Summary

Aim: The S 3-guideline concerning diagnosis and therapy of venous leg ulcers of the German Society for Phlebology (DGP) was tested for its acceptance and practicability in outpatient care exerted by phlebologists. Barriers for the implementation of the guideline's recommendations in actual health care were identified. Methods: Qualitative research using focus groups and interviews by telephone. Systematic content analysis of records and transcripts by two independent researchers. Results: Phlebologists regard the guideline of the DGP as a theoretical gold standard, not being in line with their actual daily work. Restraining factors for applying the guideline were seen in insufficient reimbursement systems, patients' compliance, and in several structural conditions. Evidence-based performance seems to play a minor role in daily practice. Conclusions: Barriers of implementation as well as detailed suggestions by the users will help to revise the guideline.