Why do Family Physicians find it difficult to apply clinical guidelines?

The aging of the population, in Italy as well as in all the countries of the European Union, and the increasing prevalence of chronic diseases pose challenges to the development and application of clinical guidelines. Guidelines have been developed to improve the quality of health care. Anyway, Fami...

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Main Author: Andrea Pizzini
Format: Article
Language:English
Published: SEEd 2007-06-01
Series:Clinical Management Issues
Subjects:
Online Access:https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/610
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spelling doaj-5128c1731c7b4e44bbceff64125746222020-11-25T00:42:05ZengSEEdClinical Management Issues1973-48322283-31372007-06-0112636810.7175/cmi.v1i2.610575Why do Family Physicians find it difficult to apply clinical guidelines?Andrea Pizzini0Medico di Medicina Generale, TorinoThe aging of the population, in Italy as well as in all the countries of the European Union, and the increasing prevalence of chronic diseases pose challenges to the development and application of clinical guidelines. Guidelines have been developed to improve the quality of health care. Anyway, Family Physicians sometimes find many obstacles in integrating guidelines into medical practice. In the care of older individuals with several comorbid diseases, application of clinical guidelines is not only difficult, but may also lead to undesirable effects. In this article, the Author take a review, published in JAMA, as a starting point to discuss the role and the importance of guidelines in patients with comorbid disease in the Italian context. The review analyses the hypothetical case of a 79-year-old woman with chronic obstructive pulmonary disease, type 2 diabetes, osteoporosis, hypertension and osteoarthritis, and describes the situation of the aggregated recommendations from the most relevant guidelines. The conclusion is that, to improve the care of older patients with complex comorbidities, developing new measures and new guidelines is extremely necessary.https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/610Clinical guidelinesComorbiditiesOld patient
collection DOAJ
language English
format Article
sources DOAJ
author Andrea Pizzini
spellingShingle Andrea Pizzini
Why do Family Physicians find it difficult to apply clinical guidelines?
Clinical Management Issues
Clinical guidelines
Comorbidities
Old patient
author_facet Andrea Pizzini
author_sort Andrea Pizzini
title Why do Family Physicians find it difficult to apply clinical guidelines?
title_short Why do Family Physicians find it difficult to apply clinical guidelines?
title_full Why do Family Physicians find it difficult to apply clinical guidelines?
title_fullStr Why do Family Physicians find it difficult to apply clinical guidelines?
title_full_unstemmed Why do Family Physicians find it difficult to apply clinical guidelines?
title_sort why do family physicians find it difficult to apply clinical guidelines?
publisher SEEd
series Clinical Management Issues
issn 1973-4832
2283-3137
publishDate 2007-06-01
description The aging of the population, in Italy as well as in all the countries of the European Union, and the increasing prevalence of chronic diseases pose challenges to the development and application of clinical guidelines. Guidelines have been developed to improve the quality of health care. Anyway, Family Physicians sometimes find many obstacles in integrating guidelines into medical practice. In the care of older individuals with several comorbid diseases, application of clinical guidelines is not only difficult, but may also lead to undesirable effects. In this article, the Author take a review, published in JAMA, as a starting point to discuss the role and the importance of guidelines in patients with comorbid disease in the Italian context. The review analyses the hypothetical case of a 79-year-old woman with chronic obstructive pulmonary disease, type 2 diabetes, osteoporosis, hypertension and osteoarthritis, and describes the situation of the aggregated recommendations from the most relevant guidelines. The conclusion is that, to improve the care of older patients with complex comorbidities, developing new measures and new guidelines is extremely necessary.
topic Clinical guidelines
Comorbidities
Old patient
url https://journals.seedmedicalpublishers.com/index.php/cmi/article/view/610
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