A comprehensive model of factors affecting adoption of clinical practice guidelines in Korea.
This study aims to investigate the factors related to the adoption of clinical practice guidelines in clinical settings in Korea; it also aims to determine how these factors differ depending on the specific situation of health care system and professional climate. The research sample comprised physicians who are board members of academic societies with experiences in development of clinical practice guidelines using a convenient sampling. We analyzed 324 physicians with pooling two-year sample of 2007 and 2008. From all the respondents, 48.8% stated that they followed Clinical Practice Guidelines, and 93.4% agreed with the content in the Clinical Practice Guidelines. With regard to the item on the self-efficacy of practicing guidelines, 90.3% of the respondents selected 'low level'. In the regression analysis, the factors associated with implementation were level of recognition, agreement and self-efficacy and positive attitude towards practice guidelines. Although the health care system in Korea differs from those in Western countries, our results revealed that the factors related to the adoption of practice guidelines were similar to the research results of Western countries. These results suggest that professionals' attitudes towards clinical practice guidelines are universal, and implementation strategies should be developed globally.
Department of Health Services Management, Kyung Hee University, Seoul, Korea.
Yang-Kyun
YK
Kim
Sun-Hee
SH
Lee
Ju-Hyun
JH
Seo
Ju-Hye
JH
Kim
Seong-Deok
SD
Kim
Gook-Ki
GK
Kim
D000328:Adult; D001291:Attitude of Health Personnel; D001364:Awareness; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D010820:Physicians / Q000523:psychology; D017410:Practice Guidelines as Topic; D012044:Regression Analysis; D056910:Republic of Korea; D020377:Self Efficacy; D011795:Surveys and Questionnaires