Perceptions and attitudes of clinicians in Spain toward clinical practice guidelines and grading systems: A protocol for a qualitative study and a national survey

BMC Health Services Research

Volumn 10, Issue , 2010, Pages

  Kotzeva, Anna ^a,f   Solà, Ivan ^b   Carrasco, José Miguel ^c   Del Campo, Petra Díaz ^d   Gracia, Francisco Javier ^d   Calderán, Enrique ^e,f   De Gaminde, Idoia ^g   Estrada, Maria Dolors ^a,f   Martínez, Flora ^h   Orrego, Carola ⁱ   Rotaeche, Rafael ^j   Salcedo, Flavia ^c   Velzquez, Paola ^k   Alonso Coello, Pablo ^b,f  

^a Catalan Agency for Health Technology Assessment and Research   (Spain)

^b BIOMEDICAL RESEARCH INSTITUTE SANT PAU IIB SANT PAU   (Spain)

^c INSTITUTO ARAGONÉS DE CIENCIAS DE LA SALUD   (Spain)

^d Consejería de Sanidad y Consumo de la Comunidad de Madrid ^*  (Spain)

^e HOSPITAL UNIVERSITARIO VIRGEN DEL ROCÍO   (Spain)

^f CIBER EPIDEMIOLOGÍA Y SALUD PÚBLICA CIBERESP   (Spain)

^g Servicio de Docencia y Desarrollo Sanitarios   (Spain)

^h U de Med Familiar Y Comunitaria   (Spain)

ⁱ UNIVERSITAT AUTÒNOMA DE BARCELONA   (Spain)

^j Centro de Salud de Alza   (Spain)

^k Consultas Médicas y Psicolágicas ^*  (Spain)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTITUDE TO HEALTH; CLASSIFICATION; CLINICAL COMPETENCE; CLINICAL PROTOCOL; FEMALE; GENERAL PRACTITIONER; HEALTH SERVICES RESEARCH; HUMAN; MALE; MASS COMMUNICATION; MEDICAL STAFF; PRACTICE GUIDELINE; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; QUESTIONNAIRE; SPAIN; STATISTICS;

CLINICAL COMPETENCE; CLINICAL PROTOCOLS; DIFFUSION OF INNOVATION; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES RESEARCH; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; PHYSICIANS, FAMILY; PRACTICE GUIDELINES AS TOPIC; QUALITATIVE RESEARCH; QUESTIONNAIRES; SPAIN;

EID: 78649617609     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-10-328     Document Type: Article

References (50)

