The increasing complexity of medical care and a desire to increase quality and control costs have led to growing use of clinical practice guidelines (CPGs).
It is unclear how helpful these guidelines are to the practitioners expected to use them.
We surveyed pediatricians about their knowledge and impressions of four well-publicized CPGs : the American Academy of Pediatrics' « Practice Parameter for Hyperbilirubinemia in Newborns » (hyperbilirubinemia), « A Guideline for the Management of Febrile Infants » (fever), the Agency for Health Care Policy and Research's « Guideline for Otitis Media With Effusion » (otitis), and the US Preventive Services Task Force Guide to Clinical Preventive Services (preventive care).
1) What percentage of practicing pediatricians are aware of these guidelines ? 2) How helpful do they find them ? 3) What are practitioners'perceived limitations of these guidelines ? 4) Have these guidelines affected provider behavior ? 5) Are there features of a provider's training or practice that are associated with changing practice as a result of guidelines ?
A national survey of 600 pediatricians selected at random from the American Medical Association master file.
A total of 300 of 555 eligible participants (54%) returned surveys.
Of the respondents, 66% were aware of the hyperbilirubinemia guideline, 64% of the fever guideline, 50% of the otitis guideline, but only 16% knew of the preventive care guidelines. (...)
Mots-clés Pascal : Médecin, Attitude, Recommandation, Connaissance, Conduite à tenir, Document imprimé, Intérêt, Pratique professionnelle, Etats Unis, Amérique du Nord, Amérique, Enquête, Médecine factuelle
Mots-clés Pascal anglais : Physician, Attitude, Recommendation, Knowledge, Clinical management, Printed document, Interest, Professional practice, United States, North America, America, Survey, Evidence-based medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0248591
Code Inist : 002B30A09. Création : 11/09/1998.