Vignally Pascal, Grimaud Jean Charles, Sambuc Roland, Gentile Stéphanie
World J Gastroenterol. 2008 Jan 14;14(2):322-3. doi: 10.3748/wjg.14.322.
The literature illustrates the important issue of physician adherence to guidelines in their daily practice. In a quantitative study, we asked a random sample of 100 hospital gastroenterologists to evaluate their knowledge of guidelines and awareness of promoters. The degree to which guidelines were considered reliable was not related to the scientific evidence but was significantly associated with the promoter. The French Society of Gastroenterology was considered to be a more reliable promoter than national health agencies and pharmaceutical industries. Gastroenterologists become aware of guidelines mainly through their specialty society (62%). Specialty societies appear to be a more important source of information on guidelines for physicians. National health agencies should involve the specialty societies in the guideline development process to achieve changes in clinical practice.
文献阐述了医生在日常实践中遵循指南这一重要问题。在一项定量研究中，我们随机抽取了100名医院胃肠病学家，询问他们对指南的了解程度以及对推广者的认知。指南被认为可靠的程度与科学证据无关，而是与推广者显著相关。法国胃肠病学会被认为比国家卫生机构和制药行业更可靠的推广者。胃肠病学家主要通过其专业学会（62%）了解指南。专业学会似乎是医生获取指南信息的更重要来源。国家卫生机构应让专业学会参与指南制定过程，以实现临床实践的改变。
