Buy this Article for $10.95

Have a coupon or promotional code? Enter it here:

When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article.


clinical care, clinical practice guidelines, systems analysis



  1. Fontanesi, John PhD
  2. Messonnier, Mark PhD, MS
  3. Hill, Linda MD, MPH
  4. Shefer, Abigail MD


Clinical practice guidelines (CPGs) are the best available synthesis of research in providing clinical care, yet the degree of adoption remains less than optimal. One reason may be that the routes of dissemination and the mode of construction do not match the needs of the typical healthcare practice. This study uses a systems approach in understanding the interplay between routes of CPG dissemination, the construction of CPGs, and the likelihood that healthcare organizations will adopt these guidelines.