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Good intentions getting out of hand – is there a future for health care guidelines?

Authors Blume LH, van Weert NJ, Busari JO, Delnoij DM

Received 16 February 2017

Accepted for publication 22 March 2017

Published 11 May 2017 Volume 2017:10 Pages 81—85

DOI https://doi.org/10.2147/RMHP.S134835

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Kent Rondeau

Louise HK Blume,1,2 Nico JHW van Weert,3 Jamiu O Busari,1,4 Diana MJ Delnoij2,5

1Zuyderland Medical Center, Heerlen, 2Tilburg School of Social and Behavioural Sciences, Tranzo, Scientific Centre for Transformation in Care and Welfare, Tilburg University, Tilburg, 3Q! B.V., Nijmegen, 4Department of Educational Development and Research, Faculty of Health, Medicine and Life Sciences, University of Maastricht, Maastricht, 5National Health Care Institute, Zorginstituut Nederland, Diemen, the Netherlands

Abstract: To date, the focus of research on guidelines has been directed toward professionals, and hospitals have merely served as the context. Little research has been performed on the dilemmas of guideline adherence in hospitals, as a setting in which multiple professional guidelines have to be implemented simultaneously; also, it is still unclear which clinical guidelines have to be aligned with other external demands, such as rules, regulations, standards, indicators, norms, and so on. Hence, different ways of studying the issue of guideline implementation are called for.

Keywords: guideline, implementation, development, standardization, hospital, adherence, compliance, external demands, requirements, regulations

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