Department of Health Services Management, Kyung Hee University, Seoul, Korea.
J Korean Med Sci. 2010 Nov;25(11):1568-73. doi: 10.3346/jkms.2010.25.11.1568. Epub 2010 Oct 26.
This study aims to investigate the factors related to the adoption of clinical practice guidelines in clinical settings in Korea; it also aims to determine how these factors differ depending on the specific situation of health care system and professional climate. The research sample comprised physicians who are board members of academic societies with experiences in development of clinical practice guidelines using a convenient sampling. We analyzed 324 physicians with pooling two-year sample of 2007 and 2008. From all the respondents, 48.8% stated that they followed Clinical Practice Guidelines, and 93.4% agreed with the content in the Clinical Practice Guidelines. With regard to the item on the self-efficacy of practicing guidelines, 90.3% of the respondents selected 'low level'. In the regression analysis, the factors associated with implementation were level of recognition, agreement and self-efficacy and positive attitude towards practice guidelines. Although the health care system in Korea differs from those in Western countries, our results revealed that the factors related to the adoption of practice guidelines were similar to the research results of Western countries. These results suggest that professionals' attitudes towards clinical practice guidelines are universal, and implementation strategies should be developed globally.
本研究旨在探讨韩国临床实践指南在临床实践中应用的相关因素，同时还旨在确定这些因素在不同的医疗体系和专业环境下有何不同。研究样本由具有使用便利抽样制定临床实践指南经验的学术协会的医师委员会成员组成。我们分析了 2007 年和 2008 年两年的样本中的 324 名医师。在所有受访者中，48.8%表示他们遵循临床实践指南，93.4%同意临床实践指南的内容。在关于实践指南自我效能的项目上，90.3%的受访者选择了“低水平”。在回归分析中，与实施相关的因素是对实践指南的认知、认同和自我效能以及对实践指南的积极态度。尽管韩国的医疗体系与西方国家不同，但我们的研究结果表明，与实践指南相关的实施因素与西方国家的研究结果相似。这些结果表明，专业人员对临床实践指南的态度是普遍的，应该在全球范围内制定实施策略。
