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April 5, 2000

Reasons Physicians Do Not Follow Clinical Practice Guidelines

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

To the Editor: Dr Cabana and colleagues1 provide a comprehensive review of the many and varied reasons why physicians do not follow clinical practice guidelines. However, effective implementation of research evidence does not end with simply convincing physicians to use guidelines. To be translated into improvements in patient care and health outcomes, guidelines must be used accurately and properly. Within the context of a randomized controlled trial, in which health care professionals used absolute cardiovascular risk guidelines in the management of hypertension,2 we have not found this to occur.