Physicians’ Attitudes Toward Guidelines for Stroke: A Survey of Korean Neurologists
4
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background and Purpose: Clinical practice guidelines (CPGs) are regarded as an essential guidance tool for practicing physicians. We surveyed physicians in Korea in order to evaluate their attitudes toward the Korean CPGs for stroke. Methods: We obtained participation agreement for our survey from 27 centers of the 33 most actively contributing to the Korean Stroke Registry. A total of 174 neurologists participated in a questionnaire interview regarding their attitudes toward CPGs for stroke. Results: Of 174 participating neurologists, 65 (37.4%) were stroke neurologists. The average age was 33.6±7.1 and 49 (28.2%) were female. Most of the respondents held positive attitudes and opinions regarding the use of the guidelines, whereas only a small percentage (14.9%) responded negatively. More than 60% of the physicians in the survey reported adherence to the Korean CPGs in dyslipidemia management for the secondary prevention of stroke. Conclusions: The positive attitudes and opinions toward the guidelines imply that physicians’ attitudes should not be regarded as a potential barrier to the implementation of Korean CPGs for stroke practiced by general physicians.
Abstract
Background and Purpose: Clinical practice guidelines (CPGs) are regarded as an essential guidance tool for practicing physicians. We surveyed physicians in Korea in order to evaluate their attitudes toward the Korean CPGs for stroke. Methods: We obtained participation agreement for our survey from 27 centers of the 33 most actively contributing to the Korean Stroke Registry. A total of 174 neurologists participated in a questionnaire interview regarding their attitudes toward CPGs for stroke. Results: Of 174 participating neurologists, 65 (37.4%) were stroke neurologists. The average age was 33.6±7.1 and 49 (28.2%) were female. Most of the respondents held positive attitudes and opinions regarding the use of the guidelines, whereas only a small percentage (14.9%) responded negatively. More than 60% of the physicians in the survey reported adherence to the Korean CPGs in dyslipidemia management for the secondary prevention of stroke. Conclusions: The positive attitudes and opinions toward the guidelines imply that physicians’ attitudes should not be regarded as a potential barrier to the implementation of Korean CPGs for stroke practiced by general physicians.
참고문헌 (10)
- Field MJ, "Clinical practice guidelines: directions for a new program" (1990), National Academy Press
- Woolf SH., "Clinical guidelines : potential benefits, limitations, and harms of clinical guidelines", BMJ, 318, pp.527~530 (1999)
- Cabana MD., "Why don’t physicians follow clinical practice guidelines? A framework for improvement", JAMA, 282, pp.1458~1465 (1999)
- 홍근식, "Statin Prescription Adhered to Guidelines for Patients Hospitalized due to Acute Ischemic Stroke or Transient Ischemic Attack", Journal of Clinical Neurology, 9(4), pp.214~222 (2013), 대한신경과학회
- Jung KH., "Secular trends in ischemic stroke characteristics in a rapidly developed country : results from the korean stroke registry study(secular trends in Korean stroke)", Circ Cardiovasc Qual Outcomes, 5, pp.327~334 (2012)
- "Third report of the National Cholesterol Education Program(NCEP)expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(adult treatment panel III)final report", Circulation, 106, pp.3143~ (2002)
- Francke AL., "Factors influencing the implementation of clinical guidelines for health care professionals : a systematic meta-review", BMC Med Inform Decis Mak, 8, pp.388~ (2008)
- Hayward RS., "Canadian physicians’ attitudes about and preferences regarding clinical practice guidelines", CMAJ, 156, pp.1715~1723 (1997)
- Quiros D., "Attitudes toward practice guidelines among intensive care unit personnel : a cross-sectional anonymous survey", Heart Lung, 36, pp.287~297 (2007)
- Powell-Cope GM., "Provider-perceived barriers and facilitators for ischaemic heart disease(IHD)guideline adherence", J Eval Clin Pract, 10, pp.227~239 (2004)