[e-drug] Standard Treatment Guidelines (3)

["Anibal Sosa, MD." <anibal.sosa@tufts.edu>]

E-DRUG: Standard Treatment Guidelines (3)
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Dear Frank,

What you express reflect my same experience working in developing countries. 

I try to understand what physicians think and do when are asked to use a 
STG. As a physician myself, we are trained to think and act with arrogance 
and we feel threatened when receiving directives from policy makers who most of the time formulate them and expect prescribers to adhere with submission.
Often times, our anecdotal experience from the field prevails and not matter what it is being told, physicians continue to be on their own.

We have tried for years to have doctors in Latin America countries, to 
review, adapt and implement a PAHO STG for infectious diseases, but guess 
what.....it some countries it has come down to be a territorial issue 
heavily influenced by the same arrogance and non sense. Let's solve the 
problem by engaging doctors in a behavioral process.....so they (we) will 
feel they (we) are in control!

All the best!

Anibal Sosa, MD
anibal.sosa@tufts.edu