Perceptions and attitudes of clinicians in Spain toward clinical practice guidelines and grading systems: A protocol for a qualitative study and a national survey
Por:
Kotzeva A., Solà I., Carrasco J.M., Del Campo P.D., Gracia F.J., Calderán E., De Gaminde I., Estrada M.D., Martínez F., Orrego C., Rotaeche R., Salcedo F., Velzquez P., Alonso-Coello P.
Publicada:
1 ene 2010
Resumen:
Background: Clinical practice guidelines (CPGs) have become a very popular tool for decision making in healthcare. While there is some evidence that CPGs improve outcomes, there are numerous factors that influence their acceptability and use by healthcare providers. While evidence of clinicians' knowledge, perceptions and attitudes toward CPGs is extensive, results are still disperse and not conclusive. Our study will evaluate these issues in a large and representative sample of clinicians in Spain. Methods/Design. A mixed-method design combining qualitative and quantitative research techniques will evaluate general practitioners (GPs) and hospital-based specialists in Spain with the objective of exploring attitudes and perceptions about CPGs and evidence grading systems. The project will consist of two phases: during the first phase, group discussions will be carried out to gain insight into perceptions and attitudes of the participants, and during the second phase, this information will be completed by means of a survey, reaching a greater number of clinicians. We will explore these issues in GPs and hospital-based practitioners, with or without previous experience in guideline development. Discussion. Our study will identify and gain insight into the perceived problems and barriers of Spanish practitioners in relation to guideline knowledge and use. The study will also explore beliefs and attitudes of clinicians towards CPGs and evidence grading systems used to rate the quality of the evidence and the strength of recommendations. Our results will provide guidance to healthcare researchers and healthcare decision makers to improve the use of guidelines in Spain and elsewhere. © 2010 Kotzeva et al; licensee BioMed Central Ltd.
Filiaciones:
Kotzeva A.:
Catalan Agency for Health Technology Assessment and Research (CAHTA), Roc Boronat 81-95, Barcelona, Spain
CIBER de Epidemiología y Salud Pblica (CIBERESP), Spain
Solà I.:
Iberoamerican Cochrane Centre, Clinical Epidemiology and Public Health Department, Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
Carrasco J.M.:
Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain
Del Campo P.D.:
Agencia Laín Entralgo, Consejería de Sanidad y Consumo de la Comunidad de Madrid, Spain
Gracia F.J.:
Agencia Laín Entralgo, Consejería de Sanidad y Consumo de la Comunidad de Madrid, Spain
Calderán E.:
Instituto de Biomedicina de Sevilla, Virgen Del Rocío University Hospital, Sevilla, Spain
CIBER de Epidemiología y Salud Pblica (CIBERESP), Spain
De Gaminde I.:
Servicio de Docencia y Desarrollo Sanitarios, Departamento de Salud Gobierno de Navarra, Spain
Estrada M.D.:
Catalan Agency for Health Technology Assessment and Research (CAHTA), Roc Boronat 81-95, Barcelona, Spain
CIBER de Epidemiología y Salud Pblica (CIBERESP), Spain
Martínez F.:
Unidad Docente de Medicina Familiar y Comunitaria de Sevilla, Sevilla, Spain
Orrego C.:
Avedis Donabedian Institute, Universidad Autánoma de Barcelona, Barcelona, Spain
Rotaeche R.:
Centro de Salud de Alza, Donostia-San Sebastin, Spain
Salcedo F.:
Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain
Velzquez P.:
Consultas Médicas y Psicolágicas, Barcelona, Spain
Alonso-Coello P.:
Iberoamerican Cochrane Centre, Clinical Epidemiology and Public Health Department, Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
CIBER de Epidemiología y Salud Pblica (CIBERESP), Spain
Gold, Green Published, All Open Access, Green
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