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Barriers to the implementation of new guidelines among pediatric surgeons: online survey

Abdulraouf Lamoshi1, A Gibbons2, S Williams3

  • 1Department of Pediatric Surgery, Kaleida Health Facility, John R. Oishei Children's Hospital, Conventus 5th Floor, 5324, 1001 Main Street, Buffalo, NY, 14202, USA. Alamoshi@kaleidahealth.org.

Pediatric Surgery International
|June 27, 2020
PubMed

Insights

Pediatric surgeons in underdeveloped countries face resource limitations, while those in developed nations worry about malpractice liability when implementing new practice guidelines. Addressing these distinct barriers is crucial for guideline adoption.

Area of Science:

  • Pediatric Surgery
  • Healthcare Policy
  • Medical Education

Background:

  • Updated practice guidelines are essential for advancing pediatric surgical care.
  • Implementation of these guidelines can be hindered by various factors.
  • Understanding these barriers is key to improving adherence and patient outcomes.

Purpose of the Study:

  • To identify and compare the barriers preventing pediatric surgeons from implementing updated practice guidelines.
  • To differentiate challenges faced by surgeons in developed versus underdeveloped countries.

Main Methods:

  • An online survey was distributed to pediatric surgeons via the StayCurrent MD Application (SCMA) and the Pediatric Surgery Education Facebook page (PSE FBP).
  • Survey responses were analyzed and compared between pediatric surgeons from underdeveloped countries (PSUC) and developed countries (PSDC).

Main Results:

  • The study achieved a 32.3% response rate (174/539), with 66.3% of responses from PSUC.
  • PSUC (73%) prioritized convincing guidelines, while PSDC (46%) sought approval from the American Pediatric Surgical Association (APSA).
  • Lack of resources was the primary barrier for PSUC (78%), whereas PSDC cited concerns about malpractice liability (40%).

Conclusions:

  • Significant differences exist in the barriers to guideline implementation between PSUC and PSDC.
  • While accessibility to treatment is not a primary concern, resistance to implementation is notable.
  • Identifying these distinct barriers provides a roadmap for targeted interventions to improve guideline adoption in pediatric surgery.
Abstract

Keywords:
BarriersGuidelinesImplementationPediatric surgeryUpdated

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