gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

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Clinical Practice Guidelines-Related Knowledge, Attitudes, Behavior, and Practices: A Survey of seven township health centers in rural China

Meeting Abstract

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  • Y. Chen - Evidence Based Medicine Center of Lanzhou University, Lanzhou, China; Chinese GRADE Center, Lanzhou, China
  • Q. Wang - Chinese GRADE Center, Lanzhou, China
  • L. Yao - The First Affiliated Hospital of Lanzhou University, Lanzhou, China
  • H. Xiong - Chinese GRADE Center, Lanzhou, China
  • H. Xu - Chinese GRADE Center, Lanzhou, China
  • M. Wang - The First Affiliated Hospital of Lanzhou University, Lanzhou, China
  • K. Yang - Evidence Based Medicine Center of Lanzhou University, Lanzhou, China; Chinese GRADE Center, Lanzhou, China

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocO62

doi: 10.3205/12gin094, urn:nbn:de:0183-12gin0946

Published: July 10, 2012

© 2012 Chen et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Background: Clinical practice guidelines (CPGs) play an important role in healthcare in China as well as in the world. However, the implementation of CPGs in rural China is unknown.

Objective: To investigate the knowledge, attitudes, behaviors and practices relating to CPGs among rural doctors in China.

Methods: In July 2011, 209 village doctors from seven township health centers received a questionnaire about socio-demographic characteristics, knowledge of CPGs, attitudes towards CPGs, behaviors regarding use of CPGs. We analyzed the data with Epidata 3.1 and SPSS 17.0.

Results: A total of 209 valid questionnaires were collected back. The statistical analyses showed that 84% of the doctors heard of CPGs, 54% used CPGs at least once in the past, 41% thought domestic guidelines were more credible while 12% thought overseas guidelines were more credible. Three main barriers of implementation of CPGs were lack of dissemination (57%), difficult to access (44%) and limited applicability (31%).

Conclusion: The village doctors are willing to receive good CPGs, however, as there are many obstacles, such as regional disparity, language barrier, funds deficiency, and perceptivity difference, CPGs could not be effective obtained and managed by village doctors. and they are also lack of basic ability and skills to utilize CPGs.