awareness, familiarity, agreement, self-efficacy, outcome expectancy, and the complexity of the recommendation.

Practice guidelines, also known as clinical practice guidelines, are systematically developed statements that aim to assist healthcare professionals and patients in making informed decisions about appropriate health care for specific clinical circumstances. They are based on a thorough evaluation of the available scientific evidence, consensus of expert opinion, and consideration of patient preferences. Practice guidelines can cover a wide range of topics, including diagnosis, management, prevention, and treatment options for various medical conditions. They are intended to improve the quality and consistency of care, reduce unnecessary variations in practice, and promote evidence-based medicine. However, they should not replace clinical judgment or individualized patient care.

In the context of medical billing and healthcare, remuneration refers to the payment or compensation received by healthcare professionals or facilities for the medical services or treatments provided to patients. This can include fees for office visits, procedures, surgeries, hospital stays, and other healthcare-related services. Remuneration can come from various sources such as insurance companies, government programs like Medicare and Medicaid, and out-of-pocket payments from patients. It is important to note that the rules and regulations regarding remuneration in healthcare are subject to strict compliance requirements to prevent fraud, abuse, and conflicts of interest.

'Guidelines' in the medical context are systematically developed statements or sets of recommendations designed to assist healthcare professionals and patients in making informed decisions about appropriate health care for specific clinical circumstances. They are based on a thorough evaluation of the available evidence, including scientific studies, expert opinions, and patient values. Guidelines may cover a wide range of topics, such as diagnosis, treatment, prevention, screening, and management of various diseases and conditions. They aim to standardize care, improve patient outcomes, reduce unnecessary variations in practice, and promote efficient use of healthcare resources.

I'm sorry for any confusion, but "Netherlands" is not a medical term. It is a country located in Western Europe, known for its artistic heritage, elaborate canal system, and legalized marijuana and prostitution. If you have any questions about medical terms or concepts, I would be happy to help with those!

Physician's practice patterns refer to the individual habits and preferences of healthcare providers when it comes to making clinical decisions and managing patient care. These patterns can encompass various aspects, such as:

1. Diagnostic testing: The types and frequency of diagnostic tests ordered for patients with similar conditions.
2. Treatment modalities: The choice of treatment options, including medications, procedures, or referrals to specialists.
3. Patient communication: The way physicians communicate with their patients, including the amount and type of information shared, as well as the level of patient involvement in decision-making.
4. Follow-up care: The frequency and duration of follow-up appointments, as well as the monitoring of treatment effectiveness and potential side effects.
5. Resource utilization: The use of healthcare resources, such as hospitalizations, imaging studies, or specialist consultations, and the associated costs.

Physician practice patterns can be influenced by various factors, including medical training, clinical experience, personal beliefs, guidelines, and local availability of resources. Understanding these patterns is essential for evaluating the quality of care, identifying potential variations in care, and implementing strategies to improve patient outcomes and reduce healthcare costs.

Medication adherence, also known as medication compliance, refers to the degree or extent of conformity to a treatment regimen as prescribed by a healthcare provider. This includes taking medications at the right time, in the correct dosage, and for the designated duration. Poor medication adherence can lead to worsening health conditions, increased hospitalizations, and higher healthcare costs.

Empirical research is a type of scientific investigation that involves the collection and analysis of observable and measurable data to draw conclusions about patterns or relationships in reality. It is based on empirical evidence, which means evidence obtained through direct observation or experience, rather than theoretical reasoning or deduction. In medical research, empirical studies often involve the use of controlled experiments, surveys, or observational studies to test hypotheses and generate new knowledge about health, disease, and treatment outcomes. The results of empirical research can help inform clinical decision-making, public health policy, and future research directions.

Decision Support Systems (DSS), Clinical are interactive computer-based information systems that help health care professionals and patients make informed clinical decisions. These systems use patient-specific data and clinical knowledge to generate patient-centered recommendations. They are designed to augment the decision-making abilities of clinicians, providing evidence-based suggestions while allowing for the integration of professional expertise, patient preferences, and values. Clinical DSS can support various aspects of healthcare delivery, including diagnosis, treatment planning, resource allocation, and quality improvement. They may incorporate a range of technologies, such as artificial intelligence, machine learning, and data analytics, to facilitate the processing and interpretation of complex clinical information.

Quality of health care is a term that refers to the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. It encompasses various aspects such as:

1. Clinical effectiveness: The use of best available evidence to make decisions about prevention, diagnosis, treatment, and care. This includes considering the benefits and harms of different options and making sure that the most effective interventions are used.
2. Safety: Preventing harm to patients and minimizing risks associated with healthcare. This involves identifying potential hazards, implementing measures to reduce errors, and learning from adverse events to improve systems and processes.
3. Patient-centeredness: Providing care that is respectful of and responsive to individual patient preferences, needs, and values. This includes ensuring that patients are fully informed about their condition and treatment options, involving them in decision-making, and providing emotional support throughout the care process.
4. Timeliness: Ensuring that healthcare services are delivered promptly and efficiently, without unnecessary delays. This includes coordinating care across different providers and settings to ensure continuity and avoid gaps in service.
5. Efficiency: Using resources wisely and avoiding waste, while still providing high-quality care. This involves considering the costs and benefits of different interventions, as well as ensuring that healthcare services are equitably distributed.
6. Equitability: Ensuring that all individuals have access to quality healthcare services, regardless of their socioeconomic status, race, ethnicity, gender, age, or other factors. This includes addressing disparities in health outcomes and promoting fairness and justice in healthcare.

Overall, the quality of health care is a multidimensional concept that requires ongoing evaluation and improvement to ensure that patients receive the best possible care.

Artificial insemination (AI) is a medical procedure that involves the introduction of sperm into a female's cervix or uterus for the purpose of achieving pregnancy. This procedure can be performed using sperm from a partner or a donor. It is often used when there are issues with male fertility, such as low sperm count or poor sperm motility, or in cases where natural conception is not possible due to various medical reasons.

There are two types of artificial insemination: intracervical insemination (ICI) and intrauterine insemination (IUI). ICI involves placing the sperm directly into the cervix, while IUI involves placing the sperm directly into the uterus using a catheter. The choice of procedure depends on various factors, including the cause of infertility and the preferences of the individuals involved.

Artificial insemination is a relatively simple and low-risk procedure that can be performed in a doctor's office or clinic. It may be combined with fertility drugs to increase the chances of pregnancy. The success rate of artificial insemination varies depending on several factors, including the age and fertility of the individuals involved, the cause of infertility, and the type of procedure used.

