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Overington JD, Huang YC, Abramson MJ, et al. Implementing clinical guidelines for chronic obstructive pulmonary disease: barriers and solutions. J Thorac Dis. 2014;6(11):1586-96doi: 10.3978/j.issn.2072-1439.2014.11.25.
Overington, J. D., Huang, Y. C., Abramson, M. J., Brown, J. L., Goddard, J. R., Bowman, R. V., Fong, K. M., & Yang, I. A. (2014). Implementing clinical guidelines for chronic obstructive pulmonary disease: barriers and solutions. Journal of thoracic disease, 6(11), 1586-96. https://doi.org/10.3978/j.issn.2072-1439.2014.11.25
Overington, Jeff D, et al. "Implementing clinical guidelines for chronic obstructive pulmonary disease: barriers and solutions." Journal of thoracic disease vol. 6,11 (2014): 1586-96. doi: https://doi.org/10.3978/j.issn.2072-1439.2014.11.25
Overington JD, Huang YC, Abramson MJ, Brown JL, Goddard JR, Bowman RV, Fong KM, Yang IA. Implementing clinical guidelines for chronic obstructive pulmonary disease: barriers and solutions. J Thorac Dis. 2014 Nov;6(11):1586-96. doi: 10.3978/j.issn.2072-1439.2014.11.25. PMID: 25478199; PMCID: PMC4255168.
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J Thorac Dis. 2014 Nov;6(11):1586-96. doi: 10.3978/j.issn.2072-1439.2014.11.25.

Implementing clinical guidelines for chronic obstructive pulmonary disease: barriers and solutions.

Journal of thoracic disease

Jeff D Overington, Yao C Huang, Michael J Abramson, Juliet L Brown, John R Goddard, Rayleen V Bowman, Kwun M Fong, Ian A Yang

Affiliations

  1. 1 School of Medicine, The University of Queensland, Brisbane, Australia ; 2 Epidemiology & Preventive Medicine, Monash University, Melbourne, Australia ; 3 Lung Foundation Australia, Brisbane, Australia ; 4 Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia.

PMID: 25478199 PMCID: PMC4255168 DOI: 10.3978/j.issn.2072-1439.2014.11.25

Abstract

Chronic obstructive pulmonary disease (COPD) is a complex chronic lung disease characterised by progressive fixed airflow limitation and acute exacerbations that frequently require hospitalisation. Evidence-based clinical guidelines for the diagnosis and management of COPD are now widely available. However, the uptake of these COPD guidelines in clinical practice is highly variable, as is the case for many other chronic disease guidelines. Studies have identified many barriers to implementation of COPD and other guidelines, including factors such as lack of familiarity with guidelines amongst clinicians and inadequate implementation programs. Several methods for enhancing adherence to clinical practice guidelines have been evaluated, including distribution methods, professional education sessions, electronic health records (EHR), point of care reminders and computer decision support systems (CDSS). Results of these studies are mixed to date, and the most effective ways to implement clinical practice guidelines remain unclear. Given the significant resources dedicated to evidence-based medicine, effective dissemination and implementation of best practice at the patient level is an important final step in the process of guideline development. Future efforts should focus on identifying optimal methods for translating the evidence into everyday clinical practice to ensure that patients receive the best care.

Keywords: Pulmonary disease; chronic obstructive; clinical practice guidelines; evidence-based practice; health services

