Table 1 Guideline use
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. |