[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
April 5, 2000

Reasons Physicians Do Not Follow Clinical Practice Guidelines—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(13):1685-1686. doi:10.1001/jama.283.13.1685

In Reply: Dr Veatch points out that physician disagreement with the value judgments incorporated within a guideline may be another reason for physician nonadherence. In our article, we found 33 surveys investigating physician disagreement with guideline-specific recommendations as a barrier and 15 surveys investigating physician disagreement with the general concept of guidelines.1 There are many specific aspects of guidelines that physicians may find objectionable. Although guideline authors have been urged to state their value judgments explicitly,2 we found no studies that examined disagreement with value judgments as a reason for guideline nonadherence, as Veatch suggests. It is an interesting point that deserves study.

First Page Preview View Large
First page PDF preview
First page PDF preview