Healthcare Quality Indicators (QIs) are measurable elements that can be used to assess the quality of healthcare services and outcomes. They are often based on evidence-based practices and guidelines, and are designed to help healthcare providers monitor and improve the quality of care they deliver to their patients. QIs may focus on various aspects of healthcare, such as patient safety, clinical effectiveness, patient-centeredness, timeliness, and efficiency. Examples of QIs include measures such as rates of hospital-acquired infections, adherence to recommended treatments for specific conditions, and patient satisfaction scores. By tracking these indicators over time, healthcare organizations can identify areas where they need to improve, make changes to their processes and practices, and ultimately provide better care to their patients.

Quality Assurance in the context of healthcare refers to a systematic approach and set of activities designed to ensure that health care services and products consistently meet predetermined standards of quality and safety. It includes all the policies, procedures, and processes that are put in place to monitor, assess, and improve the quality of healthcare delivery.

The goal of quality assurance is to minimize variability in clinical practice, reduce medical errors, and ensure that patients receive evidence-based care that is safe, effective, timely, patient-centered, and equitable. Quality assurance activities may include:

1. Establishing standards of care based on best practices and clinical guidelines.
2. Developing and implementing policies and procedures to ensure compliance with these standards.
3. Providing education and training to healthcare professionals to improve their knowledge and skills.
4. Conducting audits, reviews, and evaluations of healthcare services and processes to identify areas for improvement.
5. Implementing corrective actions to address identified issues and prevent their recurrence.
6. Monitoring and measuring outcomes to evaluate the effectiveness of quality improvement initiatives.

Quality assurance is an ongoing process that requires continuous evaluation and improvement to ensure that healthcare delivery remains safe, effective, and patient-centered.

The "attitude of health personnel" refers to the overall disposition, behavior, and approach that healthcare professionals exhibit towards their patients or clients. This encompasses various aspects such as:

1. Interpersonal skills: The ability to communicate effectively, listen actively, and build rapport with patients.
2. Professionalism: Adherence to ethical principles, confidentiality, and maintaining a non-judgmental attitude.
3. Compassion and empathy: Showing genuine concern for the patient's well-being and understanding their feelings and experiences.
4. Cultural sensitivity: Respecting and acknowledging the cultural backgrounds, beliefs, and values of patients.
5. Competence: Demonstrating knowledge, skills, and expertise in providing healthcare services.
6. Collaboration: Working together with other healthcare professionals to ensure comprehensive care for the patient.
7. Patient-centeredness: Focusing on the individual needs, preferences, and goals of the patient in the decision-making process.
8. Commitment to continuous learning and improvement: Staying updated with the latest developments in the field and seeking opportunities to enhance one's skills and knowledge.

A positive attitude of health personnel contributes significantly to patient satisfaction, adherence to treatment plans, and overall healthcare outcomes.

Retrospective studies, also known as retrospective research or looking back studies, are a type of observational study that examines data from the past to draw conclusions about possible causal relationships between risk factors and outcomes. In these studies, researchers analyze existing records, medical charts, or previously collected data to test a hypothesis or answer a specific research question.

Retrospective studies can be useful for generating hypotheses and identifying trends, but they have limitations compared to prospective studies, which follow participants forward in time from exposure to outcome. Retrospective studies are subject to biases such as recall bias, selection bias, and information bias, which can affect the validity of the results. Therefore, retrospective studies should be interpreted with caution and used primarily to generate hypotheses for further testing in prospective studies.

I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!

Patient compliance, also known as medication adherence or patient adherence, refers to the degree to which a patient's behavior matches the agreed-upon recommendations from their healthcare provider. This includes taking medications as prescribed (including the correct dosage, frequency, and duration), following dietary restrictions, making lifestyle changes, and attending follow-up appointments. Poor patient compliance can negatively impact treatment outcomes and lead to worsening of symptoms, increased healthcare costs, and development of drug-resistant strains in the case of antibiotics. It is a significant challenge in healthcare and efforts are being made to improve patient education, communication, and support to enhance compliance.

Primary health care is defined by the World Health Organization (WHO) as:

"Essential health care that is based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford. It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process."

Primary health care includes a range of services such as preventive care, health promotion, curative care, rehabilitation, and palliative care. It is typically provided by a team of health professionals including doctors, nurses, midwives, pharmacists, and other community health workers. The goal of primary health care is to provide comprehensive, continuous, and coordinated care to individuals and families in a way that is accessible, affordable, and culturally sensitive.

A questionnaire in the medical context is a standardized, systematic, and structured tool used to gather information from individuals regarding their symptoms, medical history, lifestyle, or other health-related factors. It typically consists of a series of written questions that can be either self-administered or administered by an interviewer. Questionnaires are widely used in various areas of healthcare, including clinical research, epidemiological studies, patient care, and health services evaluation to collect data that can inform diagnosis, treatment planning, and population health management. They provide a consistent and organized method for obtaining information from large groups or individual patients, helping to ensure accurate and comprehensive data collection while minimizing bias and variability in the information gathered.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

A cross-sectional study is a type of observational research design that examines the relationship between variables at one point in time. It provides a snapshot or a "cross-section" of the population at a particular moment, allowing researchers to estimate the prevalence of a disease or condition and identify potential risk factors or associations.

In a cross-sectional study, data is collected from a sample of participants at a single time point, and the variables of interest are measured simultaneously. This design can be used to investigate the association between exposure and outcome, but it cannot establish causality because it does not follow changes over time.

Cross-sectional studies can be conducted using various data collection methods, such as surveys, interviews, or medical examinations. They are often used in epidemiology to estimate the prevalence of a disease or condition in a population and to identify potential risk factors that may contribute to its development. However, because cross-sectional studies only provide a snapshot of the population at one point in time, they cannot account for changes over time or determine whether exposure preceded the outcome.

Therefore, while cross-sectional studies can be useful for generating hypotheses and identifying potential associations between variables, further research using other study designs, such as cohort or case-control studies, is necessary to establish causality and confirm any findings.

Bacterial adhesion is the initial and crucial step in the process of bacterial colonization, where bacteria attach themselves to a surface or tissue. This process involves specific interactions between bacterial adhesins (proteins, fimbriae, or pili) and host receptors (glycoproteins, glycolipids, or extracellular matrix components). The attachment can be either reversible or irreversible, depending on the strength of interaction. Bacterial adhesion is a significant factor in initiating biofilm formation, which can lead to various infectious diseases and medical device-associated infections.

Evidence-Based Medicine (EBM) is a medical approach that combines the best available scientific evidence with clinical expertise and patient values to make informed decisions about diagnosis, treatment, and prevention of diseases. It emphasizes the use of systematic research, including randomized controlled trials and meta-analyses, to guide clinical decision making. EBM aims to provide the most effective and efficient care while minimizing variations in practice, reducing errors, and improving patient outcomes.

