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Guideline use behaviours and needs of primary care practitioners in China: a cross-sectional survey
- Source :
- BMJ Open
- Publication Year :
- 2017
- Publisher :
- BMJ, 2017.
-
Abstract
- ObjectivesClinical guidelines have been recognised as an effective way to improve healthcare performance. However, little is known about the uptake and implementation of guidelines by general practitioners in China. The aim of this study was to investigate the guideline use behaviours and needs of practitioners in primary care settings in China.MethodsWe conducted a cross-sectional survey from December 2015 to May 2016 that included practitioners at 268 institutions in 15 provinces in China. Questionnaire development was informed by the execution of a literature review and consultation of experts. On-site surveys were implemented using a paper questionnaire to minimise missing responses. A multivariate logistic regression analysis was performed to identify factors associated with provider knowledge of and attitudes towards clinical guidelines.ResultsOf the respondents, 91.7% (1568/1708) were aware of clinical guidelines, but only 11.3% (177/1568) frequently used them. The main mechanism by which primary care practitioners accessed guidelines was public search engines (63.4%; 911/1438), and practitioners seldom reported using biomedical databases. The most frequently identified barriers to guideline use were lack of training (49.9%; 778/1560), lack of access (44.6%; 696/1560) and lack of awareness (38.0%; 592/1560). Less than one-quarter of respondents considered current guidelines ‘entirely appropriate’ for use in primary care (23.5%; 339/1442). Most participants (96.2%; 1509/1568) believed it was necessary to develop primary care guidelines. Provider attitudes towards current guidelines were associated with the location and level of the institution and professional title of the practitioner (pConclusionOur survey revealed poor knowledge and uptake of clinical guidelines in primary care, and we identified a gap between the needs of practitioners and availability of clinical guidelines for use in primary care in China. In addition, lacking access to and training in guidelines also prevented primary healthcare practitioners from using guidelines in daily practice.
- Subjects :
- China
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
implementering
Cross-sectional study
Health Personnel
Primary health care
guideline use behaviours
Primary care
Logistic regression
cross-sectional survey
primary care
03 medical and health sciences
0302 clinical medicine
veiledere
Nursing
Surveys and Questionnaires
Health care
Humans
Medicine
guidelines
030212 general & internal medicine
Primary Health Care
business.industry
Research
030503 health policy & services
General Medicine
Guideline
primary care practitioners
Medical Management
Cross-Sectional Studies
Logistic Models
retningslinjer
Family medicine
Multivariate Analysis
Delegation (computing)
Guideline Adherence
0305 other medical science
business
Subjects
Details
- ISSN :
- 20446055
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- BMJ Open
- Accession number :
- edsair.doi.dedup.....5bfff68cb91e06154872b194f1d000e5