caa a22 4500 397498209 CHVBK 20180308164526.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/fampra/12.3.269 doi (NATIONALLICENCE)oxford-10.1093/fampra/12.3.269 Implementation of guidelines on stroke prevention [Elektronische Daten] [Flemming Hald Steffensen, Frede Olesen, Henrik Toft Sørensen] The aim of the present paper was to study the implementation of new medical knowledge. We investigated whether Danish doctors have implemented new national guidelines for oral anti-coagulation of atrial fibrillation. An anonymous questionnaire with six standardized case stories was sent to 315 general practitioners in the county of Viborg and Ringkøbing, 79 heads of departments of medicine and cardiology, and 20 heads of departments of neuromedicine across the country. The answers showed that the Danish doctors recommended anticoagulant therapy only to a low extent for this group of patients despite the guidelines and the scientific evidence. The reasons for not choosing anticoagulant therapy were lack of knowledge concerning risk of stroke associated with the disease, worries about the disadvantages of the treatment, and lack of knowledge of its benefits. It is concluded that despite solid scientific documentation and an intensive implementation process of guidelines, issued by well-known respected colleagues in a small homogeneous country as Denmark (5 million inhabitants), knowledge of new research findings varies greatly and is generally limited. To obtain optimal use of new research findings, a powerful implementation effort must be recommended and the study reveals a need for a closer link between research and post-graduate education. © Oxford University Press Original articles nationallicence Steffensen Flemming Hald Research Unit for General Practice, University of Aarhus, 8000 Aarhus C, Denmark, 8000 Aarhus C, Denmark aut Olesen Frede Research Unit for General Practice, University of Aarhus, 8000 Aarhus C, Denmark, 8000 Aarhus C, Denmark aut Sørensen Henrik Toft The Danish Epidemiology Science Centre, University of Aarhus 8000 Aarhus C, Denmark aut Family Practice Oxford University Press 12/3(1995-09), 269-273 0263-2136 12:3<269 1995 12 famprj https://doi.org/10.1093/fampra/12.3.269 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/fampra/12.3.269 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Steffensen Flemming Hald Research Unit for General Practice, University of Aarhus, 8000 Aarhus C, Denmark, 8000 Aarhus C, Denmark aut NATIONALLICENCE 700 1- Olesen Frede Research Unit for General Practice, University of Aarhus, 8000 Aarhus C, Denmark, 8000 Aarhus C, Denmark aut NATIONALLICENCE 700 1- Sørensen Henrik Toft The Danish Epidemiology Science Centre, University of Aarhus 8000 Aarhus C, Denmark aut NATIONALLICENCE 773 0- Family Practice Oxford University Press 12/3(1995-09), 269-273 0263-2136 12:3<269 1995 12 famprj Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford