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J. Hart (1994)
Health Care and General Practice across EuropeJournal of Public Health Policy, 15
C. Wallace, S. Ringen (1994)
Societies in Transition: East-Central Europe Today
E. Wouden, J. Thijs, A. Zwet, J. Kleibeuker (2000)
Nitroimidazole resistance in Helicobacter pyloriAlimentary Pharmacology & Therapeutics, 14
(1998)
The Maastricht Consensus Report
J. Warren, B. Marshall (1983)
UNIDENTIFIED CURVED BACILLI ON GASTRIC EPITHELIUM IN ACTIVE CHRONIC GASTRITISThe Lancet, 321
W. Boerma, D. Fleming (1998)
The role of general practice in primary health care.
The transposition of evidence into clinical care presents many challenges. New knowledge may be immediately translatable to the practice setting, with barriers to be overcome before implementation. The early guidelines on Helicobacter pylori management presented an overview but were not able to take into account local factors and health care traditions, such as the non-availability of tests and established primary–secondary care relationships. Primary care is a specific speciality across most of Europe, existing within different health care systems and clinical traditions. The creation of H.pylori management guidelines, aimed at European primary care but adaptable to local national circumstances, presented a challenge in methodology and formulation. The process exposed similarities but also tensions between differing health care systems, as well as variations in the conditions in which GPs practise. Clinical differences, such as varying ulcer prevalence and drug resistance rates, highlighted the importance of guidelines being adaptable. This paper analyses the European Society for Primary Care Gastroenterology process of pan-European primary care agreement towards H.pylori management and how diverse views, traditions and national settings were reconciled through an evidence-based approach. Key words
Family Practice – Oxford University Press
Published: Aug 1, 2000
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