Factors affecting the use of clinical practice guidelines by hospital physicians: the interplay of IT infrastructure and physician attitudes

• DOI: 10.1186/s13012-020-01056-1
• Publication Date: 2020-11-25T10:03:03Z
• Authors: Noriko Sasaki; Naohito Yamaguchi; Akiko Okumura; Masahiro Yoshida; Hiroyuki Sugawara; Jung-ho Shin; Susumu Kunisawa; Yuichi Imanaka
• Keywords: Health administration; Guideline; Health Services Research; Demographics

Abstract Background Compliance with clinical practice guidelines (CPGs) remains insufficient around the world, despite frequent updates and continuing efforts to disseminate implement these through a variety of strategies. We describe current status young resident physician practices towards CPGs investigate multiple factors associated active use CPGs, including physician’s knowledge, attitudes, behaviours, CPG-related education received, hospital’s IT infrastructures. The aim is identify more effective point for intervention promote CPG implementation. Methods conducted questionnaire survey among physicians working at 111 hospitals across Japan in 2015 used results hospital score data collected from prior survey. Multivariable logistic regression analysis was performed examine determinants (defined least once per week). independent variables were selected based on demographics, speciality careers, daily knowledge behaviour items, digital preference, (high/medium/low), without interaction terms. Results Responses 535 physicians, 61 hospitals, analysed. median 6 out possible 10 points. Physicians who had learned about tended work medium high scores, easier access paywalled medical databases, better guideline network ‘Minds’. In addition, electronically. A using therapeutic decision-making strongly (odds ratio [95% CI] 6.1 [3.6–10.4]), which indicated that habit promotes use. Moreover, (OR1.7 [1.1–2.5]). effects between individual preferences higher also observed (OR2.9 [0.9–8.8]). Conclusions habitual education, combination preference superior infrastructure are key bridging gap implementation CPGs.