Usage and demand for clinical practice guidelines among Chinese health practitioners_Chinese Journal of Evidence-Based Medicine

Authors：

HUANG Chao ¹ , DU Liang ² , CHEN Yaolong ³ , WANG Xiaoqin ³ , JIANG Shuai ⁴ , LI Jun ¹ , JIANG Tingde ⁴ , LV Peng ⁵ ,  WANG Qiang ¹

1. National Center for Medical Service Administration, National Health Commission of the People’s Republic of China, Beijing, 100044, P.R.China;
2. Chinese Evidence-based Medicine Center, West China Hospital of Sichuan University, Chengdu, 610041, P.R.China;
3. Evidence-based Medicine Center, Lanzhou University, Lanzhou, 730000, P.R.China;
4. People’s Hospital of Deyang City, Deyang, 618000, P.R.China;
5. Yuhuangding Hospital of Yantai, Medical College of Qingdao University, Yantai, 264000, P.R.China;

Corresponding author：

WANG Qiang, Email: jason2019@sina.cn

Keywords：

Clinical practice guidelines; Use; Demand; Chinese health practitioners; Questionnaire

DOI：

10.7507/1672-2531.201806054

Video：

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Objectives To investigate Chinese health practitioners’ usage and demand for clinical practice guidelines in general so as to improve the development and implementation of guidelines.Methods We conducted a cross-sectional questionnaire survey that covered health practitioners from different levels of medical institutions in 17 provinces in China. Attitudes, adherence, usage barriers and demands for clinical practice guidelines were investigated.Results A total of 953 health practitioners were involved in the survey in which 931 completed the questionnaires. Respondents generally held positive attitudes toward guidelines and agreed that they improved quality of care and standardized diagnosis and treatment. More than 80% of the respondents reported a fine adherence to guidelines. The most reported barriers to follow the guidelines were " several guidelines are competing” and " lack of facilities and medical resources”. Most respondents agreed that it was necessary to establish a national guideline database, appraise implementation effect of guidelines, develop evaluation tools for guidelines that are applicable for Chinese clinical practice, and provide guidelines training.Conclusions This study finds favorable attitudes and fine adherence towards clinical guidelines in general in China. However, internal barriers, such as authority of guidelines, and external barriers, such as supplying system and patients’ preference, can affect guideline dissemination and implementation. It is suggested that establishing a national guidelines database, developing evaluation tools for guidelines that fit for Chinese clinical practice, and provision of guideline training, would facilitate the use of guidelines.

Citation： HUANG Chao, DU Liang, CHEN Yaolong, WANG Xiaoqin, JIANG Shuai, LI Jun, JIANG Tingde, LV Peng, WANG Qiang. Usage and demand for clinical practice guidelines among Chinese health practitioners. Chinese Journal of Evidence-Based Medicine, 2019, 19(6): 635-638. doi: 10.7507/1672-2531.201806054 Copy

1.	郭燕红. 推进分级诊疗, 构建连续健康服务. 中国全科医学, 2017, 20(1): 1-5.
2.	王敏, 余郭莉, 黄玉梅, 等. 分级诊疗制度实施障碍及应对策略研究. 卫生经济研究, 2017, (4): 15-18.
3.	IOM. Clinical practice guidelines we can trust. Washington, DC: The National Academies Press, 2011.
4.	王小钦, 王吉耀. 循证临床临床实践指南的制定和实施. 北京: 人民卫生出版社, 2015: 3-4.
5.	林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考. 中国循证医学杂志, 2017, 17(5): 497-500.
6.	Pille T, Marika R, Jarno H, et al. Barriers and facilitators to the implementation of clinical practice guidelines: A cross-sectional survey among physicians in Estonia. BMC Health Serv Res, 2012, 12(1): 455.
7.	Yang J, Han C, Yoon HK, et al. Experiences and barriers to implementation of clinical practice guideline for depression in Korea. BMC Psychiatry, 2013, 13(1): 150.
8.	Birrenbach T, Kraehenmann S, Perrig M, et al. Physicians’ attitudes toward, use of, and perceived barriers to clinical guidelines: a survey among Swiss physicians. Adv Med Educ Pract, 2016, 7: 673-680.
9.	季聪华, 曹毅, 张颖, 等. 12个病种中医临床诊疗指南适用性评价. 中医杂志, 2015, 56(4): 293-296.
10.	陈耀龙, 姚亮, 王琪, 等. 甘肃省皋兰县基层医务工作者对临床实践指南的认知、态度与行为调查. 中国循证医学杂志, 2014, 14(6): 674-677.
11.	韦丙奇, 张建, 谢苗荣, 等. 内科医师心力衰竭基本知识掌握情况的调查分析. 中华心血管杂志, 2013, 41(9): 766-770.
12.	Xu XL, Zhou JC, Pan KH, et al. Attitudes toward the American nutrition guidelines for the critically ill patients of Chinese intensive care physicians. Asia Pac J Clin Nutr, 2015, 24(2): 347-358.
13.	史楠楠, 韩学杰, 信富荣, 等. 高血压病中医临床实践指南使用情况调查研究. 世界科学技术-中医药现代化, 2011, 13(4): 731-736.
14.	Jiang J, Hong T, Yu R, et al. Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians' survey in China. Eur J Prev Cardiol, 2012, 19(5): 991-998.
15.	Wei L, Jia JD, Weng XH, et al. Treating chronic hepatitis B virus: Chinese physicians' awareness of the 2010 guidelines. World J Hepatol, 2016, 8(18): 762-769.
16.	Chen EQ, Wang ML, Bai L, et al. Junior doctors’ knowledge about chronic hepatitis B guideline: a survey among 30 primary hospitals in Sichuan province of China. Hepat Month, 2017, 17(3): e58695.
17.	Carlsen B, Bringedal B. Attitudes to clinical guidelines-do GPs differ from other medical doctors? BMJ Qual Saf, 2011, 20(2): 158-162.
18.	Carlsen B, Bringedal B. Clinical practice guidelines in the intensive care unit: a survey of Canadian clinicians’ attitudes. Can J Anesth, 2007, 54(9): 728-736.
19.	Zeng LN, Li YP, Zhang LL, et al. Guideline use behaviors and needs of primary care practitioners in China: a cross-sectional survey. BMJ Open, 2017, 7(9): e015379.

