Department of Neurology, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
J Stroke. 2014 May;16(2):81-5. doi: 10.5853/jos.2014.16.2.81. Epub 2014 May 30.
Clinical practice guidelines (CPGs) are regarded as an essential guidance tool for practicing physicians. We surveyed physicians in Korea in order to evaluate their attitudes toward the Korean CPGs for stroke.
We obtained participation agreement for our survey from 27 centers of the 33 most actively contributing to the Korean Stroke Registry. A total of 174 neurologists participated in a questionnaire interview regarding their attitudes toward CPGs for stroke.
Of 174 participating neurologists, 65 (37.4%) were stroke neurologists. The average age was 33.6±7.1 and 49 (28.2%) were female. Most of the respondents held positive attitudes and opinions regarding the use of the guidelines, whereas only a small percentage (14.9%) responded negatively. More than 60% of the physicians in the survey reported adherence to the Korean CPGs in dyslipidemia management for the secondary prevention of stroke.
The positive attitudes and opinions toward the guidelines imply that physicians' attitudes should not be regarded as a potential barrier to the implementation of Korean CPGs for stroke practiced by general physicians.
临床实践指南(CPG)被认为是执业医师的重要指导工具。我们对韩国的医生进行了调查,以评估他们对韩国脑卒中 CPG 的态度。
我们从韩国脑卒中注册研究中最积极参与的 33 个中心中的 27 个中心获得了参与调查的同意。共有 174 名神经科医生参与了一项关于他们对脑卒中 CPG 态度的问卷调查。
在 174 名参与的神经科医生中,65 名(37.4%)为脑卒中神经科医生。平均年龄为 33.6±7.1 岁,49 名(28.2%)为女性。大多数受访者对使用指南持积极态度和意见,而只有一小部分(14.9%)持否定态度。调查中的超过 60%的医生报告在血脂异常管理中遵循韩国 CPG,以进行脑卒中的二级预防。
对指南的积极态度和意见意味着,医生的态度不应被视为实施普通医生实践的韩国脑卒中 CPG 的潜在障碍。