全科医生对临床实践指南的态度和信念:阿拉伯联合酋长国Ain的一项定性研究。

Q1 Medicine Asia Pacific Family Medicine Pub Date : 2018-05-30 eCollection Date: 2018-01-01 DOI:10.1186/s12930-018-0041-2
Latifa Mohammad Baynouna Al Ketbi, Sana Zein Al Deen
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引用次数: 8

摘要

背景:基于最佳证据实施实践的有效性取决于卫生保健系统结构和流程的局限性和准备情况,以及卫生保健专业人员(HCP)的知识水平和接受程度。促进这些做法的实施在一定程度上也取决于医务人员的态度。方法:我们调查了阿拉伯联合酋长国四组医生对临床实践指南(cpg)的态度和信念,重点是在不同的环境中对这些cpg进行修订,而不是在他们制定的环境中,并且没有当地制定的指南存在。结果:CPGs是修订的主要信息来源。我们发现,由于缺乏当地制定的修订,建议的适用性日益受到关注。其他关注的问题包括实践管理变化的压力,以及应对资源的快速发展和对其使用日益增长的需求的压力。一些国际和政府认可的cpg仍然被认为是最好的选择。结论:该组欢迎循证实践,并得到电子病历、结构化护理方案和持续质量监测的支持。讨论了临床实践指南的障碍和促进因素,并考虑了有效实施策略的想法。
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The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates.

Background: The efficacy of implementing practices based on the best evidence is determined by the limitations and preparedness of the structure and processes of the healthcare system as well as healthcare professionals' (HCP) levels of knowledge and acceptance. Facilitating implementation of such practices also partly depends on HCPs' attitudes.

Method: We investigate the attitudes and beliefs of four groups of physicians in the United Arab Emirates on clinical practice guidelines (CPGs), with a focus on applying revisions to these CPGs in a different setting than the one in which they were developed, and where no locally developed guidelines exist.

Results: CPGs were the main source of information for revisions. We identified a rising concern in the applicability of the recommendations, which persists due to a lack of locally developed revisions. Other concerns include the pressures of practice management changes and of coping with the rapid development in resources and the growing demand on its use. Some international and government-endorsed CPGs were still accepted as being the best candidates for adoption.

Conclusions: This group welcomes evidence-based practice and is supported by electronic medical records, structured care programmes, and ongoing quality monitoring. Barriers and facilitators of clinical practice guidelines are discussed and thoughts on effective implementation strategies are considered.

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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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