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International Journal for Quality in Health Care 6:199-202 (1994)
© 1994 International Society for Quality in Health Care

General Practitioners' Views of Clinical Guidelines for the Management of Asthma

DAVID ARMSTRONG, Reader in Sociology as applied to Medicine*, JOHN FRY, General Practitioner{dagger} and PAULINE ARMSTRONG, Research Officer{ddagger}

* Department of General Practice, U.M.D.S. UK
{dagger}Beckenham, UK
{ddagger}Bromley, LMC, UK

Objectives—To assess the views of GPs on the value of clinical guidelines for the management of asthma.

Design—Structured questionnaire survey.

Setting—Bromley Health District.

Subjects—All (160) GPs in health district.

Main outcome measures—Evaluation of each item of clinical guidelines as to whether ‘obvious’, ‘useful’ or ‘controversial’.

Results—Ninety-four (59%) of GPs responded. There was considerable variation in views on all 26 guideline items in the questionnaire. The average GP thought that 11.5 items were obvious, 8.5 useful and 5.7 controversial, but these views showed no relationship to the GP's age, sex, ethnicity or partnership size.

Conclusion—Clinical guidelines are usually written to be of value to a wide number of clinicians, but it appears that GPs at least have more individual needs on issues of clinical management. This may explain the reported limited impact of guidelines on clinical practice.

Keywords: Guidelines, asthma, primary care

David Armstrong, Dept General Practice, United Medical and Dental Schools. Guy's Campus. London SE19RT, UK.

Received for publication October 1, 1993. Accepted for publication January 7, 1994.


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