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Table 1 Guideline use

From: Characteristics of communication guidelines that facilitate or impede guideline use: a focus group study

Integral or partial use Type of use Description
Partial use Selective use The guideline is used when it is considered to be especially useful, e.g. when the consultation is not going well.
Partial use Fragmented use Only some of the recommendations in the guideline are used. Which recommendations are used depends on: doctor characteristics (personal style, experience, goals), perceived patient characteristics (clarity, assertiveness), type of consultation (first consultation, follow-up visit), and type of complaint (somatic, psychosocial).
Partial use Modified use Most of the recommendations in the guideline are used, with some deliberate additions and/or omissions.
Integral use Dispersed use All recommendations in the guideline are used, dispersed over several consultations
Integral use Implicit use All recommendations in the guideline are used, but less explicitly and with more non-verbal communication than is recommended.
Integral use Full use All the recommendations in the guideline are used in a single consultation, mostly in the recommended order.
  1. Types of guideline use described by the participants in the focus groups