Physician knowledge, attitudes and practices regarding a widely implemented guideline.
نویسندگان
چکیده
RATIONALE, AIMS AND OBJECTIVES Although clinical practice guidelines have been promoted widely, there is considerable concern that physicians have not incorporated them into their practice. Models suggest that a 'knowledge-attitude-behaviour' sequence is important in modifying physician practice patterns. To address this, we examined physicians' knowledge of, attitudes towards and compliance with a widely implemented guideline - the Agency for Health Care Policy and Research (AHCPR) smoking cessation guideline. METHODS A survey was mailed to a random sample of physicians at 128 veterans health administration facilities, which had implemented the guideline 2 years previously. RESULTS Completed surveys were received from 879 physicians (50.3 response rate). Only 26 of physicians reported receiving a copy or summary of the guideline, 44 reported little or no familiarity with it, 42 did not know if they agreed with it, 40 did not know if they complied with it and 46 did not know if it was effective. However, a high percentage of physicians reported that they always or usually explain the health risks of smoking (86) and that they always or usually suggest that their smoking patients stop (94). CONCLUSIONS In spite of little familiarity with the guideline, the responding physicians reported practice patterns consistent with adherence to it. Knowledge is only one of a spectrum of barriers that affects physician adherence to guidelines. There are numerous opportunities for health care organizations to overcome the barriers to physician adoption of clinical practice guidelines in their day-to-day practice.
منابع مشابه
Descriptive Study of Students’ Knowledge, Attitudes, and Practices toward Safe Sex in Niger Delta University in, Bayelsa State, Nigeria
Background & aim: Spread of sexually transmitted infections can be controlled with enhancing the knowledge and correcting the attitudes of students regarding the right and consistent use of contraceptive methods, and being in monogamous sexual relationships. This study aimed to compare thestudents’ knowledge, attitudes, and safe sex practices between nursing and non-nu...
متن کاملThe Knowledge, Attitudes, and Practices toward Food Additives in Personnel of Isfahan University of Medical Sciences in Iran
Background: Use of additives in food industry is of specific importance. Currently, more than 2,500 additives are added to foods to achieve the desired goals or to extend the product’s shelf life. However, application of these substances has raised concerns about the consumers’ health. Since public information on these substances is inadequate, promoting people’s knowledge can play a key rol...
متن کاملKnowledge, Attitudes and Practices of Pregnant Women towards Vaccination with Tetanus-Diphtheria (Td) Vaccines and Influenza
Background and Aim: Proper knowledge, attitude and practice of pregnant women about vaccination during this period will have a significant impact on their and their baby’s health. The aim of this study was to determine the knowledge, attitude and practice of pregnant women toward flu and Td vaccination. Materials and Methods: This study was a descriptive-analytical and cross-sectional study on...
متن کاملKnowledge, Attitudes and Practices (KAP) Regarding Menstruation among School Girls in West of Iran: A Population Based Cross-Sectional Study
Background Menstruation is a challenging situation for young women in whom a poor hygiene practice can result in infertility and reproductive system diseases. Attitude and knowledge are two factors related to each other, and reflected in people’s practice. This study aimed to assess the KAP, and their association among teenage girls in Western Iran. Materials and Methods A cross-sectional study...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of evaluation in clinical practice
دوره 8 2 شماره
صفحات -
تاریخ انتشار 2002