ArticleBMJ open2017
Guideline use behaviours and needs of primary care practitioners in China: a cross-sectional survey.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Psychological safety and primary care physicians' well-being, work conditions and guideline adherence behavior: a cross-sectional study in China.Global health action · 2025Article
- Real-world analysis of characteristics and guideline adherence of antiplatelet drugs prescriptions among patients with coronary artery disease and its comorbidities: a cross-sectional study.BMC cardiovascular disorders · 2025Article
- Automated process assessment of primary healthcare for hyperlipidemia: preliminary findings and implications form Anhui, China.Lipids in health and disease · 2025Article
- Integration and innovation: medical and health consortia improving continuing medical education in China.Frontiers in public health · 2025Review
- The implementation of the guideline for the management of pediatric off-label use of drugs in China: a cross-sectional study.Translational pediatrics · 2024Article
- Assessing Adherence to Clinical Practice Guidelines Among Primary Care Physicians in Bahrain: A Cross-sectional Study.Oman medical journal · 2023Article
- General practice management of chronic post-surgical pain in patients with hip fracture: a qualitative study.Frontiers in medicine · 2023Article
- Determinants of successful guideline implementation: a national cross-sectional survey.BMC medical informatics and decision making · 2021Article
- Improving the Applicability and Feasibility of Clinical Practice Guidelines in Primary Care: Recommendations for Guideline Development and Implementation.Risk management and healthcare policy · 2021Article
- Qualitative evaluation of the general practitioner chronic non-communicable diseases training programme.BMC medical education · 2020Article
- Patients' Perceptions of Barriers and Facilitators to the Adoption of E-Hospitals: Cross-Sectional Study in Western China.Journal of medical Internet research · 2020Article
- Development and Evaluation of an Educational Program for Community Pharmacists on Cardiovascular Risk Assessment.Risk management and healthcare policy · 2020Article
- Perceptions, behaviours, barriers and needs of evidence-based medicine in primary care in Beijing: a qualitative study.BMC family practice · 2019Article
- Barriers and enablers for the implementation of clinical practice guidelines in China: a mixed-method study.BMJ open · 2019Article
- Article
- Prescribers' adherence to clinical practice guidelines for the management of hypertension at public hospitals in Northwest Ethiopia: An explanatory sequential mixed-methods study.Sage open chronic diseaseArticle
- Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesClinical guidelines have been recognised as an effective way to improve healthcare performance. However, little is known about the uptake and implementation of guidelines by general practitioners in China. The aim of this study was to investigate the guideline use behaviours and needs of practitioners in primary care settings in China.
methodsWe conducted a cross-sectional survey from December 2015 to May 2016 that included practitioners at 268 institutions in 15 provinces in China. Questionnaire development was informed by the execution of a literature review and consultation of experts. On-site surveys were implemented using a paper questionnaire to minimise missing responses. A multivariate logistic regression analysis was performed to identify factors associated with provider knowledge of and attitudes towards clinical guidelines.
resultsOf the respondents, 91.7% (1568/1708) were aware of clinical guidelines, but only 11.3% (177/1568) frequently used them. The main mechanism by which primary care practitioners accessed guidelines was public search engines (63.4%; 911/1438), and practitioners seldom reported using biomedical databases. The most frequently identified barriers to guideline use were lack of training (49.9%; 778/1560), lack of access (44.6%; 696/1560) and lack of awareness (38.0%; 592/1560). Less than one-quarter of respondents considered current guidelines 'entirely appropriate' for use in primary care (23.5%; 339/1442). Most participants (96.2%; 1509/1568) believed it was necessary to develop primary care guidelines. Provider attitudes towards current guidelines were associated with the location and level of the institution and professional title of the practitioner (p<0.05).
conclusionOur survey revealed poor knowledge and uptake of clinical guidelines in primary care, and we identified a gap between the needs of practitioners and availability of clinical guidelines for use in primary care in China. In addition, lacking access to and training in guidelines also prevented primary healthcare practitioners from using guidelines in daily practice.
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