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Attitudes and perceptions about clinical guidelines: a qualitative study with Spanish physicians
Ivan Solà1, José Miguel Carrasco2, Petra Díaz Del Campo3
1Iberoamerican Cochrane Centre - Clinical Epidemiology and Public Health Department, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain ; CIBER de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
Plos One
|February 8, 2014
Summary
Physician attitudes toward clinical guidelines hinge on their knowledge and perceived usefulness. Understanding this tension between theoretical and practical aspects is key for effective guideline implementation in healthcare.
Area of Science:
- Medical Informatics
- Health Services Research
Background:
- Clinical guidelines (CGs) are widely used in healthcare decision-making.
- Provider acceptance and utilization of CGs are influenced by various professional factors, including knowledge and perceptions.
- Understanding physician attitudes towards CGs is crucial for improving their adoption.
Purpose of the Study:
- To evaluate the attitudes and perceptions of Spanish physicians regarding clinical guidelines.
- To identify key factors influencing physician engagement with CGs.
Main Methods:
- Conducted six focus group discussions with 46 physicians across 12 medical specialties (primary and specialized care).
- Utilized a grounded theory approach for data analysis of transcribed verbatim recordings.
Main Results:
- Identified two primary constructs influencing perceptions: 'Knowledge' (theoretical understanding) and 'Usefulness' (pragmatic application).
- These constructs were interconnected through factors like confidence, usability, accessibility, dissemination, and format.
Conclusions:
- Physician attitudes toward clinical guidelines are significantly impacted by knowledge and usefulness.
- The interplay between theoretical understanding and practical application shapes guideline adoption and use.
- Guideline developers should focus on relevant clinical questions and create implementable, context-specific recommendations with clear, consistent presentation.
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