1. Clinical Practice Guidelines: Directions for a New Program. MJ Field KN Lohr (Eds), Institute of Medicine, Washington, DC: National Academy Press 1990
2. Outcomes of evidence-based clinical practice guidelines: a systematic review. C Bahtsevani G Udén A Willman, Int J Technol Assess Healthcare 2004 20 4 427 33 Fall
3. Effectiveness and efficiency of guideline dissemination and implementation strategies. JM Grimshaw RE Thomas G MacLennan C Fraser CR Ramsay L Vale P Whitty MP Eccles L Matowe L Shirran M Wensing R Dijkstra C Donaldson, Health Technol Assess 2004 8 6 ii iv 1-72 14960256
4. [Individual and collective facilitators of and barriers to the use of clinical practice guidelines by physicians: a literature review]. F Saillour-Glenisson P Michel, Rev Epidemiol Sante Publique 2003 51 1 Pt 1 65 80 12684582
5. Factors influencing adherence to guidelines in general practice. RE Stewart S Vroegop GB Kamps GTvd Werf BM-d Jong, Int J Technol Assess Healthcare 2003 19 546 554
6. Attributes of clinical guidelines that influence use of guidelines in general practice: observational study. R Grol J Dalhuijsen S Thomas Cit Veld G Rutten H Mokkink, BMJ 1998 317 858 861 9748183
7. Clinical Guidelines in Primary-Care - a Survey of General-Practitioners Attitudes and Behavior. AN Siriwardena, Br J Gen Pract 1995 45 643 647 8745861
8. Canadian physicians' attitudes about and preferences regarding clinical practice guidelines. RS Hayward GH Guyatt KA Moore KA McKibbon AO Carter, CMAJ 1997 156 12 1715 23 9220923
9. Grading quality of evidence and strength of recommendations. D Atkins D Best PA Briss M Eccles Y Falck-Ytter S Flottorp GH Guyatt RT Harbour MC Haugh D Henry S Hill R Jaeschke G Leng A Liberati N Magrini J Mason P Middleton J Mrukowicz D O'Connell AD Oxman B Phillips HJ Schünemann TT Edejer H Varonen GE Vist JW Williams Jr S Zaza GRADE Working Group, BMJ 2004 328 7454 1490 10.1136/bmj.328.7454.1490 15205295
10. Clinicians' attitudes to clinical practice guidelines: a systematic review. CM Farquhar EW Kofa JR Slutsky, Med J Aust 2002 177 9 502 6 12405894
11. Thou shalt versus thou shalt not: a meta-synthesis of GPs' attitudes to clinical practice guidelines. B Carlsen C Glenton C Pope, Br J Gen Pract 2007 57 545 971 8 10.3399/096016407782604820 18252073
12. Letters, numbers, symbols and words: how to communicate grades of evidence and recommendations. HJ Schunemann D Best G Vist AD Oxman GRADE Working Group, CMAJ 2003 169 7 677 80 14517128
13. Symbols were superior to numbers for presenting strength of recommendations to healthcare consumers: a randomized trial. EA Akl N Maroun G Guyatt AD Oxman P Alonso-Coello GE Vist PJ Devereaux VM Montori HJ Schünemann, J Clin Epidemiol 2007 60 12 1298 305 10.1016/j.jclinepi.2007. 03.011 17998085
14. Gaining insight into the Clinical Practice Guideline development processes: qualitative study in a workshop to implement the GRADE proposal in Spain. C Calderon R Rotaeche A Etxebarria M Marzo R Rico M Barandiaran, BMC Health Serv Res 2006 6 138 10.1186/1472-6963-6-138 17059600
15. Qualitative Research in Healthcare. C Pope N Mays, London: BMJ Books 2000
16. Qualitative Methods and Health Policy Research. E Murphy R Dingwall, New York: Aldine de Gruyter 2003
17. Ms all de la sociología. El grupo de discusián: Técnica y crítica. J Ib̃ez, Madrid: Siglo 2a 1986 XXI
18. El grupo de discusián: introduccián a una prctica de investigacián. J Callejo, Barcelona: Ariel 2001
19. La mirada cualitativa en sociología. Una aproximacián interpretativa. LE Alonso, Madrid: Editorial Fundamentos 1998
20. Discourse Analysis. Investigating Processes of Social Construction. N Phillips C Hardy, Thousand Oaks CA: Sage 2002
21. El anlisis de la informacián en la investigacián cualitativa. F Conde, Introduccián a la Investigacián Cualitativa. Mster de Investigacián en Atencián Primaria Barcelona: semFYC, UAB, Fundaciá Dr. Robert, Calderán C, Conde F, Fernndez de Sanmamed MJ, Monistrol O, 2004
22. Is it a Focus Group? Tips on How to Tell. RA Krueger, J Wound Ostomy Continence Nurs 2006 33 4 363 366 16932117
23. The Use of Focus Groups in Clinical research. JB Brown, Doing Qualitative Research Thousand Oaks. CA: Sage, Crabtree BF, Miller WL, 1999 109 24
24. Verification strategies for establishing reliability and validity in qualitative research. JM Morse M Barret M Mayan K Olson J Spiers, IJQM 2002 1 13 22 http://ejournals.library.ualberta.ca/index.php/IJQM/article/view/4603/3756
25. The dance of Interpretation. WL Miller BF Crabtree, Doing Qualitative Research Thousand Oaks, CA: Sage, Crabtree BF, Miller WL, 1999 127 143
26. Methods to increase response rates to postal questionnaires. P Edwards I Roberts M Clarke C DiGuiseppi S Pratap R Wentz I Kwan R Cooper, Cochrane Database of Systematic Reviews 2007 2
