Adherence to pharmacotherapeutic advice in the guidelines of the Dutch College of General Practitioners

Feikje Groenhof, Carlijn Wefers Bettink, Liset van Dijk, Willem Jan van der Veen, Betty Meyboom-de Jong

    Research output: Chapter in Book/Report/Conference proceedingChapterAcademic


    What is this chapter about?
    The guidelines of the Dutch College of General Practitioners were used to assess the adherence to pharmacotherapeutic advice in three diagnoses with a high prevalence: hypertension, depression and cystitis. Medication prescribed in 2001 was analysed for adherence to these guidelines. Adherence varies according to guideline across the diagnoses. General practitioners (GPs) adhered best to the cystitis guideline (70.4%), followed by the hypertension guideline (55.6%), the 2003 depression guideline (50.2%) and worst to the 1994 depression guideline (11.1%). One should be careful in interpreting these results in terms of rationality or quality. There are many reasons why GPs would consciously deviate from the guidelines.
    Original languageEnglish
    Title of host publicationMorbidity, performance and quality in Primary Care
    Subtitle of host publicationDutch General Practice on stage
    EditorsGert P Westert, Lea Jabaaij, François G Schellevis
    PublisherRadcliffe Publishing Ltd
    Number of pages7
    ISBN (Print)978 184619 053 7
    Publication statusPublished - 2006


    • Primary care
    • General Practice
    • Morbidity
    • Guideline adherence
    • Pharmacotherapeutic advice

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