尽管指南的发布和推广力度越来越大,但是医生并不一定总是按照指南施行医疗行为,以荷兰为例,在1/3的病例中全科医生并不遵照指南施行治疗。在新近出版的《应用科学》(Imple-mentation Science)杂志上,发表了荷兰的研究人员对全科医生不按照治疗指南的推荐进行医疗的现象所作的调查研究结果, Although guidelines are being released and promoted more and more, doctors do not always follow the guidelines for medical practices. In the Netherlands, for example, GPs do not follow guidelines in one third of cases. In the recently published issue of Imple-mentation Science, a study by Dutch researchers on the findings of a survey conducted by general practitioners on the medical treatment not in accordance with the recommendations of the treatment guidelines,