References

  1. Respir Med. 2012 Mar;106(3):374-81 - PubMed
  2. Int J Chron Obstruct Pulmon Dis. 2010 Apr 07;5:73-9 - PubMed
  3. Circulation. 2003 Jun 10;107(22):2799-804 - PubMed
  4. Am J Respir Crit Care Med. 2013 Oct 15;188(8):e13-64 - PubMed
  5. Respir Med. 2013 Jul;107(7):1046-52 - PubMed
  6. Health Serv Res. 2005 Jun;40(3):865-85 - PubMed
  7. Int J Chron Obstruct Pulmon Dis. 2011;6:659-67 - PubMed
  8. Am J Respir Crit Care Med. 2009 Nov 15;180(10):948-55 - PubMed
  9. Cochrane Database Syst Rev. 2014 Jul 21;(7):CD009285 - PubMed
  10. Am J Respir Crit Care Med. 2002 Sep 1;166(5):675-9 - PubMed
  11. Cochrane Database Syst Rev. 2006 Jan 25;(1):CD002733 - PubMed
  12. Fam Pract. 1998 Apr;15(2):99-104 - PubMed
  13. Multidiscip Respir Med. 2013 Mar 19;8(1):24 - PubMed
  14. Br J Gen Pract. 2004 Jan;54(498):33-7 - PubMed
  15. Scand J Prim Health Care. 1999 Mar;17(1):35-40 - PubMed
  16. Curr Med Res Opin. 2013 Aug;29(8):957-66 - PubMed
  17. Respir Care. 2003 Dec;48(12):1257-66; discussion 1267-8 - PubMed
  18. Cochrane Database Syst Rev. 2012 Jun 13;(6):CD000259 - PubMed
  19. Diabetes Care. 2003 Feb;26(2):265-8 - PubMed
  20. BMC Fam Pract. 2013 Apr 04;14:47 - PubMed
  21. Med J Aust. 1996 Apr 1;164(7):403-6 - PubMed
  22. Cochrane Database Syst Rev. 2014 Sep 19;(9):CD010509 - PubMed
  23. Am J Med. 2001 Apr 15;110(6):451-7 - PubMed
  24. Respir Med. 2004 Sep;98 (9):832-7 - PubMed
  25. BMC Fam Pract. 2013 May 06;14:56 - PubMed
  26. Cochrane Database Syst Rev. 2010 Nov 10;(11):CD001390 - PubMed
  27. Proc Am Thorac Soc. 2012 Dec;9(5):298-303 - PubMed
  28. J Eval Clin Pract. 2008 Feb;14(1):36-42 - PubMed
  29. Diabetes Care. 2002 Nov;25(11):1946-51 - PubMed
  30. Ann Intern Med. 2014 May 20;160(10):727-8 - PubMed
  31. Eur J Heart Fail. 2011 Jan;13(1):93-9 - PubMed
  32. Int J Chron Obstruct Pulmon Dis. 2011;6:171-9 - PubMed
  33. Cochrane Database Syst Rev. 2013 Nov 12;(11):CD002894 - PubMed
  34. Br J Gen Pract. 2001 Nov;51(472):897-903 - PubMed
  35. BMC Fam Pract. 2010 Nov 18;11:90 - PubMed
  36. Cochrane Database Syst Rev. 2012 Dec 12;12:CD001175 - PubMed
  37. Asia Pac J Public Health. 2015 Mar;27(2):NP2067-78 - PubMed
  38. Fam Pract. 1991 Sep;8(3):223-8 - PubMed
  39. N Engl J Med. 2008 Oct 9;359(15):1543-54 - PubMed
  40. Eur Respir J. 2012 Nov;40(5):1106-14 - PubMed
  41. Proc Am Thorac Soc. 2012 Dec;9(5):215-8 - PubMed
  42. Med J Aust. 1989 Dec 4-18;151(11-12):650-3 - PubMed
  43. Ann Intern Med. 2012 Oct 2;157(7):482-9 - PubMed
  44. Prim Care Respir J. 2012 Jun;21(2):167-73 - PubMed
  45. Respir Care. 2009 Aug;54(8):1040-9 - PubMed
  46. Health Bull (Edinb). 2000 Jul;58(4):322-7 - PubMed
  47. Swiss Med Wkly. 2010 Apr 21;:null - PubMed
  48. Cochrane Database Syst Rev. 2012 Dec 12;12:CD010257 - PubMed
  49. Health Serv Res. 2005 Jun;40(3):849-64 - PubMed
  50. Am J Med Qual. 2003 May-Jun;18(3):122-7 - PubMed
  51. BMC Health Serv Res. 2007 Jun 04;7:79 - PubMed
  52. Osteoporos Int. 2003 Aug;14(8):672-6 - PubMed
  53. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD003030 - PubMed
  54. Med J Aust. 2003 Mar 17;178 Suppl:S7-39 - PubMed
  55. Respir Med. 2004 Oct;98(10):932-7 - PubMed
  56. Can Fam Physician. 2005 Nov;51:1506-7 - PubMed
  57. Med J Aust. 2006 Apr 3;184(7):342-5 - PubMed
  58. Cochrane Database Syst Rev. 2010 Mar 17;(3):CD005470 - PubMed
  59. N Engl J Med. 2007 Feb 22;356(8):775-89 - PubMed
  60. Cochrane Database Syst Rev. 2013 Oct 15;(10):CD010177 - PubMed
  61. PLoS One. 2013 Aug 14;8(8):e70784 - PubMed
  62. J Eval Clin Pract. 2011 Aug;17(4):737-43 - PubMed
  63. Cochrane Database Syst Rev. 2014 Sep 01;(9):CD001288 - PubMed
  64. Int J Qual Health Care. 2001 Feb;13(1):17-25 - PubMed
  65. COPD. 2004 Apr;1(1):105-41; discussion 103-4 - PubMed
  66. Scand J Prim Health Care. 2007 Dec;25(4):232-6 - PubMed
  67. JAMA. 2013 Sep 11;310(10):1060-5 - PubMed
  68. Thorax. 2013 Sep;68 Suppl 2:ii1-30 - PubMed
  69. N Engl J Med. 2011 Sep 1;365(9):825-33 - PubMed

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