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Pediatricians' perceptions of clinical practice guidelines
Mohamed A Hendaus1, Ahmed H Alhammadi1, Eshraga A Razig1
1General Pediatrics Division, Department of Pediatrics, Hamad Medical Corporation, Doha, Qatar.
Insights
Pediatricians in Qatar perceive clinical practice guidelines (CPGs) positively, recognizing their role in improving care quality and standardization. Addressing barriers like impact on clinical judgment is key for successful CPG implementation.
Area of Science:
- Pediatric Healthcare
- Medical Guidelines
- Evidence-Based Medicine
Background:
- Clinical Practice Guidelines (CPGs) are systematically developed statements to aid healthcare decisions.
- CPGs assist practitioners and patients in making informed choices for specific health circumstances.
Purpose of the Study:
- To investigate pediatricians' perceptions of clinical practice guidelines (CPGs).
- To assess the awareness and utilization of CPGs among pediatricians at Hamad Medical Corporation (HMC) in Qatar.
Main Methods:
- A cross-sectional study was conducted at HMC.
- Self-administered questionnaires were distributed to 240 pediatricians.
- A response rate of 70.4% (169/240) was achieved.
Main Results:
- Pediatricians are familiar with and utilize CPGs.
- Positive perceptions include improved care quality, standardization, and staying updated.
- Identified barriers include impact on clinical judgment and practice style mismatch.
Conclusions:
- Pediatricians at HMC hold favorable views of CPGs.
- Enhanced counseling and education on evidence-based guidelines are recommended for CPG implementation.
- Addressing physicians' concerns and removing barriers are crucial for successful CPG integration.
Background:
Clinical practice guidelines (CPGs) are propositions for health care providers about the care of patients and are usually described as "systematically developed statements to assist practitioners' and patients' decisions about appropriate health care for specific circumstances".
Objectives:
The purpose of this study was to investigate pediatricians' perceptions of clinical practice guidelines at Hamad Medical Corporation (HMC) in Qatar.
Methods:
A cross-sectional study was conducted at HMC between May 1 and August 31, 2013 using a self-administered questionnaire that was distributed to 240 pediatricians.
Results:
A total of 169/240 questionnaires were completed for a response rate of 70.4%. Our main finding was that pediatricians at all levels are familiar with CPGs and use them. In addition, our doctors believe that CPGs lead to good quality of care, are practical, provide standardized patient care, will keep them up-to-date, decrease the rate of litigation, are evidence-based, do not restrict continuity of self-education, do not alter physician esteem, lead to improvement of outcome, and are practical. However, barriers that might impede pediatricians' use of CPGs are that CPGs affect their clinical judgment, do not match with their practice style, and do not reduce health care costs.
Conclusions:
Pediatricians at HMC have positive perceptions of CPGs. The results of our study suggest that CPGs are likely to be implemented if more counseling and education are provided to pediatricians regarding the usefulness of evidence-based guidelines. In addition, a program should be initialized to remove barriers while simultaneously addressing physicians' concerns.
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