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Article Adherence to recommendations and clinical practice guidelines: not an easy task was published on November 1, 2023 in ... Adherence to recommendations and clinical practice guidelines: not an easy task. * Mario Plebani ... "Adherence to recommendations and clinical practice guidelines: not an easy task" Clinical Chemistry and Laboratory Medicine ( ... "Adherence to recommendations and clinical practice guidelines: not an easy task" Clinical Chemistry and Laboratory Medicine ( ...
The American Society for Regional Anesthesia and Pain Medicine has specific guidelines for treatment of these patients when t … ... Epidural steroid injection resulting in epidural hematoma in a patient despite strict adherence to anticoagulation guidelines J ... The American Society for Regional Anesthesia and Pain Medicine has specific guidelines for treatment of these patients when ... the authors present a case in which the current American Society for Regional Anesthesia and Pain Medicine guidelines were ...
Adherence Barriers to Antimicrobial Treatment Guidelines in Teaching Hospital, the Netherlands Peter G.M. Mol*†. , Willem J.M.J ... Adherence Barriers to Antimicrobial Treatment Guidelines in Teaching Hospital, the Netherlands. ... Physician Readiness to change or use the guideline. Supervising specialists 3. No need for a guideline, because − Routine ... Guideline. 1. Dissemination 2. Credibility of content. 1. Develop and actively distribute hard-copy and electronic version 2. ...
... integrates guideline recommendations with real-time clinical data to evaluate individual guideline recommendation adherence and ... collect and analyze the requirements for a system that allows the monitoring of adherence to evidence-based clinical guideline ... decision support can be provided through a system that allows an automated monitoring of adherence to clinical guideline ... The needs analysis with clinical staff resulted in a flowchart describing the work process of how adherence to recommendations ...
J-PAL health sector co-chairs and staff discuss some lessons from the evidence for increasing adherence to Covid-19 guidelines ... This note highlights some general lessons on how policymakers may be able to increase adherence to COVID-19 guidelines and ... Increased trust in the health system may be critical for more community cooperation with health guidelines. A study in Sierra ... Other individuals may simply not be aware of the guidelines, may not understand the specific steps to follow, or they may not ...
J-PAL health sector co-chairs and staff discuss some lessons from the evidence for increasing adherence to Covid-19 guidelines ... This note highlights some general lessons on how policymakers may be able to increase adherence to COVID-19 guidelines and ... Increased trust in the health system may be critical for more community cooperation with health guidelines. A study in Sierra ... Other individuals may simply not be aware of the guidelines, may not understand the specific steps to follow, or they may not ...
Conclusions A simple text-messaging intervention improving health worker adherence to malaria guidelines is effective and ... adherence to malaria case-management guidelines are urgently required across Africa. A recent trial in Kenya showed that text- ... Very little evidence exists on the cost-effectiveness of interventions for improving adherence to malaria guidelines [14], [15] ... This study provides the first cost-effectiveness analysis in the field of mobile health and adherence to malaria guidelines. We ...
We summarized each clinicians adherence to thedrug guidelines by a single measure: namely, the changein percent guideline ... Improving Adherence to Guidelines for Hypertension Drug Prescribing: Cluster-randomized Controlled Trial of General Versus ... Download PDF: Improving Adherence to Guidelines for Hypertension Drug Prescribing: Cluster-randomized Controlled Trial of ... Improving Adherence to Guidelines for Hypertension Drug Prescribing: Cluster-randomized Controlled Trial of General Versus ...
OECD Watch Fact Sheet 3: Assessing Adherence to the OECD Guidelines Human Rights Provisions. The OECD Guidelines and Socially ... OECD Watch Fact Sheet 4: Assessing Adherence to the OECD Guidelines Supply Chain Provision The OECD Guidelines and Socially ... Download Assessing Adherence to the OECD Guidelines Human Rights Provisions.pdf (93 KB) ... Home News & publications OECD Watch Fact Sheet 3: Assessing Adherence to the OECD Guidelines Human Rights Provisions ...
Diabetes mellitus, Guideline adherence, Health outcomes, Integrated care, Measurement of quality of care ... Guideline adherence and health outcomes in diabetes mellitus type 2 patients: A cross-sectional study. Publication. Publication ... Guideline adherence was measured by comparing structure and process indicators of care with recommendations in the national ... Results: Guideline adherence varied between different recommendations. For example 53% of the practices had a system for ...
Is the physicians adherence to prescription guidelines associated with the patients socio-economic position? An analysis of ... Is the physicians adherence to prescription guidelines associated with the patients socio-economic position? An analysis of ... Beyond individual characteristics, the contextual circumstances of the HCP were also associated with adherence to guidelines. ... and adherence to guidelines for statin prescription on the other, with a focus on social and economic conditions. ...
... adherence to guidelines and goals attainment in the treatment of diabetic patients with dyslipidemia - Minerva Cardiology and ... Alert-LDL-2: adherence to guidelines and goals attainment in the treatment of diabetic patients with dyslipidemia. Mariarosaria ... Alert-LDL-2: adherence to guidelines and goals attainment in the treatment of diabetic patients with dyslipidemia. Minerva ... The aim of this study was to evaluate the adherence to guidelines-oriented dyslipidemia treatment in diabetic patients and to ...
9 11 These data also allow us to assess how guideline-adherent care is, if there are specific challenges in guideline adherence ... adherence to clinical guidelines. What is already known on this topic?. *. Although most deaths are within 48 hours of ... Perfect adherence to admission guidelines represents only one technical aspect of much wider issues in quality care that our ... We explored guideline adherence after creating a cumulative correctness of Paediatric Admission Quality of Care (cPAQC) score ...
2033 Real-World Adherence to National Comprehensive Cancer Network (NCCN) Guidelines Regarding the Usage of PET/CT and Reported ... Introduction: Current National Comprehensive Cancer Network (NCCN) guidelines recommend one of three frontline (1L) regimens to ... Despite NCCN guidelines, physicians in community oncology practices may face challenges optimizing outcomes for ABVD patients ...
Adherence to guide- lines was observed in 5.8% of cases: this was highest for children diagnosed with viral (86.0%) compared ... Adherence to guidelines on the use of amoxicillin for treatment of ambulatory pneumonia in children younger than 5 years, ... Adherence to guidelines on the use of amoxicillin for treatment of ambulatory pneumonia in children younger than 5 years, ... Pneumonia; Child; Outpatients; Amoxicillin; Guideline Adherence; Colombia; Neumonía; Niño; Pacientes Ambulatorios; Amoxicilina ...
Guideline Adherence Humans Influenza, Human Male Middle Aged Netherlands Oseltamivir Pandemics Practice Guidelines As Topic ... Adherence to Oseltamivir Guidelines during Influenza Pandemic, the Netherlands. 18(3). Fietjé, Esther H. et al. "Adherence to ... "Adherence to Oseltamivir Guidelines during Influenza Pandemic, the Netherlands" vol. 18, no. 3, 2012. Export RIS Citation ... Title : Adherence to Oseltamivir Guidelines during Influenza Pandemic, the Netherlands Personal Author(s) : Fietjé, Esther H.; ...
