Physicians' perceptions of barriers and facilitators regarding adoption of the National Cholesterol Education Program guidelines.
Physicians' perceptions of barriers and facilitators regarding adoption of the National Cholesterol Education Program guidelines.
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医生对采用国家胆固醇教育计划指南的障碍和促进因素的看法。
DOI：
10.1111/j.1520-037x.2007.07200.x
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Borkan,Jeffrey
中科院分区：
文献类型：
--
作者：
Parker,DonnaR;Gramling,Robert;Goldman,RobertaE;Eaton,CharlesB;Ahern,David;Cover,RebeccaT;Borkan,Jeffrey
Despite the impact of high‐visibility evidence‐based clinical practice guidelines, physician adherence to guidelines remains low. This study explored primary care physicians' perceptions of barriers and facilitators in following the National Cholesterol Education Program guidelines. The authors conducted 9 focus groups and performed qualitative content analysis utilizing immersion‐crystallization processes, codebooks, and qualitative coding software. Key barriers to implementing guidelines included the complexity and transience of existing cholesterol guidelines as well as perceived threats to multidimensional care of the patient that unifocal single‐decision guidelines may create. Key facilitators included growing patient awareness regarding cholesterol, patients' willingness to take cholesterol medication, and technological breakthroughs. These findings have helped identify factors that prevent or enhance the adoption of cholesterol guidelines. While factors considered to be facilitators are significant, barriers may be sufficient to limit adherence. Opportunities may exist for improving adherence to cholesterol guidelines by providing training to providers and developing structural support through patient‐physician activation tools.
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影响因子：
2.9
作者：
Eaton, Charles B.;Galliher, James M.;Hickner, John
通讯作者：
Hickner, John
初级保健中降低心血管风险的 SaM（筛查和监测）方法——使用电子病历对心血管风险患者进行循环监测和个体化治疗。
DOI：
10.1097/01.hjr.0000159281.26933.fe
发表时间：
2005
期刊：
European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
影响因子：
--
作者：
I. Rabinowitz;A. Tamir
通讯作者：
A. Tamir
影响因子：
5.8
作者：
Berra, E;Milanini, J;Pouysségur, J
通讯作者：
Pouysségur, J
影响因子：
120.7
作者：
Cleeman, JI;Lenfant, C
通讯作者：
Lenfant, C
影响因子：
3
作者：
Pathman, DE;Konrad, TR;Koch, GG
通讯作者：
Koch, GG