Letters To The Editor
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jan 14, 2008; 14(2): 322-323
Published online Jan 14, 2008. doi: 10.3748/wjg.14.322
Clinical guidelines: Involvement of peers increases physician adherence
Pascal Vignally, Jean Charles Grimaud, Roland Sambuc, Stéphanie Gentile
Pascal Vignally, Roland Sambuc, Stéphanie Gentile, Department of Public Health, Faculty of Medicine, Marseille, France
Jean Charles Grimaud, Department of Gastroenterology, University hospital, Marseille, France
Correspondence to: Pascal Vignally, Department of Public Health, Faculty of Medicine, 27 bd Jean Moulin, Marseille 13005, France. stephanie.gentile@mail.ap-hm.fr
Telephone: +33-4-75120574
Fax: +33-4-91384482
Received: September 3, 2007
Revised: October 30, 2007
Published online: January 14, 2008

The literature illustrates the important issue of physician adherence to guidelines in their daily practice. In a quantitative study, we asked a random sample of 100 hospital gastroenterologists to evaluate their knowledge of guidelines and awareness of promoters. The degree to which guidelines were considered reliable was not related to the scientific evidence but was significantly associated with the promoter. The French Society of Gastroenterology was considered to be a more reliable promoter than national health agencies and pharmaceutical industries. Gastroenterologists become aware of guidelines mainly through their specialty society (62%). Specialty societies appear to be a more important source of information on guidelines for physicians. National health agencies should involve the specialty societies in the guideline development process to achieve changes in clinical practice.

Keywords: Guidelines, Adherence, Quality, Quantitative study