It assesses the extent to which guidelines have been adhered to in a corpus of terminological definitions, such as BS/ISO 2382 ... This article reviews the theoretical and specific guidelines for definitions laid down by some philosophers and terminology ... Guidelines for terminological definitions: The adherence to and deviation from existing rules in BS/ISO 2382: Data Processing ... It assesses the extent to which guidelines have been adhered to in a corpus of terminological definitions, such as BS/ISO 2382 ...
However, adherence to the guideline recommendations is still far from optimal. To optimize adherence, it is recommended that ... Guideline adherence was determined by auditing the records using 12 guideline-based performance indicators (PI), grouped into 5 ... little is known about the impact of guidelines on the quality of delivery of care. To improve adherence to guideline ... to evaluate the effect of a tailored implementation strategy on guideline adherence compared to traditional guideline ...
A previously developed algorithm-based guideline adherence score was used to determine adherence to key performance indicators ... A previously developed algorithm-based guideline adherence score was used to determine adherence to key performance indicators ... A previously developed algorithm-based guideline adherence score was used to determine adherence to key performance indicators ... A previously developed algorithm-based guideline adherence score was used to determine adherence to key performance indicators ...
... with particular focus on adherence and non-adherence to global media reporting guidelines. We posit through the process of ... Using the Responsible Suicide Reporting Model to increase adherence to global media reporting guidelines. Journalism: Theory, ... Using the Responsible Suicide Reporting Model to increase adherence to global media reporting guidelines. ... Numerous guidelines on responsible reporting of suicide are available to journalists globally, offering advice on best practice ...
The purpose of our study was to analyse: (i) adherence of the programme to EuG; (ii) programme process and performance ... development of information systems and assessment of quality are required to increase programme adherence to EuG and to measure ... European guidelines (EuG) for quality assurance in CC screening provide guidance on all aspects of an organised screening ... Table 1 Adherence of the organised cervical screening programme in Poland to European Guidelines for Quality Assurance in ...
The treatment of acute otitis media is a common problem as many providers do not follow current clinical practice guidelines in ... Improving Adherence to Clinical Practice Guidelines for the Treatment of Acute Otitis Media in Pediatric Patients. ... Increasing adherence to acute otitis media treatment duration guidelines using a quality improvement approach. Pediatr Qual Saf ... Results: There was a 35-point increase in adherence to the clinical practice guideline algorithm. There was an 18% decrease in ...
... guidelines for monitoring these contacts have been published previously (6). Adherence to Treatment ... These guidelines do not fit every circumstance, and additional considerations beyond those discussed in these guidelines must ... Contact investigation guidelines. Berkeley, CA: California Department of Health Services; 1998. * CDC. Guidelines for ... Guidelines published by ATS and CDC recommend primary prophylaxis for children aged ,5 years (6,59). These guidelines are ...
Guidelines for improving entry into and retention in care and antiretroviral adherence for persons with HIV: evidence-based ... Guidelines for improving entry into and retention in care and antiretroviral adherence for persons with HIV: evidence-based ...
ENHANCE: Evaluating South Africas National Adherence Guidelines. Retention in HIV care and adherence to HIV treatment have ... To deal with this issue, in 2015 South Africa began rollout of National Adherence Guidelines for Chronic Diseases (HIV, TB and ... Evaluation of the National Department of Healths National Adherence Guidelines for Chronic Diseases in South Africa using ... enhanced adherence counseling for unstable patients on HIV treatment; 3) adherence clubs for stable patients on HIV treatment; ...
Guideline Adherence for Heart Health. *Improvement Adherence to Clinical Practice Guidelines Using the Clinical Decision ... Is heart failure guideline adherence being underestimated? The impact of therapeutic contraindicatio… ... Application of the MAT-CHDSP to assess guideline adherence and therapy goal achievement in secondary… ... A medication assessment tool to evaluate adherence to medication guideline in asthmatic children. ...
Guideline adherence ranged from 2082%. UK adherence was lower than other jurisdictions for the lung vignette covered by the ... Conclusion Cancer guideline content is variable between similarly developed nations and poor guideline adherence does not ... Aim To explore whether cancer guidelines, and adherence to them, differ between jurisdictions and impacts on PCPs propensity ... the second was covered by a Swedish guideline alone. Only the UK and Denmark had an ovarian cancer guideline. Survey responses ...
We examined adherence to PA recommendations among cancer survivors and controls. We sought to identify correlates of adherence ... to PA and to determine whether PA adherence is associated with health-related quality of life (HRQOL) among cancer survivors. ... but the rate of adherence to PA recommendations among middle-aged survivors is unclear. ... We categorized PA adherence into 3 groups: meeting guidelines, somewhat active, or sedentary. We defined "meeting guidelines" ...
  • Most surgeons perceive that poor adherence to treatment guidelines is due to poor awareness, underestimation of infection, lack of consensus, and disagreement with guidelines recommendations. (
  • Partial or poor adherence can lead to the resumption of rapid viral replication, poorer survival rates, and the mutation to treatment-resistant strains of HIV. (
  • Only 12 prescriptions completely adhered, while 275 had partial, and 13 prescriptions had poor adherence to NeuPSIG guidelines. (
  • Data on adherence (% of contacts) was identified for type of antibiotic and for full treatment adherence (i.e. recommended type and dose and duration). (
  • To investigate adherence to and surgeons' perception of antibiotic prophylaxis guidelines. (
  • However, we found poor treatment adherence to antibiotic prophylaxis guidelines. (
  • Is adherence to national guidelines for parenteral empiric antibiotic therapy effective? (
  • Introduction: Guidelines for the selection of empirical antibiotics have been developed to improve patient outcomes and reduce unnecessary antibiotic use. (
  • Adherence to the guidelines was defined as prescribing the empiric antibiotic concordant with the national guidelines on the empirical use of antibiotics. (
  • The selection of empirical antibiotics was concordant with the national guidelines in 92.4% of patients and 29.5% of the bacterial isolates obtained from these patients were resistant to the prescribed empiric antibiotic. (
  • Conclusions: Empirical antibiotic guidelines should be updated based on the latest surveillance data and information on prevailing bacterial spectra. (
  • Antibiotic prescribing patterns and guideline concordance should be periodically evaluated to ensure whether antimicrobial stewardship programs are moving in the right direction. (
  • Chathuranga G, Dissanayake T, Fernando N, Wanigatunge CA (2023) Is adherence to national guidelines for parenteral empiric antibiotic therapy effective? (
  • The Procalcitonin Antibiotic Consensus Trial (ProACT) found provision of a procalcitonin antibiotic prescribing guideline to hospital-based clinicians did not reduce antibiotic use. (
