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Table 2 Questions considered by GPs when deciding whether to follow a guideline

From: "What lies beneath it all?" – an interview study of GPs' attitudes to the use of guidelines

1. Can I trust the recommendations? a. Are the recommendations driven by economic motives (rationing or profit)?
  b. Is the source trustworthy?
  c. Is the evidence trustworthy?
2. Are the recommendations consistent with this patient's needs? a. Is it possible to say no to patients' requests without disappointing them?
  b. Are patients likely to comply with recommended treatment?
3. Is following the recommendations feasible? a. Are the recommendations easily accessible and comprehensible to me and the patient?
  b. Have I got the time to assess and follow the recommendations?
  c. Have I got the necessary skills and resources to follow the recommendations?