Survey on Knowledge, Attitude and Behaviour regarding Clinical Practice Guidelines of Primary Healthcare Workers in Gaolan County of Gansu Province_Chinese Journal of Evidence-Based Medicine

Authors：

 CHENYao-long ^1,2 ^# ,  YAOLiang ^1,2 ^# , WANGQi ^1,2 , WUQiong-fang ³ , WEIDang ^1,2 , WANGXiao-qin ^1,2 , LIJie ⁴ , SUNLi-na ³ ,  YANGKe-hu ^1,2

1. Evidence-Based Medicine Center/Chinese GRADE Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;
2. Key Laboratory of Clinical Translational Research and Evidence-based Medicine of Gansu Province, Lanzhou 730000, China;
3. The First Affiliated Hospital of Lanzhou University, Lanzhou 730000, China;
4. The Second Affiliated Hospital of Lanzhou University, Lanzhou 730000, China;

Corresponding?author：

YANGKe-hu, Email: yangkh@lzu.edu.cn

Keywords：

Clinical practice guideline; Primary healthcare worker; Knowledge, attitudes and behaviour; Questionnaire

DOI：

10.7507/1672-2531.20140115

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate primary healthcare workers' knowledge, attitude and behaviour, and explore the way of guidelines' popularization, application and surveillance mechanism in primary healthcare institutions. Methods Healthcare workers in seven township hospitals in Gaolan county, Gansu province were given a questionnaire to test their knowledge, attitudes and behaviour regarding Clinical practice guidelines. Results Among the 143 distributed questionnaires, 143 valid were retrieved. The results showed that 80% of respondents knew the guidelines and 51% had used guidelines in treatment, 32% obtained guidelines mainly through distribution by affiliations. The most popular type of guidelines was self-developed by native departments. Respondents (37%) considered difficult availability of guidelines major barriers to popularization, 74% failed to receive training about guidelines, 88% looked forward to special organizations in charge of disseminating guidelines and conducting related training on how to apply guidelines. Conclusion Primary healthcare workers report low awareness of, attention to and compliance with clinical practice guidelines. The greatest challenge for guidelines' popularization in township hospitals is difficult availability and it is of vital importance for primary institutions to enhance guidelines' implementation and strengthen learning and conduct training.

Citation： CHENYao-long, YAOLiang, WANGQi, WUQiong-fang, WEIDang, WANGXiao-qin, LIJie, SUNLi-na, YANGKe-hu. Survey on Knowledge, Attitude and Behaviour regarding Clinical Practice Guidelines of Primary Healthcare Workers in Gaolan County of Gansu Province. Chinese Journal of Evidence-Based Medicine, 2014, 14(6): 674-677. doi: 10.7507/1672-2531.20140115 Copy

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3.	Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J, 2012, 125(20):3660-3664.
4.	韋當, 王小琴, 吳瓊芳, 等. 2011年中國臨床實踐指南質量評價.中國循證醫學雜志, 2013, 13(6):760-763.
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9.	孫靜.重視和加強"村衛生室"建設是優化農村三級醫療衛生保健網的關鍵環節.衛生職業教育, 2012, 30(22):121-123.
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12.	丁會峰, 劉素剛, 郭冬巖, 等.基層醫療衛生機構繼續醫學教育管理探討.河北醫藥, 2010, 32(6):738-738.
13.	景玉敏.基層醫院圖書館提高外文期刊利用率的幾點體會.醫學信息, 2007, 20(7):1179-1180.
14.	李海生, 李剛, 張新顏.提高醫務人員信息素養必要性的探討.西南軍醫, 2010, 12(6):1200-1201.
15.	胡晶, 陳茹, 謝雁鳴, 等.科學和規范的改編臨床實踐指南.中國循證兒科雜志, 2012, 7(3):226-230.
16.	Mc VM, Pringle J. Open access to the medical literature:How much content is available in published journals? J Serials Community, 2005, 18(1):45-50.
17.	唐楊琛, 沈干, 胡世蓮, 等.中國基層臨床指南現狀分析及評價.中華高血壓雜志, 2013, 21(1):48-52.
18.	朱玲.政府與農村基本醫療保健保障制度選擇.中國社會科學, 2000, 4:89-99.
19.	劉力生, 王文, 姚崇華, 等. 2009年基層版《中國高血壓防治指南》 (摘錄).中國醫學前沿雜志(電子版), 2010, 2(1):60-74.
20.	陸菊明.中國2型糖尿病防治指南(基層版)解讀.中華全科醫師雜志, 2013, 12(8):593-595.
21.	吳玉紅, 劉潔穎, 金淑芹, 等. PICC在基層醫院治療中的推廣應用.中國醫藥指南, 2010, 8(17):101-102.

