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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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

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.临床心内电生理检查工作指南.起搏与心脏, 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.	韦当, 王小琴, 吴琼芳, 等. 2011年中国临床实践指南质量评价.中国循证医学杂志, 2013, 13(6):760-763.
5.	崔树起, 梁万年.临床指南实用手册.北京:人民卫生出版社, 2003: 232-235.
6.	汪泽皓, 冯琳琳, 赵阳阳, 等.皋兰县乡镇卫生院医务人员临床决策依据调查.中国循证医学杂志, 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.	潘家华, 魏后凯.城市蓝皮书中国城市发展报告No.6:农业转移人口的市民化.北京:社科文献出版社, 2013. 302-304.
9.	孙静.重视和加强"村卫生室"建设是优化农村三级医疗卫生保健网的关键环节.卫生职业教育, 2012, 30(22):121-123.
10.	覃涛.基层中心卫生院发展的难点与对策.长江大学学报(自科版)医学卷, 2013, 10(4):97-98.
11.	魏职鹏, 郭一民, 陈耀龙, 等.皋兰县村卫生室医务人员继续教育情况调查.甘肃医药, 2009, 28(6):429-430.
12.	丁会峰, 刘素刚, 郭冬岩, 等.基层医疗卫生机构继续医学教育管理探讨.河北医药, 2010, 32(6):738-738.
13.	景玉敏.基层医院图书馆提高外文期刊利用率的几点体会.医学信息, 2007, 20(7):1179-1180.
14.	李海生, 李刚, 张新颜.提高医务人员信息素养必要性的探讨.西南军医, 2010, 12(6):1200-1201.
15.	胡晶, 陈茹, 谢雁鸣, 等.科学和规范的改编临床实践指南.中国循证儿科杂志, 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.	唐杨琛, 沈干, 胡世莲, 等.中国基层临床指南现状分析及评价.中华高血压杂志, 2013, 21(1):48-52.
18.	朱玲.政府与农村基本医疗保健保障制度选择.中国社会科学, 2000, 4:89-99.
19.	刘力生, 王文, 姚崇华, 等. 2009年基层版《中国高血压防治指南》 (摘录).中国医学前沿杂志(电子版), 2010, 2(1):60-74.
20.	陆菊明.中国2型糖尿病防治指南(基层版)解读.中华全科医师杂志, 2013, 12(8):593-595.
21.	吴玉红, 刘洁颖, 金淑芹, 等. PICC在基层医院治疗中的推广应用.中国医药指南, 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.临床心内电生理检查工作指南.起搏与心脏, 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. 韦当, 王小琴, 吴琼芳, 等. 2011年中国临床实践指南质量评价.中国循证医学杂志, 2013, 13(6):760-763.
5. 崔树起, 梁万年.临床指南实用手册.北京:人民卫生出版社, 2003: 232-235.
6. 汪泽皓, 冯琳琳, 赵阳阳, 等.皋兰县乡镇卫生院医务人员临床决策依据调查.中国循证医学杂志, 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. 潘家华, 魏后凯.城市蓝皮书中国城市发展报告No.6:农业转移人口的市民化.北京:社科文献出版社, 2013. 302-304.
9. 孙静.重视和加强"村卫生室"建设是优化农村三级医疗卫生保健网的关键环节.卫生职业教育, 2012, 30(22):121-123.
10. 覃涛.基层中心卫生院发展的难点与对策.长江大学学报(自科版)医学卷, 2013, 10(4):97-98.
11. 魏职鹏, 郭一民, 陈耀龙, 等.皋兰县村卫生室医务人员继续教育情况调查.甘肃医药, 2009, 28(6):429-430.
12. 丁会峰, 刘素刚, 郭冬岩, 等.基层医疗卫生机构继续医学教育管理探讨.河北医药, 2010, 32(6):738-738.
13. 景玉敏.基层医院图书馆提高外文期刊利用率的几点体会.医学信息, 2007, 20(7):1179-1180.
14. 李海生, 李刚, 张新颜.提高医务人员信息素养必要性的探讨.西南军医, 2010, 12(6):1200-1201.
15. 胡晶, 陈茹, 谢雁鸣, 等.科学和规范的改编临床实践指南.中国循证儿科杂志, 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. 唐杨琛, 沈干, 胡世莲, 等.中国基层临床指南现状分析及评价.中华高血压杂志, 2013, 21(1):48-52.
18. 朱玲.政府与农村基本医疗保健保障制度选择.中国社会科学, 2000, 4:89-99.
19. 刘力生, 王文, 姚崇华, 等. 2009年基层版《中国高血压防治指南》 (摘录).中国医学前沿杂志(电子版), 2010, 2(1):60-74.
20. 陆菊明.中国2型糖尿病防治指南(基层版)解读.中华全科医师杂志, 2013, 12(8):593-595.
21. 吴玉红, 刘洁颖, 金淑芹, 等. PICC在基层医院治疗中的推广应用.中国医药指南, 2010, 8(17):101-102.

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

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