Pediatricians’ perceptions of clinical practice guidelines

Abstract

BackgroundClinical practice guidelines (CPGs) are propositions for health care providers about the care of patients and are usually described as “systematically developed statements to assist practitioners’ and patients’ decisions about appropriate health care for specific circumstances”.ObjectivesThe purpose of this study was to investigate pediatricians’ perceptions of clinical practice guidelines at Hamad Medical Corporation (HMC) in Qatar.MethodsA cross-sectional study was conducted at HMC between May 1 and August 31, 2013 using a self-administered questionnaire that was distributed to 240 pediatricians.ResultsA total of 169/240 questionnaires were completed for a response rate of 70.4%. Our main finding was that pediatricians at all levels are familiar with CPGs and use them. In addition, our doctors believe that CPGs lead to good quality of care, are practical, provide standardized patient care, will keep them up-to-date, decrease the rate of litigation, are evidence-based, do not restrict continuity of self-education, do not alter physician esteem, lead to improvement of outcome, and are practical. However, barriers that might impede pediatricians’ use of CPGs are that CPGs affect their clinical judgment, do not match with their practice style, and do not reduce health care costs.ConclusionsPediatricians at HMC have positive perceptions of CPGs. The results of our study suggest that CPGs are likely to be implemented if more counseling and education are provided to pediatricians regarding the usefulness of evidence-based guidelines. In addition, a program should be initialized to remove barriers while simultaneously addressing physicians’ concerns.

Physicians’ Attitudes Against Clinical Practice Guidelines on the Use of Guidelines: A Scale Development Study

“…It was found out that the attitude upper latent variable was affected significantly, positively and at a remarkably high level (β = 0.737; p = 0.008) by positive attitude latent variable while it was affected significantly, negatively and at a remarkably high level (β = −0.761; p = 0.015) by negative In this study, the level of agreement (average: 3.61; SD: 0.66) on the expressions under positive attitude dimension was found to be high. Likewise, the level of agreement on these expressions was also found to be high in the international studies (Amer et al, 2018;Basedow et al, 2015;Birrenbach et al, 2016;Bochud et al, 2002;Dye et al, 2000;Farquhar et al, 2002;Ferrier et al, 1996;Formoso et al, 2001;Graham et al, 2000;Gupta et al, 1997;Halm et al, 1999;Heidrich et al, 2005;Helwig et al, 1998;Hendaus et al, 2014;Heselmans et al, 2009Heselmans et al, , 2010Inouye et al, 1998;James et al, 1997;Kim et al, 2010;Kunz, 2005;Larisch et al, 2009;Mansfield, 1995;Mounesan et al, 2013;Sinuff et al, 2007;Siriwardena, 1995;Taba et al, 2012;Tunis et al, 1994;Wahabi et al, 2011;Wolff et al, 1998).…”

Clinical Practice Guidelines on Pediatric Gastroesophageal Reflux Disease: A Systematic Quality Appraisal of International Guidelines

“…They also specifically articulated the importance of cost-effective interventions and provided tools for calculating monthly costs for patients on different therapies. Emphasizing affordability is critical, as high cost is one of the primary reasons pediatricians do not adhere to CPGs [ 38 ].…”

Perception, attitude, and satisfaction of paediatric physicians and nurses towards clinical practice guidelines at a university teaching hospital

“…One of the strengths of our study was that it included both physicians and nurses in its sample to explore similarities and differences in their perception, attitude, and satisfaction towards CPGs with concentration on the DKA‐CPG project. Similar studies selected their target sample as physicians only, missing the significant contribution and feedback of a keystone team member of any successful health care improvement project: the nurse …”

“…Hendaus et al conducted a cross‐sectional survey to investigate CPG attitudes and perceptions among the paediatricians at Hamad Medical Corporation, Qatar, with a 70.4% (169/200) response rate. It revealed an overall positive perception towards CPGs in addition to some recommendations to improve CPGI including more training and education to be provided to paediatricians regarding the value and impact of CPGs in general and a program to be launched to identify and address any barriers to CPGI …”