A Comprehensive Model of Factors Affecting Adoption of Clinical Practice Guidelines in Korea

Abstract

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.

Evaluation of Pulmonary Nodules

“…1 However, implementation of these clinical practice guidelines is often very low among clinicians in Asian countries, even when awareness of those guidelines is high. 3,4 CHEST has recommended that clinical practice guidelines should be adapted to the local setting by critical review of recommendations against the background of local strengths and challenges. 5 Local adaptation of guidelines is critical for helping to ensure that recommendations are relevant and more likely to be implemented.…”

Use of antidepressants in the treatment of depression in Asia: Guidelines, clinical evidence, and experience revisited

“…Another problem is that the implementation of clinical practice guidelines is variable, as demonstrated by a recent survey of Korean physicians (97% specialists); despite 85% of respondents being aware of clinical practice guidelines, and 93% fully agreeing with the content, only 12% regularly implemented these guidelines (a further 61% were moderate implementers) (Kim et al ., ).…”

Analysis of risk factors for stage I lung adenocarcinoma using low‑dose high‑resolution computed tomography

“…With the development of imaging technology, low-dose high-resolution CT imaging has gradually become the primary means of early screening of lung cancer, and different screening guidelines, such as National Comprehensive Cancer Network (NCCN) and the American College of Chest Physicians (ACCP) ( 24 , 25 ), have been established by different academic organizations. Based on the characteristics of Asian people, guidelines for the assessment of patients with pulmonary nodules were established in February 2016 ( 26 ). Subsequently, guidelines for the classification, diagnosis and treatment of pulmonary nodules has also been updated (2016 edition) in China ( 27 ).…”