1. ?IOM (Institute of Medicine). Clinical Practice Guidelines We Can Trust. Washington, DC:The National Academies Press, 2011.
2. 王方正, 方祖祥, 朱中林, 等.臨床心內電生理檢查工作指南.起搏與心臟, 1993, 7(2):57-66.
3. Chen YL, Yao L, Xiao XJ, et al. Quality assessment of clinical guidelines in China:1993-2010. Chin Med J, 2012, 125(20):3660-3664.
4. 韋當, 王小琴, 吳瓊芳, 等. 2011年中國臨床實踐指南質量評價.中國循證醫學雜志, 2013, 13(6):760-763.
5. 崔樹起, 梁萬年.臨床指南實用手冊.北京:人民衛生出版社, 2003: 232-235.
6. 汪澤皓, 馮琳琳, 趙陽陽, 等.皋蘭縣鄉鎮衛生院醫務人員臨床決策依據調查.中國循證醫學雜志, 2012, 12(6):740-742.
7. Constantino CP, Medécigo MC, Millán GY, et al. Survey on physicians' knowledge and attitudes towards clinical practice guidelines at the Mexican Institute of Social Security. J Eval Clin Pract, 2011, 17(4):768-74.
8. 潘家華, 魏后凱.城市藍皮書中國城市發展報告No.6:農業轉移人口的市民化.北京:社科文獻出版社, 2013. 302-304.
9. 孫靜.重視和加強"村衛生室"建設是優化農村三級醫療衛生保健網的關鍵環節.衛生職業教育, 2012, 30(22):121-123.
10. 覃濤.基層中心衛生院發展的難點與對策.長江大學學報(自科版)醫學卷, 2013, 10(4):97-98.
11. 魏職鵬, 郭一民, 陳耀龍, 等.皋蘭縣村衛生室醫務人員繼續教育情況調查.甘肅醫藥, 2009, 28(6):429-430.
12. 丁會峰, 劉素剛, 郭冬巖, 等.基層醫療衛生機構繼續醫學教育管理探討.河北醫藥, 2010, 32(6):738-738.
13. 景玉敏.基層醫院圖書館提高外文期刊利用率的幾點體會.醫學信息, 2007, 20(7):1179-1180.
14. 李海生, 李剛, 張新顏.提高醫務人員信息素養必要性的探討.西南軍醫, 2010, 12(6):1200-1201.
15. 胡晶, 陳茹, 謝雁鳴, 等.科學和規范的改編臨床實踐指南.中國循證兒科雜志, 2012, 7(3):226-230.
16. Mc VM, Pringle J. Open access to the medical literature:How much content is available in published journals? J Serials Community, 2005, 18(1):45-50.
17. 唐楊琛, 沈干, 胡世蓮, 等.中國基層臨床指南現狀分析及評價.中華高血壓雜志, 2013, 21(1):48-52.
18. 朱玲.政府與農村基本醫療保健保障制度選擇.中國社會科學, 2000, 4:89-99.
19. 劉力生, 王文, 姚崇華, 等. 2009年基層版《中國高血壓防治指南》 (摘錄).中國醫學前沿雜志(電子版), 2010, 2(1):60-74.
20. 陸菊明.中國2型糖尿病防治指南(基層版)解讀.中華全科醫師雜志, 2013, 12(8):593-595.
21. 吳玉紅, 劉潔穎, 金淑芹, 等. PICC在基層醫院治療中的推廣應用.中國醫藥指南, 2010, 8(17):101-102.

Chinese Journal of Evidence-Based Medicine

Survey on Knowledge, Attitude and Behaviour regarding Clinical Practice Guidelines of Primary Healthcare Workers in Gaolan County of Gansu Province

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