  • In this study we sought to determine the threshold adherence rate for reduction in antibiotic use, and to explore opportunities to increase adherence. (
  • ProACT randomized 1656 patients presenting to 14 U.S. hospitals with suspected lower respiratory tract infection to usual care or provision of procalcitonin assay results and an antibiotic prescribing guideline to the treating clinicians. (
  • We determined that an 84% adherence rate in the hospital setting (emergency department and inpatient) for low procalcitonin could have allowed rejection of the null hypothesis (3.7 vs 4.3 antibiotic-days, p = 0.048). (
  • Even 100% adherence in the emergency department alone failed to reduce antibiotic-days. (
  • High adherence in the hospital setting to a procalcitonin antibiotic prescribing guideline is necessary to reduce antibiotic use in suspected lower respiratory tract infection. (
  • Continued guideline adherence after discharge and withholding of antibiotics in low and medium risk patients with low procalcitonin may offer impactful potential opportunities for antibiotic reduction. (
  • We sought to determine what guideline adherence rate to antibiotic withholding recommendations at low procalcitonin levels would have resulted in less antibiotic use in the ProACT trial and in which settings. (
  • Patients randomly received usual care (no other interventions or guides) or an intervention where the treating clinicians received procalcitonin results and an antibiotic use guideline with graded recommendations based on four tiers of procalcitonin levels. (
  • That antimicrobial treatment guideline was drawn up by the hospitals' antibiotic use committee, which was composed of specialists of relevant departments. (
  • Adherence to the guideline was 43% (374/868) for blood cultures, 29% (144/491) for lumbar punctures, 55% (270/492) for antibiotic prescriptions, and 67% (573/859) for admission. (
  • 78% (36/46) of clinics had formally discussed NICE guideline recommendations. (
  • In conclusion, meeting 24 h movement guidelines at baseline increases the odds of meeting them at 2 years follow-up in school-aged children. (
  • CONCLUSION: Adherence to CDC-recommended therapy was high for patients with genital chlamydial infections at these two managed care organizations. (
  • Conclusion In conclusion, the insufficient adherence to '5-2-1-0' recommendations and the high prevalence of the co-occurrence of risky behaviours underscore the need to strengthen health interventions and programmes to prevent obesity among adolescents in sub-Saharan Africa. (
  • Conclusion: Adherence to the Dutch dietary guidelines is associated with better physical and mental QoL, especially in women. (
  • Conclusions: The majority of clinics were aware of the guideline recommendations. (
  • All physicians but one were aware of the guideline, although six never had received a personal copy ( Table 1 ). (
  • Methods A systematic review of the literature in PubMed was conducted (MeSH term 'Guideline Adherence', filters: published in the last 5 years, meta-analysis). (
  • Methods We investigated 99 prepubertal children with asthma, 2-13 years of age, who had been using ICS in guideline-recommended dosages for ≥3 months, and continued to do so during 1-year follow-up. (
  • Objective: To investigate the association between diet quality, use of diets, and quality of life (QoL) in men and women with MS. Methods: Diet quality was measured with the Dutch Healthy Diet-index, which measures adherence to the Dutch Guidelines for a Healthy Diet. (
  • We examined clinicians' routine recommendations of 7 guideline-recommended screening methods and factors associated with these recommendations. (
  • Recommendation of screening methods varied by clinician-perceived effectiveness of the method, familiarity with the method, Medicare coverage, clinical capacity, and patient adherence. (
  • Clinician education is needed to improve knowledge, familiarity, and experiences with guideline-recommended screening methods with the goal of effectively engaging patients in informed decision making for CRC screening. (
  • BACKGROUND: The extent of adherence to the Centers for Disease Control and Prevention (CDC) STD guidelines by clinicians practicing in managed care settings is unknown. (
  • GOAL The goal was to assess adherence to the CDC guideline recommendations for the treatment of genital chlamydial infection, by clinicians at two group model managed care organizations. (
  • We also explored how clinically challenging it would be for clinicians to achieve guideline adherence based on predictors of illness severity and bacterial infection. (
  • To plan an effective intervention strategy, however, one must know the extent to which clinicians perceive the need for a guideline and support implementing that specific guideline ( 5 ). (
  • A sizable portion of clinicians reported guideline-discordant screening intervals and age to stop screening. (
  • One cornerstone of the program was an evidence-based, 4-step hypertension control practice guideline for clinicians. (
  • Equipping laboratory personnel and prescribers with the knowledge to investigate non-malaria fevers could improve adherence to the guideline for improved patient care. (
  • Emphasis is on the development of innovative approaches to adherence and behavior change, especially models of interventions to improve adherence. (
  • There is a need to further explore the reasons for the lack of adherence to the recommendations. (
  • Further studies exploring the underlying causes behind the lack of adherence to the neonatal resuscitation guidelines should be conducted. (
  • Despite several efforts at addressing the barriers to adherence to the WHO-supported test, treat and track (T3) malaria case management guideline in Ghana, adherence remains a challenge. (
  • For example, progress has been made to simplify dosing regimens, to ameliorate aversive medication side effects, to improve access to health care, to facilitate behavior changes to avoid re- infection with HIV or other STDs, and to intervene with consumer and provider characteristics (e.g., increase self-efficacy, remove barriers to adherence, treat psychosocial factors that can impair adherence), in order to advance treatment adherence to an acceptable level. (
  • We compared guidelines for diagnosis and treatment of uncomplicated LUTIs in nine European countries, followed by an observational study on available data of guideline adherence. (
  • This study aimed to assess adherence to the '5-2-1-0' recommendations and to study multiple risky behaviours among adolescents in nine countries in sub-Saharan Africa. (
  • Our own research has noted that facilities with higher CPG adherence (i.e., high performing facilities, or HPF) relied more heavily on chart data as a source of feedback and placed greater value on educational feedback approaches than facilities with lower guideline adherence (low performing facilities, or LPF)[ 16 ]. (
  • Conclusions One year of ICS treatment in guideline-recommended dosages with high adherence did not result in significant or relevant growth suppression. (
  • Conclusions: The current approach to EBPH can, with modifications, support climate change adaptation activities, but there is little evidence regarding interventions and knowledge translation, and guidelines for projecting health impacts are lacking. (
  • We conclude that COPD patients receive guideline adherent treatment in 6.7 and 29.8% of the cases from a general population and from a hospital register, respectively, and that the difference between the two samples is explained by grade of airflow obstruction. (
  • Treatment guidelines provide evidence-based information to help physicians and patients better manage diseases and chronic conditions. (
  • Practice guidelines for the treatment of chronic kidney disease help treating physicians provide the best clinical outcomes for their patients," said Mark Brecher, M.D., LabCorp's chief medical officer and a co-author of the study. (
