J Korean Med Sci.  2010 Nov;25(11):1568-1573. 10.3346/jkms.2010.25.11.1568.

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

Affiliations
  • 1Department of Health Services Management, Kyung Hee University, Seoul, Korea.
  • 2Department of Preventive Medicine, School of Medicine, Graduate School of Ewha Womans University, Seoul, Korea. lsh0270@ewha.ac.kr
  • 3Department of Medical Sciences, Graduate School of Ewha Womans University, Seoul, Korea.
  • 4Korean Academy of Medical Sciences, and College of Medicine, Chung-Ang University, Seoul, Korea.
  • 5Korean Academy of Medical Sciences, and College of Medicine, Kyung Hee University, Seoul, 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.

Keyword

Clinical Practice Guidelines; Korean Physicians; Evidence-Based Medicine; Adoption; Implementation; Self Efficacy; Rrecognition
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