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Challenges, barriers and solutions for implementing clinical practice guidelines: a qualitative study in southern
Hedayat Salari1, Fatemeh Najm2, Mohammadreza Yazdankhahfard3
1Department of Health Policy & Management, Bushehr University of Medical Sciences, Bushehr, Iran (the Islamic Republic of).
BMJ Open Quality
|July 23, 2024
Summary
Implementing clinical practice guidelines (CPGs) faces challenges in medical education, health systems, and patient access. Experts emphasize integrating CPG training into medical school curricula and addressing health inequalities for better guideline validity.
Area of Science:
- Healthcare Management
- Medical Education
- Health Policy
Background:
- Clinical practice guidelines (CPGs) are crucial for healthcare quality.
- Effective implementation strategies are needed to overcome barriers.
- Understanding expert perspectives on CPG implementation is vital for policymakers.
Purpose of the Study:
- To identify challenges, barriers, and solutions for implementing CPGs.
- To gather expert opinions from Bushehr University of Medical Sciences.
- To inform national and local decision-making on CPG adoption.
Main Methods:
- Qualitative content analysis conducted in southern Iran (2022).
- In-depth interviews with 22 healthcare system experts and physicians until data saturation.
- Interviews recorded, transcribed, and analyzed using MAXQDA 2022 software.
Main Results:
- Four main themes of challenges emerged: physician-related, medical education, health system, and patient-related.
- Key barriers included insufficient training, lack of equipment/infrastructure, and poor adaptation of CPGs.
- Four main themes and 19 subthemes identified as potential solutions.
Conclusions:
- Integrating CPG training into medical school curricula is a priority.
- Reforming Iran's medical education system is proposed for CPG adoption.
- Addressing health inequalities and resource disparities is essential for guideline validity.
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