It is well known that the mere spread of clinical guidelines has limited impact on practice. Combining guidelines with other measures may increase the effect of professional conduct. Such measures may be local adaptation of guidelines, courses and other educational programs. Peer support is important for quality development among general practitioners. However, efforts to improve knowledge and motivation do not suffice. It is important that working conditions of the practitioner must be adapted towards reinforcing change of behaviour. There are reports of the effect of reminders linked to specific clinical situations, i.e. through the electronic record system.
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Department of Public Health and Primary Health Care, last updated 27.04.96
Hogne.Sandvik@isf.uib.no