Bmc Health Serv Res
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Bmc Health Serv Res · May 2018
Randomized Controlled Trial Comparative StudyEffectiveness of a multifaceted implementation strategy compared to usual care on low back pain guideline adherence among general practitioners.
To improve patient care, and to reduce unnecessary referrals for diagnostic imaging and medical specialist care for low back pain, an evidence-based guideline for low back pain was developed in the Netherlands in 2010. The current study evaluated the effect of a multifaceted implementation strategy on guideline adherence among Dutch general practitioners. ⋯ In the short term, the strategy did not result in improved guideline adherence among general practitioners, and it is not recommended for widespread use. However, baseline referral rates in participating practices were already low, possibly leaving only little room for improvement. Inquiries for psychosocial and occupational risk factors remained low and this leaves room for improvement.