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Published on: February 17, 2011
Canadian physicians' attitudes about and preferences regarding clinical practice guidelines
R S Hayward1, G H Guyatt, K A Moore
1Department of Medicine, McMaster University, Hamilton, Ont. haywardr@fhs.csu.mcmaster.ca
Summary
Canadian physicians use clinical practice guidelines less than traditional sources. They trust clinician-developed guidelines but need endorsement from respected organizations and user-friendly formats for wider adoption.
Area of Science:
- Medical Informatics
- Health Services Research
- Physician Practice Patterns
Background:
- Clinical practice guidelines (CPGs) aim to standardize care and improve outcomes.
- Physician adoption of CPGs is crucial for evidence-based practice but can be influenced by various factors.
Purpose of the Study:
- To evaluate Canadian physicians' confidence, attitudes, and preferences regarding CPGs.
- To understand factors influencing the adoption and use of CPGs in clinical practice.
Main Methods:
- A cross-sectional survey was administered to a stratified random sample of 3000 Canadian physicians.
- 1878 physicians (62.6% response rate) completed the self-administered mailed survey.
Main Results:
- 52% of physicians used CPGs monthly, less than traditional information sources.
- Confidence was high for physician-developed CPGs, but lower for those from government or insurance plans.
- Key adoption factors included endorsement by respected colleagues/organizations and user-friendly formats (pamphlets, summaries).
Conclusions:
- Canadian physicians generally hold positive views towards CPGs, especially those developed by clinicians.
- Wider integration of CPGs requires involvement of opinion leaders and pretesting of formats and presentation media.
- Addressing concerns about autonomy and rigidity is essential for increasing CPG utilization.
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