27. General practitioners and clinical guidelines. K Bhagat N Nyazema, East Afr Med J 2001 78 1 30 4 11320762
28. Practice guidelines: useful and "participative" method? Survey of Italian physicians by professional setting. G Formoso A Liberati N Magrini, Arch Intern Med 2001 161 16 2037 42 10.1001/archinte.161.16.2037 11525707
29. Clinical practice guidelines: perspectives of clinicians in Queensland public hospitals. IA Scott ND Buckmaster KH Harvey, Intern Med J 2003 33 7 273 9 10.1046/j.1445-5994.2003.00366.x 12823671
30. German ambulatory care physicians' perspectives on clinical guidelines - a national survey. M Butzlaff D Kempkens M Schnee WE Dieterle J Böcken MA Rieger, BMC Fam Pract 2006 7 47 10.1186/1471-2296-7-47 16857051
31. Are internists in an non-prescriptive setting favourable to guidelines? A survey in a Department of Internal Medicine in Switzerland. M Bochud J Cornuz JP Vader W Kamm B Burnand, Swiss Med Wkly 2002 132 15-16 201 6 12070786
32. [Clinical practice guidelines, what do the internists think?]. E Riou D Veillard P Jarno MB Coutté Presse Med 2004 33 18 1233 7 10.1016/S0755-4982(04)98898-7 15611701
33. Use and perceptions of clinical practice guidelines by internal medicine physicians. AM Shea V DePuy JM Allen KP Weinfurt, Am J Med Qual 2007 22 3 170 6 10.1177/1062860607300291 17485558
34. [Combined quantitative and qualitative methods to identify local facilitators of and barriers to physician's adherence to clinicalpractice guidelines]. F Saillour-Glénisson S Domecq ML Pouchadon B Jacques M Sibé Rev Epidemiol Sante Publique 2008 56 Suppl 3 207 19 18550309
35. Clinical practice guidelines in the intensive care unit: a survey of Canadian clinicians' attitudes. T Sinuff KW Eva M Meade P Dodek D Heyland D Cook, Can J Anaesth 2007 54 9 728 36 10.1007/BF03026869 17766740
36. Attitudes toward practice guidelines among intensive care unit personnel: a cross-sectional anonymous survey. D Quiros S Lin EL Larson, Heart Lung 2007 36 4 287 97 10.1016/j.hrtlng.2006.08.005 17628198
37. Assessment of attitudes of intensive care unit staff toward clinical practice guidelines. M Pogorzelska EL Larson, Dimens Crit Care Nurs 2008 27 1 30 8 10.1097/01.DCC.0000304673.29616.23 18091633
38. [Physicians' attitudes concerning guidelines. An empirical survey in neurologic clinics]. U Hasenbein A Schulze R Busse CW Wallesch, Gesundheitswesen 2005 67 5 332 41 10.1055/s-2005-858217 15918121
39. Physician knowledge, attitudes and practices regarding a widely implemented guideline. MM Ward TE Vaughn T Uden-Holman BN Doebbeling WR Clarke RF Woolson, J Eval Clin Pract 2002 8 2 155 62 10.1046/j.1365-2753.2002.00337.x 12180364
40. Knowledge and perception of guidelines and secondary prevention of coronary heart disease among general practitioners and internists. Results from a physician survey in Germany. J Heidrich T Behrens F Raspe U Keil, Eur J Cardiovasc Prev Rehabil 2005 12 6 521 9 10.1097/00149831-200512000-00002 16319540
41. Ontario doctors' attitudes toward and use of clinical practice guidelines in oncology. ID Graham M Brouwers C Davies J Tetroe, J Eval Clin Pract 2007 13 4 607 15 10.1111/j.1365-2753.2006.00670.x 17683303
42. Do practices comply with key recommendations of the British Asthma Guideline? If not, why not? S Wiener-Ogilvie H Pinnock G Huby A Sheikh MR Partridge J Gillies, Prim Care Respir J 2007 16 6 369 77 10.3132/pcrj.2007.00074 18026674
43. Knowledge, attitudes and use of the guidelines for the treatment of moderate to severe plaque psoriasis among Dutch dermatologists. M Wakkee M Lugtenberg PI Spuls EM de Jong HB Thio GP Westert T Nijsten, Br J Dermatol 2008 159 2 426 32 18616791
44. Cardiologists' awareness and perceptions of guidelines for chronic heart failure. The ADDress your Heart survey. L Erhardt M Komajda FD Hobbs J Soler-Soler, Eur J Heart Fail 2008 10 10 1020 5 10.1016/j.ejheart.2008.08.001 18793869
45. "What lies beneath it all?" - an interview study of GPs' attitudes to the use of guidelines. B Carlsen OF Norheim, BMC Health Serv Res 2008 8 218 http://www.biomedcentral.com/1472-6963/8/218#B9 10.1186/1472-6963-8- 218 18945360
46. Competing norms: Canadian rural family physicians' perceptions of clinical practice guidelines and shared decision-making. A Boivin F Légaré MP Gagnon, J Health Serv Res Policy 2008 13 2 79 84 10.1258/jhsrp.2007.007052 18416912
47. Focus groups as qualitative research. DL Morgan, London: Sage Publicatons 1988
48. How to sample in surveys. A Fink, Thousand Oaks, California: Sage Publicatons 1995
49. Survey research methods. FJ Fowler, Thousand Oaks, California: Sage Publicatons 2 1993
50. Evidence of self-report bias in assessing adherence to guidelines. A Adams S Soumerai J Lomas D Ross-Degnan, Intern J Qual Healthcare 1999 11 187 192 10.1093/intqhc/11.3.187 (Pubitemid 29302446)