Chasuk R M, Brantley P J, Martin P D
Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA.
J La State Med Soc. 2001 Jan;153(1):31-44.
This study examined the attitudes of Louisiana family physicians toward clinical practice guidelines in general and specifically how attitudes and familiarity with the American Diabetes Association Clinical Recommendations (ADACR) correlated with knowledge and evidence-based "best practice" in the care of type 2 diabetes. Surveys were mailed to a random sample of 278 eligible physicians from which a 32% response rate was obtained (n = 90). Family physicians' general attitudes towards guidelines were neutral. Attitude correlated significantly with knowledge of the ADACR (P = .03) but not with "best practice". Despite low scores for knowledge, all but one of the ADACR were adhered to by more than 85% of respondents. Physician attitudes do not appear to be barriers to guideline implementation. Results may be used to focus studies of processes and outcomes in guideline implementation.
本研究调查了路易斯安那州家庭医生对临床实践指南的总体态度，特别是对美国糖尿病协会临床建议（ADACR）的态度以及熟悉程度如何与2型糖尿病护理中的知识和循证“最佳实践”相关联。向278名符合条件的医生随机抽样邮寄调查问卷，获得了32%的回复率（n = 90）。家庭医生对指南的总体态度较为中立。态度与对ADACR的了解显著相关（P = 0.03），但与“最佳实践”无关。尽管知识得分较低，但超过85%的受访者遵循了除一项之外的所有ADACR。医生的态度似乎并非指南实施的障碍。研究结果可用于聚焦指南实施过程和结果的研究。
