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Practitioner feedback on lung cancer practice guidelines in Ontario
William K Evans1, Ian D Graham, David Cameron
1Juravinski Cancer Center, Hamilton Health Sciences, Hamilton, Ontario, Canada. bill.evans@hrcc.on.ca
Practitioner feedback surveys on lung cancer guidelines showed a 58.9% response rate, with most respondents finding the guidelines credible and intending to adopt them. Further study is needed to confirm actual practice changes.
Area of Science:
- Oncology
- Health Services Research
- Medical Education
Background:
- Developing evidence-based practice guidelines is crucial for optimizing lung cancer patient care.
- Assessing practitioner engagement with guidelines is essential for successful implementation.
- Practitioner feedback (PF) surveys are utilized to gather input on new practice guidelines (PGs).
Purpose of the Study:
- To evaluate the response frequency and characteristics of practitioners receiving PF surveys for lung cancer PGs.
- To analyze the nature of feedback provided by practitioners on lung cancer PGs.
- To determine practitioners' intention to adopt lung cancer PGs into their clinical practice.
Main Methods:
- Fourteen lung cancer PGs were distributed to Ontario practitioners between 1995 and 2002.
- Practitioner feedback was collected using either an eight- or 21-item survey.
- Response rates were analyzed based on specialty, practice location, geographic region, and PG topic.
Main Results:
- A total of 1198 surveys were sent to 223 practitioners, achieving an overall response rate of 58.9%.
- Response rates varied significantly by specialty, practice setting, and geographic region.
- Eighty-six percent of respondents agreed with the guidelines and expressed a high likelihood of using them in practice.
Conclusions:
- Practitioners perceive the lung cancer guideline development process as credible and valuable for clinical practice.
- The study indicates a strong intention among practitioners to adopt the guidelines.
- Further research is necessary to ascertain if the stated intention to use guidelines translates into actual changes in clinical practice.
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