Behavioral change aint easy for physicians regardless of data

Implications: Although administrative and nursing/allied medical staff can and will respond to the Quality challenges, physicians (forgive my stereotyping) must be approached more comprehensively to elicit medical behavioral change based on evidenced based medicine or process improvement.  They will slow the process if not attended to their resistance factors for change.  Hospitals and medical groups alike need to understand comprehensively physician resistance for change and accordingly design appropriate interventions for the good of the American People.

Analysis: In the hospital setting particularly, administrators and nurses are responsive to change and embrace it typically .  Execution is usually not an issue--the right process change to improve Quality although is crucial.

However, I am biased re: behavioral change from physicians having led and watched them over 40 years in the medical field.  For whatever reasons, possibly selection criteria to medical school, length of education, social stature, history, etc., physicians have many hurdles to make before each and every one will make behavioral change even if given evidence based medicine--just look at the C-section rate and out patient fetal monitoring to see how they resist Quality care.  Some of the other barriers may be the following:
  1.  Change financially hurts them (and thus their family)
  2.  That is not what I learned at medical school or residency
  3.  That is not what I have observed empirically
  4.  This is coming from bureaucrats
  5.  I already practice the best Quality of medicine (arrogance)
  And much more.
Each of these need to be attended to when asking the highly trained professional to accept change that does not originate from themselves.