background: high cesarean section rate is a major health problem in developing countries. this study was established to evaluate the effectiveness of iranian ministry of health and medical education protocols on cesarean section rate trend. methods: through a non-concurrent controlled quasi-experimental study, cesarean section rate in shohada-e-tajrish and taleghani hospitals in tehran was comp...

ramadan fasting has been a major concern among researchers considering the theoretically imposed risk on patients with diabetes mellitus due to prolonged fasting. studies indicate that the knowledge and practices of physicians do not comply with the proposed recommendations in this regard in many cases. this study aimed to explore the viewpoints and attitudes of physicians toward the management...

abstract aim and background: applying evidence-based treatment guidelines to improve the quality of care for patients with schizophrenia has been increased worldwide. in this study, we evaluated the adherence of clinicians to the guideline for patients with schizophrenia who were admitted to a university hospital in their first episode of disease. methods and materials: in a descriptive study, ...

dear editor program directors need to evaluate educational programs to ensure their quality (1). the results of a survey conducted in tehran university of medical sciences (tums) in early 2012 showed that program evaluation was not an established process in the majority of schools. it was at best a stand-alone project focusing on a single course or a particular component of it with no structure...

BACKGROUND Although practice guidelines are important tools to improve quality of care, implementation remains challenging. To improve adherence to an evidence-based guideline for the management of mental health problems, we developed a tailored implementation strategy targeting barriers perceived by occupational physicians (OPs). Feasibility and impact on OPs' barriers were evaluated. METHOD...

Treating Tobacco Use and Dependence: Clinical Practice Guideline All health care providers, especially those with direct patient contact, have a unique opportunity to help tobacco users quit. Smokers cite a doctor's advice to quit as an important motivator for attempting to stop smoking. Materials to help you help them are available at this website, including the 2008 Update-Clinical Practice G...

This article provides a summary of the changes along with the updated recommendations (Table 1) made by Health Canada’s Steering Committee on Clinical Practice Guidelines for the Care and Treatment of Breast Cancer to the article “Clinical Practice Guidelines for the Care and Treatment of Breast Cancer: 9. Follow-up after treatment for breast cancer,” originally published in 1998 (the 2005 upda...

BACKGROUND With the widespread use of information communication technologies, computerized clinical practice guidelines are developed and considered as effective decision supporting tools in assisting the processes of clinical activities. However, the development of computerized clinical practice guidelines in Taiwan is still at the early stage and acceptance level among major users (physicians...

Clinical practice guidelines (CPG) are one of the most effective ways to translate evidence of medical improvement into everyday practice. This study evaluated the dissemination and implementation of the Sexually Transmitted Infections-Korean Guidelines (STIKG) by applying the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework. A survey questionnaire was administe...