  • However, the large and growing number of CKD patients means that most are cared for by primary care physicians who generally do not have extensive training or experience in the treatment of these patients, and for whom the complex guidelines may be difficult to incorporate into their practice. (
  • 163) assessed whether physician adherence to practice guidelines for the evaluation and management of patients diagnosed with CKD was affected by the physician's receipt of LabCorp's CDS report. (
  • The study compared more than 12,000 stage 3 and 4 CKD patients whose physicians received LabCorp's guideline-based CDS reports to almost 43,000 matched control CKD patients whose physicians did not receive the CDS reports on their adherence to these guidelines. (
  • Patients with atherosclerotic cardiovascular disease who receive care by a cardiologist had higher rates of guideline-based statin use and adherence in an outpatient setting, according to data published in the American Journal of Cardiology . (
  • Does adherence to the guideline recommendation for active treatments improve the quality of care for patients with acute low back pain delivered by physical therapists? (
  • Numerous practice guidelines have been developed for patients with low back pain in an attempt to reduce inappropriate variations and improve the cost-effectiveness of care. (
  • Examine the association between adherence to the guideline recommendation to use active versus passive treatments with clinical outcomes and costs for patients with acute low back pain receiving physical therapy. (
  • as a result, four clinics reported a reduction in the number of IUI cycles, six clinics had restricted the indications for IUI, and five clinics had begun informing patients of the guideline recommendations, while two did not specify. (
  • Patients with malaria test negative results if not treated, revisiting the facility with severe malaria, the experience of prescribers, lack of regular training and supervision for old and new staff and the inability of prescribers to investigate non-malaria fever hindered adherence to results-based treatment. (
  • The aim of this study was to evaluate the conformity of antithrombotic therapy prescribed at hospital discharge with the guidelines in patients with AF and its influence on long-term morbidity and mortality. (
  • Overall there was discordance between the therapy instituted and the guidelines in 25.8% of patients. (
  • The prescription rate of OAC in patients at high risk was lower than recommended in the guidelines, which were not followed in a quarter of patients. (
  • OAC use was the only modifiable factor able to improve prognosis of patients with AF, and it is thus crucial to ensure adherence to the guidelines in daily clinical practice. (
  • However, only 50.7% (21.2, 79.7) of patients seen at PFPs received appropriate malaria management.ConclusionAdherence levels to malaria case management guidelines were good, but with gaps noted mainly in the private sector. (
  • The report of the Sixth Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure provides useful guidelines for appropriate management of patients with hypertension and suggests drugs that may benefit patients with coexistent conditions. (
  • He has developed a range of tools and models for assessing patients' perspectives of illness and treatment e.g. the Beliefs about Medicines Questionnaire (BMQ) and Medication Adherence Report (MARS) as well as frameworks for understanding treatment-related behaviours with a particular focus on adherence to medication e.g. the Necessity-Concerns Framework and Perceptions and Practicalities approach. (
  • To determine adherence of primary health care [‎PHC]‎ physicians to the National Protocol for the Management of Asthma and barriers affecting adherence, we conducted a cross-sectional study in Aseer region, Saudi Arabia. (
  • The researchers found that physicians receiving LabCorp's proprietary CDS reports were 29 percent to 88 percent more likely to order CKD-related testing in accordance with guidelines than those physicians who did not receive the reports. (
  • Primary care physicians showed the greatest improvement in guideline adherence following receipt of the CDS report. (
  • [ 166 ] The American Academy of Family Physicians endorsed these guidelines in March 2019 and provided the following key recommendations from the guidelines. (
  • We examined barriers that existed in different groups of physicians to the use of a general, hospitalwide antimicrobial treatment guideline. (
  • A qualitative approach was chosen to maximize the identification of relevant issues, especially on content and development process of the guideline and physicians' and organizational characteristics ( 6 , 7 ). (
  • Physicians were probed on their opinions on antimicrobial policies in general and on aspects of the current antimicrobial treatment guideline and its usefulness in daily clinical practice, using in-depth interviews lasting 20-45 minutes. (
  • Themes were classified as barriers related to 1) the guideline, 2) physicians' characteristics, and 3) characteristics of the institution. (
  • Objective: The objective of the present research was to evaluate the prescription pattern of the drugs used in the pharmacological treatment of cancer-related neuropathic pain (CRNP) and to assess the adherence of the physicians to the Neuropathic Pain Special Interest Group (NeuPSIG) Guidelines. (
  • His current research focuses on the development of theory-based interventions to support informed choice and optimal adherence to medication or other treatments in chronic illness. (
  • This Program Announcement (PA) identifies gaps in the understanding of ART adherence, and encourages studies to address the role of adherence through all phases of treatment and illness, the need to broaden the scope of interventions to enhance treatment adherence, and the importance of tailoring methodological and intervention advances to the special needs and context of affected populations. (
  • however, the extent to which practitioners adhere to these guidelines is unknown. (
  • Guidelines content is similar to a large extent in the participating countries. (
  • We assessed the extent of adherence to the national guidelines for the selection of parenteral empirical antibiotics for three selected infections at a tertiary care center. (
  • Atrial fibrillation and thromboembolic risk: what is the extent of adherence to guidelines in clinical practice? (
  • Descriptive, qualitative, cross-sectional study of a purposeful sample of six Veterans Affairs Medical Centers (VAMCs) with high and low adherence to six CPGs, as measured by external chart review audits. (
  • We conducted a cross-sectional study to examine the association between meeting combinations of the 24-hour movement guidelines and academic performance by performing a multiple linear regression of a sample of 10,160 grade 7-12 students that completed the 2017 Ontario Student Drug Use and Health Survey. (
  • Possible reasons include clinician reluctance to follow the guideline, with an observed 64.8% adherence rate. (
  • Of the possible reasons for this finding, the lower clinician adherence rate of 64.8% compared to the earlier trials may explain much of the varying impact [ 5 ]. (
  • We sought to determine levels of adherence in eight European countries to recommendations for the management of type 2 diabetes and to investigate factors associated with key intermediate outcomes. (
  • Concordance, adherence and compliance in medicine taking. (
  • This study aimed to assess national compliance with established GES protocol guidelines. (
  • We aimed to assess whether management in febrile children below 3 months attending European Emergency Departments (EDs) was according to the guidelines for fever. (
