Sahota I S, Kostaras X, Hagen N A
Cumming School of Medicine, University of Calgary, Calgary, AB; ; Guideline Resource Unit, CancerControl Alberta, Alberta Health Services, Calgary, AB.
Curr Oncol. 2015 Dec;22(6):392-8. doi: 10.3747/co.22.2704.
We examined access to locally developed and other available clinical practice guidelines (cpgs) for the management of cancer and evaluated how to improve uptake.
A 12-question online survey was administered to 772 members of 12 multidisciplinary tumour teams in a Canadian provincial oncology program. The teams are composed of physicians, surgeons, nurses, allied health professionals, and researchers involved in the provision of cancer care across the province. Many of these individuals construct or provide input into the provincial cpgs. The questionnaires were administered online and were completed voluntarily.
Responses were received from 232 individuals, a response rate of 30.1%. Most respondents (75.1%) indicated they actively referenced cpgs for cancer treatment. Of the 177 respondents who identified barriers to cpg access, 24.9% said that the cause was being too busy; 24.3% and 22.6% cited the user-unfriendliness of the Web site and a lack of awareness about the cpgs. When asked about innovative changes that could be made to improve access, the creation of cpg summary documents was identified as the most effective change (46.3%). The creation of summary documents was ranked highest by physicians, surgeons, and nurses.
Clinical practice guidelines are important tools for standardizing treatment protocols and improving outcomes in health care systems, but support for their use is variable among health care professionals. We have identified barriers to-and potential mitigating strategies for-more widespread access to cpgs by the various health professions involved in cancer care. Local creation of succinct and easily accessible cpgs was identified as the single most effective way to enhance access by health care professionals.
我们研究了获取本地制定的以及其他可用的癌症管理临床实践指南（CPG）的情况，并评估了如何提高其使用率。
对加拿大一个省级肿瘤项目中12个多学科肿瘤团队的772名成员进行了一项包含12个问题的在线调查。这些团队由参与全省癌症护理工作的医生、外科医生、护士、专职医疗人员和研究人员组成。其中许多人参与了省级CPG的制定或提供了相关意见。调查问卷通过在线方式发放，由受访者自愿完成。
共收到232份回复，回复率为30.1%。大多数受访者（75.1%）表示他们在癌症治疗中会积极参考CPG。在177名指出CPG获取存在障碍的受访者中，24.9%表示原因是太忙；24.3%和22.6%分别提到网站不友好以及对CPG缺乏了解。当被问及可进行哪些创新改变以改善获取情况时，创建CPG摘要文件被认为是最有效的改变（46.3%）。医生、外科医生和护士对创建摘要文件的评价最高。
临床实践指南是规范治疗方案和改善医疗保健系统治疗效果的重要工具，但医疗保健专业人员对其使用的支持程度不一。我们已经确定了参与癌症护理的各类医疗专业人员在更广泛获取CPG方面存在的障碍以及潜在的缓解策略。本地创建简洁且易于获取的CPG被认为是提高医疗保健专业人员获取率的最有效方法。