1. 郭燕红. 推进分级诊疗, 构建连续健康服务. 中国全科医学, 2017, 20(1): 1-5.
2. 王敏, 余郭莉, 黄玉梅, 等. 分级诊疗制度实施障碍及应对策略研究. 卫生经济研究, 2017, (4): 15-18.
3. IOM. Clinical practice guidelines we can trust. Washington, DC: The National Academies Press, 2011.
4. 王小钦, 王吉耀. 循证临床临床实践指南的制定和实施. 北京: 人民卫生出版社, 2015: 3-4.
5. 林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考. 中国循证医学杂志, 2017, 17(5): 497-500.
6. Pille T, Marika R, Jarno H, et al. Barriers and facilitators to the implementation of clinical practice guidelines: A cross-sectional survey among physicians in Estonia. BMC Health Serv Res, 2012, 12(1): 455.
7. Yang J, Han C, Yoon HK, et al. Experiences and barriers to implementation of clinical practice guideline for depression in Korea. BMC Psychiatry, 2013, 13(1): 150.
8. Birrenbach T, Kraehenmann S, Perrig M, et al. Physicians’ attitudes toward, use of, and perceived barriers to clinical guidelines: a survey among Swiss physicians. Adv Med Educ Pract, 2016, 7: 673-680.
9. 季聪华, 曹毅, 张颖, 等. 12个病种中医临床诊疗指南适用性评价. 中医杂志, 2015, 56(4): 293-296.
10. 陈耀龙, 姚亮, 王琪, 等. 甘肃省皋兰县基层医务工作者对临床实践指南的认知、态度与行为调查. 中国循证医学杂志, 2014, 14(6): 674-677.
11. 韦丙奇, 张建, 谢苗荣, 等. 内科医师心力衰竭基本知识掌握情况的调查分析. 中华心血管杂志, 2013, 41(9): 766-770.
12. Xu XL, Zhou JC, Pan KH, et al. Attitudes toward the American nutrition guidelines for the critically ill patients of Chinese intensive care physicians. Asia Pac J Clin Nutr, 2015, 24(2): 347-358.
13. 史楠楠, 韩学杰, 信富荣, 等. 高血压病中医临床实践指南使用情况调查研究. 世界科学技术-中医药现代化, 2011, 13(4): 731-736.
14. Jiang J, Hong T, Yu R, et al. Knowledge of secondary prevention guidelines for coronary heart disease: results from a physicians' survey in China. Eur J Prev Cardiol, 2012, 19(5): 991-998.
15. Wei L, Jia JD, Weng XH, et al. Treating chronic hepatitis B virus: Chinese physicians' awareness of the 2010 guidelines. World J Hepatol, 2016, 8(18): 762-769.
16. Chen EQ, Wang ML, Bai L, et al. Junior doctors’ knowledge about chronic hepatitis B guideline: a survey among 30 primary hospitals in Sichuan province of China. Hepat Month, 2017, 17(3): e58695.
17. Carlsen B, Bringedal B. Attitudes to clinical guidelines-do GPs differ from other medical doctors? BMJ Qual Saf, 2011, 20(2): 158-162.
18. Carlsen B, Bringedal B. Clinical practice guidelines in the intensive care unit: a survey of Canadian clinicians’ attitudes. Can J Anesth, 2007, 54(9): 728-736.
19. Zeng LN, Li YP, Zhang LL, et al. Guideline use behaviors and needs of primary care practitioners in China: a cross-sectional survey. BMJ Open, 2017, 7(9): e015379.

Chinese Journal of Evidence-Based Medicine

Usage and demand for clinical practice guidelines among Chinese health practitioners

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