  • Guidelines issued by Kidney Disease: Improving Global Outcomes (KDIGO) ® and the National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (NKF KDOQI) ™ recommend that certain tests be administered within specified timeframes, and that the results of those tests should fall within established ranges. (
  • Guideline implementation has received more research attention than the impact of adherence to guideline recommendations on outcomes and costs of care. (
  • Adherence to the guideline recommendation for active care was associated with better clinical outcomes and reduced cost. (
  • Dental trauma guidelines provide specific recommendations and protocols to ensure the best positive patient outcomes. (
  • The importance of treatment guidelines is to provide guidance on what to expect, what the expected outcomes are based on the injury, the different factors related to that injury, along with a clear recommendation about the immediate treatment specifically to the type of injury. (
  • Utilization of ACOG guidelines increased following the workshop and improved identification of PE or sPE pregnancies with adverse maternal outcomes. (
  • Objectives Assess the adherence to the recommendations of CPGs by health professionals internationally. (
  • The professionals with the greatest adherence were dentists, whereas cardiologists and surgeons did not change their behaviour due to the recommendations of a CPG. (
  • Discussion The degree of adherence to the recommendations of the CPG is influenced by different factors, related to the efforts of professional associations, the management of health care organisations, the professionals themselves involved in the care of the patient and the patient himself. (
  • Implications for Guideline Developers/Users The key elements for adherence to the recommendations of the CPG are: involvement of the professionals with the strategy, occupational type, and suggested recommendations. (
  • Surgeons have positive perception that antibiotics should be used according to guidelines recommendations. (
  • Design: Online questionnaire survey of fertility clinics in the UK regarding their current clinical practice of IUI, formal discussion of the guideline recommendations, and any alterations made since the recommendations. (
  • This conference focuses best practice in decision making and mental capacity and ensuring adherence to the NICE Guideline on Decision Making and Mental Capacity in line with the recommendations, and looking ahead to the NICE Quality Standard for Decision Making and Mental Capacity which is currently in development. (
  • Although the recommendations pertain to the United States, they might be adaptable for use in other countries that adhere to guidelines issued by the World Health Organization, the International Union against Tuberculosis and Lung Disease, and national TB control programs. (
  • We simulated varying adherence to guideline recommendations for low procalcitonin levels and determined which threshold adherence rate could have resulted in rejection of the null hypothesis of no difference between groups at alpha = 0.05. (
  • We assessed adherence of suicide prevention advice in depression management and suicide prevention apps to six evidence-based clinical guideline recommendations: mood and suicidal thought tracking, safety plan development, recommendation of activities to deter suicidal thoughts, information and education, access to support networks, and access to emergency counseling. (
  • While the American Association of Endodontics (AAE) and American Association of Pediatric Dentistry (AAPD) established their own set of guidelines, today all three organizations are using the same guidelines, based on the original IADT recommendations. (
  • In the total sample, adherence to process recommendations was high for some measures, for example, HbA 1c recorded in past 12 months in 97.6% of cases. (
  • Aim The aim of this study was to evaluate Swedish cardiac rehabilitation programme characteristics and adherence to European Guidelines on Cardiovascular Disease Prevention. (
  • General characteristics of apps, adherence with six suicide prevention strategies identified in evidence-based clinical guidelines using a 50-question checklist developed by the study team, and trustworthiness of the app based on HONcode principles were appraised and reported as a narrative review, using descriptive statistics. (
  • As a strategy for improving clinical practice guideline (CPG) adherence, audit and feedback (A&F) has been found to be variably effective, yet A&F research has not investigated the impact of feedback characteristics on its effectiveness. (
  • In most aspects, the staff did not adhere to guidelines regarding neonatal resuscitation. (
  • Following an MS-specific diet may help to adhere to these guidelines. (
  • This white paper discusses how SIMbae, a patented technology from Able Device, can provide a robust, secure, and convenient method for Mobile Network Operators (MNOs) to implement and adhere to the GSMA IoT Device Connection Efficiency Guidelines. (
  • Most physician partially or did not adhere to the NeuPSIG guideline in the management of CRNP. (
  • Background The use of the recommendation of clinical practice guidelines (CPGs) by health professionals, depends on the diffusion process and local strategies of implementation of a particular guide in a specific service of the institution. (
  • Adherence to the recommendation for active treatment was determined from billing records. (
  • Objective: To evaluate the awareness and response of fertility clinics in the UK to the National Institute for Health and Care Excellence (NICE) guideline recommendation that intrauterine insemination (IUI) should not be offered routinely, in order to report on current practice in the UK. (
  • While guidelines are a recommendation, if someone treats a case and does not follow recommended protocols, they can be liable and at risk for a lawsuit for not following published trauma guidelines. (
  • Although investigation of contacts and treatment of infected contacts is an important component of the U.S. strategy for TB elimination, second in priority to treatment of persons with TB disease, national guidelines have not been updated since 1976. (
  • Patient outcome measures included testing rates, adherence to treatment, dispensing and counselling services as per national guidelines. (
  • This strategy improves patient adherence and lowers costs. (
  • Despite widespread adoption of the WHO guideline, adherence to the guideline by practitioners remains a challenge [ 6 ]. (
  • In response to this pressing need, scientists and practitioners have made significant gains in ART adherence research. (
  • There is practice variation in management due to differences in guidelines and their usage and adherence. (
  • Building on our previous work on barriers and facilitators of clinical practice guideline implementation, the purpose of the analyses reported here is to address this need in the A&F literature by exploring how HPF and LPF differ in the way they use clinical audit data for feedback purposes. (
  • Traceback investigation evaluating the implementation of perinatal GBS prevention guidelines to identify implementation failures among early‐onset GBS cases and to assess factors that may contribute to a false negative antenatal GBS screen. (
  • Full guideline adherence is limited, whereas partial guideline adherence is moderate in febrile children below 3 months across Europe. (
  • This study aimed to examine (1) adherence to 24 h movement guidelines over a 2 years follow-up in children aged 6-8 years and (2) association of this adherence with cardiometabolic risk factors. (
  • No need for a guideline, because − Routine prescribing − No perceived resistance problems 4. (
  • To check feasibility of the use of OOH routine data to assess guideline adherence for the treatment of LUTI in OOH primary care, in different regions of Europe. (
  • The use of OOH routine data for analysis of guideline adherence in OOH primary care seems feasible, although some challenges remain. (
