J Korean Med Sci.  2015 Jul;30(7):847-852. 10.3346/jkms.2015.30.7.847.

Applying the RE-AIM Framework to Evaluate the Dissemination and Implementation of Clinical Practice Guidelines for Sexually Transmitted Infections

Affiliations
  • 1Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore, Maryland, USA.
  • 2Department of Health Management and Policy, Kangwon National University School of Medicine, Chuncheon, Korea. hwdg20@gmail.com
  • 3The Executive Committee for Clinical Practice Guideline, The Korean Academy of Medical Sciences, Seoul, Korea.
  • 4Department of Preventive Medicine, Kangwon National University Hospital, Chuncheon, Korea.

Abstract

Clinical practice guidelines (CPG) are one of the most effective ways to translate evidence of medical improvement into everyday practice. This study evaluated the dissemination and implementation of the Sexually Transmitted Infections-Korean Guidelines (STIKG) by applying the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework. A survey questionnaire was administered to clinicians via the internet. Among the 332 respondents, 190 (57.2%) stated that they were aware of STIKG and 107 (33.2%) implemented STIKG in their practice. The odds that a physician was exposed to STIKG (dissemination) were 2.61 times greater among physicians with previous training or education for any CPG than those who did not. Clinicians who indicated that STIKG were easy to understand were 4.88 times more likely to implement STIKG in their practice than those who found them not so easy. When a clinician's workplace had a supporting system for CPG use, the odds of implementation was 3.76 times higher. Perceived level of effectiveness of STIKG did not significantly influence their implementation. The findings of this study suggest that, ultimately, knowing how to engage clinicians in CPG implementation is as important as how to disseminate such guidelines; moreover, easy-to-use guidelines and institutional support are key factors.

Keyword

Clinical Practice Guidelines; Sexually Transmitted Diseases; Health Plan Implementation; Information Dissemination; Public Health Surveillance

MeSH Terms

Adult
Female
Guideline Adherence/*statistics & numerical data
*Health Knowledge, Attitudes, Practice
*Health Plan Implementation
Humans
*Information Dissemination
Male
Middle Aged
Physicians
Practice Patterns, Physicians'
Public Health Surveillance
Quality of Health Care
Sexually Transmitted Diseases/*therapy
Surveys and Questionnaires
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