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Table 4 Effectiveness of guideline implementation strategies from meta-analysis by outcome

From: Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews

Outcome
Strategy
Process Patient
Single strategy Multifaceted strategy Multifaceted strategy
Significant positive result No statistically significant difference Significant positive result No statistically significant difference Significant positive result No statistically significant difference
Audit and feedback - – Adherence outcome/long-term (6 studies) [29]
– Adherence outcome (4 studies)a [29]
– Adherence outcome (4 studies)a [29]
– Physician adherence (12 studies) [30]
– Disease target results in the long term (3 studies) [29]
Organizational culture – Physician adherence (14 studies) [30] – Physician adherence (17 studies) [30]
Educational interventions – Physician adherence (15 studies) [30] – Physician adherence (26 studies) [30] – Adherence outcome/short-term (6 studies) [29]
– Adherence outcome/long-term (8 studies) [29]
– Adherence outcome (4 studies) [29]
– Disease target results in the short term (6 studies) [29]
– Disease target results in the long term (5 studies) [29]
– Mortality in the short term (3 studies) [29]
– Mortality in the long term (4 studies) [29]
– Hospitalizations in the long term (4 studies) [29]
Patient-directed interventions – Physician adherence (5 studies)a [30] – Physician adherence (5 studies)a [30] – Physician adherence(14 studies)a [30]
– Physician adherence (15 studies)a [30]
Reminders – Physician adherence (15 studies) [30] – Physician adherence (22 studies) [30]
– Adherence outcome/long-term (6 studies) [29]
– Adherence outcome (4 studies) [29]
– Disease target results in the long term (3 studies) [29]
Educational meetings – Adherence outcome/long-term (6 studies) [29]
– Adherence outcome (4 studies) [29]
– Disease target results in the long term (3 studies) [29]
Information and communication technology – Adherence outcome/long-term (6 studies) [29]
– Adherence outcome (4 studies) [29]
– Disease target results in the long term (3 studies) [29]
Academic detailing Adherence outcome/long-term (6 studies) [29]
Adherence outcome (4 studies) [29]
– Disease target results in the long term (3 studies) [29]
  1. aDifferent outcomes related to physician adherence