  • The mainstay of such policies is preferably an evidence-based antimicrobial treatment guideline ( 2 ). (
  • Paper copies of the antimicrobial treatment guideline were distributed hospitalwide, in 1995, with an update in 1999. (
  • More than 97% of men and nonpregnant women and more than 98% of pregnant women were prescribed treatment, consistent with current CDC guidelines. (
  • This necessitates meticulous planning, strict adherence to safety protocols, and consistent inspections to guarantee the safety of workers and the overall success of the construction endeavors. (
  • Phase 1: 6-month audit of prescriptions to investigate adherence rate to evidence-based guidelines. (
  • Prescribers lauded the guideline on testing and treatment as it ensures the quality of malaria case management, but irregular supply of malaria rapid diagnostic test kits (RDT), mistrust of laboratory tests, and the reluctance of prescribers to change from presumptive treatment were key barriers to testing. (
  • As malaria remains a significant cause of morbidity and mortality in Ghana, this study provides insights on gaps in adherence to the testing and treatment of malaria. (
  • While the diagnostic capacity for malaria case management is a challenge, the lack of training resulting in the inability of some prescribers to investigate non-malaria fever hinders adherence to the malaria case management guideline. (
  • Therefore, there is a need to train new prescribers, laboratory personnel, and other staff involved in malaria diagnosis and treatment on the malaria case management guideline before they assume duty. (
  • Adherence to malaria management guidelines by health care workers in the Busoga sub-region, eastern Uganda. (
  • The objective of this study was to determine health care worker adherence levels to malaria case management guidelines in the Busoga sub-region, Uganda.MethodsHealth facility assessments, health care worker (HCW), and patient exit interview (PEI) surveys were conducted at government and private health facilities in the sub-region. (
  • The guideline, which outlined medication therapy, was updated every 2 years based on emerging evidence. (
  • Demographic details, diagnosis, medication details, and adherence to NeuPSIG guidelines were assessed using a validated questionnaire. (
  • The threshold adherence rate was 76% for continued guideline adherence after discharge. (
  • Background: This is a registered study protocol on a randomized controlled trial (RCT) testing an intervention aimed to improve men's adherence to evidence-based guidelines on BRCA1/2 germline genetic testing. (
  • The present RCT applies principles of the Health Action Process Approach (HAPA) in testing the psychological determinants of the men's adherence to evidence based guidelines on BRCA1/2 germline genetic and testing the efficacy of two messages. (
  • A randomized controlled trial comparing self-referred message to family-referred message promoting men's adherence to evidence-based guidelines on BRCA1/2 germline genetic testing: A registered study protocol / S. Petrocchi, G. Ongaro, M. Calvello, I. Feroce, B. Bonanni, G. Pravettoni. (
  • The company, called Spoonful of Sugar, applies Horne's research to behavioural change consultancy, evidence-based adherence support, validated behavioural research and perspectives mapping and personalised communications. (
  • LabCorp's CDS report presents the CKD guidelines information in an easy-to-use format with clear action steps for the physician and patient to follow. (
  • A study published May 18, 2015, in Surgery found no significant correlations between teamwork in the operating room (OR) and adherence to patient care guidelines in the care of a simulated patient with malignant hyperthermia. (
  • BURLINGTON, N.C.--( BUSINESS WIRE )--Laboratory Corporation of America ® Holdings (LabCorp ® ) (NYSE: LH) today announced the results of a recently published clinical research study that demonstrates improved physician adherence to chronic kidney disease (CKD) treatment guidelines through the use of LabCorp's innovative clinical decision support (CDS) report. (
  • LabCorp's CKD clinical decision support report provides analyses of lab results and treatment guidelines at the point of care. (
  • In cases where litigation enters the scene, it's important that proper treatment guidelines are followed. (
  • Future studies should focus on guideline revision including new biomarkers in order to optimize management in young febrile children. (
  • Guideline revision including new biomarkers is needed to improve management in young febrile children. (
  • In November 2018, the American Society of Hematology (ASH) released guidelines for the diagnosis of venous thromboembolism (VTE). (
  • Adherence to '5-2-1-0' guidelines decreases children's risk of obesity and related morbidities in later life. (
  • The aim of this study was to examine the relationship between cumulative real exposure (with objectively assessed adherence) to ICS and height growth in children with asthma. (
  • It is relevant to study further if these lacks of adherence to guidelines have implications for the asthmatic children or if guidelines are too demanding concerning frequency of follow-up or if asthmatic children should be stratified to different care pathways. (
  • In febrile children below 3 months (excluding bronchiolitis), we analyzed actual management compared to the guidelines for fever. (
  • In 1976, the American Thoracic Society (ATS) published brief guidelines for the investigation, diagnostic evaluation, and medical treatment of TB contacts. (
  • Meeting physical activity guidelines individually, or in combination with screen time and/or sleep, was longitudinally associated with a lower cardiometabolic risk score, insulin and waist circumference, and cross-sectionally additionally with lower diastolic blood pressure and higher high-density lipoprotein cholesterol. (
  • He added, "In Medicare beneficiaries hospitalized for an acute MI, adherence to high-intensity statins was improved by more interactions with health care providers, including more frequent visits to the cardiologist. (
  • Unaffected growth can be maintained for at least 1 year in children with asthma during ICS treatment with high adherence. (
  • Inhaled corticosteroids (ICS) in guideline-recommended dosages with high adherence for 1 year were not associated with statistically significant or clinically relevant growth suppression in 99 prepubertal children with asthma. (
  • Highlighting the critical need for comprehensive safety measures and adherence to OSHA guidelines - ESC has fully developed its Trench Boxes Series (also known as Trench Shields) a two-sided, high-quality, and economical excavation support system that provides a safe working environment in trenches up to 5.6m deep. (
  • What this means for first-responders, whether a high school coach or EMT treating an accident victim, is that ignorance about guidelines will no longer be acceptable. (
  • Our analysis found that more middle school students met each of the guidelines than high school students, with 33.5% of all students meeting the screen time guideline, 23.1% meeting the physical activity guideline, 33.8% meeting the sleep guidelines. (
  • Among high school students, better academic performance was observed with meeting both the sleep and screen time guidelines without adherence to the physical activity guideline. (
  • This rationale may also explain the lack of association observed between meeting the physical activity guideline and academic performance in high school students. (
  • That being said, meeting all three guidelines was associated with higher academic performance in middle school students, which is reasonable seeing as the time and effort that is required to succeed is greater in high school courses. (
  • Adherence to such hospital guidelines is often low to moderate (40%-60%) ( 3 , 4 ). (