论文部分内容阅读
目的了解基层医务工作者对临床实践指南的认知、态度及行为情况,探索临床实践指南在基层临床的推广、使用和监测机制。方法通过发放问卷,调查甘肃省兰州市皋兰县7所乡镇卫生院医务人员对临床实践指南的认知、态度与行为。结果共发放调查问卷143份,收回问卷143份。关于指南认知方面,80%的被调查者听说过临床实践指南,51%的人使用过治疗领域的指南,32%的人获取临床实践指南最主要的渠道为单位发放。关于指南态度方面,国内自主开发的指南最受被调查者信赖,37%的人认为获取途径困难是影响临床实践指南推广最主要的因素。关于指南行为方面,74%的人没有接受过有关临床实践指南的培训,88%的人期望专门组织传播指南并进行相关培训。结论基层医务人员对临床实践指南的知晓率、重视程度和使用程度均较低,临床实践指南在基层推广应用最大障碍是获取途径困难,基层需要加强对临床实践指南的推广、学习和培训。
Objective To understand the cognition, attitude and behavior of primary medical workers on clinical practice guidelines and explore the promotion, use and monitoring mechanism of clinical practice guidelines in primary care. Methods By questionnaire, we investigated the cognition, attitude and behaviors of medical staff in 7 township health centers in Gaolan County, Lanzhou City, Gansu Province on clinical practice guidelines. Results A total of 143 questionnaires were distributed and 143 questionnaires were withdrawn. About guideline cognition, 80% of respondents have heard about clinical practice guidelines, 51% have used guideline in treatment field, and 32% have obtained the most important channel for obtaining clinical practice guideline. Regarding the guideline attitude, the guidelines developed domestically in China were the most trusted by respondents, and 37% thought that access difficulties were the most important factors influencing the promotion of clinical practice guideline. In terms of guideline behavior, 74% did not receive training in clinical practice guidelines and 88% wanted specialized organizations to disseminate guidelines and conduct relevant training. Conclusion The awareness, attention and use of clinical practice guidelines are low among primary medical staffs. The biggest obstacle to the promotion and application of clinical practice guidelines at the grassroots level is the difficulty of access. The grassroots organizations need to strengthen the promotion, study and training of clinical practice guidelines.