title: Factors influencing the evolving practice of obstetricians in eastern Wisconsin: a survey.
abstract: The purpose of this survey was to ascertain what prompts clinicians in eastern Wisconsin to change their obstetric practice. A survey was mailed to all clinicians doing obstetrics for a nonprofit organization that performs over 11,000 deliveries in 10 hospitals. Of the 185 surveys mailed, 90 (49%) practicing obstetricians returned it. To change their practice, 31% of respondents said they need the American College of Obstetricians and Gynecologists (ACOG) to recommend it; 24% required multiple randomized clinical trials (RCTs) from different centers; 11% thought one RCT was sufficient. Whereas 93% of the respondents will change their practice within 2 years of a new ACOG recommendation, only 67% will do so after an RCT (odds ratio 6.42; 95% confidence intervals 2.46, 16.75). We concluded that ACOG recommendations are more likely to change the practice of clinicians doing obstetrics in eastern Wisconsin than RCTs.
authors.affiliation: Aurora Health Care, West Allis, Wisconsin, USA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Niaimi
authors.forename: Suneet P
authors.initials: SP
authors.lastname: Chauhan
authors.forename: Lata M
authors.initials: LM
authors.lastname: Gupta
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Bailet
mesh_terms: D000328:Adult; D002983:Clinical Competence; D006801:Humans; D009774:Obstetrics / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D010818:Practice Patterns, Physicians' / Q000639:trends*; D016032:Randomized Controlled Trials as Topic; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D014922:Wisconsin