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A national survey of Chinese medicine doctors and clinical practice guidelines in China

BACKGROUND: Clinical practice guidelines (CPGs) for Chinese medicine (CM) are being developed to assist doctors with appropriate decisions concerning CM care. To date, there has been little investigation on the perspectives of those to whom the guidelines are directed. METHODS: A self-administered q...

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Autores principales: Liu, Mengyu, Zhang, Chi, Zha, Qinglin, Yang, Wei, Yuwen, Ya, Zhong, Linda, Bian, Zhaoxiang, Han, Xuejie, Lu, Aiping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588680/
https://www.ncbi.nlm.nih.gov/pubmed/28877689
http://dx.doi.org/10.1186/s12906-017-1946-2
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author Liu, Mengyu
Zhang, Chi
Zha, Qinglin
Yang, Wei
Yuwen, Ya
Zhong, Linda
Bian, Zhaoxiang
Han, Xuejie
Lu, Aiping
author_facet Liu, Mengyu
Zhang, Chi
Zha, Qinglin
Yang, Wei
Yuwen, Ya
Zhong, Linda
Bian, Zhaoxiang
Han, Xuejie
Lu, Aiping
author_sort Liu, Mengyu
collection PubMed
description BACKGROUND: Clinical practice guidelines (CPGs) for Chinese medicine (CM) are being developed to assist doctors with appropriate decisions concerning CM care. To date, there has been little investigation on the perspectives of those to whom the guidelines are directed. METHODS: A self-administered questionnaire was sent to 4503 doctors in 28 provinces of China in the latter half of 2012. Questions were organized around the topics of knowledge, application, practice changes, beliefs and outcomes of implementation. Basic classificatory data on specialties and years of qualification were also collected. RESULTS: Replies were received from 4495 CM doctors (99.82%). Of these, 85.56% of CM doctors reported being familiar with CPG recommendations, but the overall adherence rate was only 50.39%. The length of time practicing CM may influence the rate of adherence, since 709 doctors (51.90%) with less than 5 years of experience reported never having followed CPGs. Doctors in nine specialties showed a modest degree of homogeneity in their attitudes towards CM diagnosis and treatment, which were generally positive. Most doctors regarded CPG-recommended therapies as safe (92%), economic (84%), and effective (76%). Approximately four-fifths of those questioned selected ‘acceptable’ (60.84%) and ‘acceptable after revision’ (19.23%) regarding their comprehensive assessment of the CPGs. CONCLUSIONS: An encouraging result from this survey is that the majority of CM doctors support the concept of CPGs for the practice of CM. However, the results of this survey also suggest that improving the adherence of CM doctors to the guidelines remains a major challenge to improving the practice standards for CM.
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spelling pubmed-55886802017-09-14 A national survey of Chinese medicine doctors and clinical practice guidelines in China Liu, Mengyu Zhang, Chi Zha, Qinglin Yang, Wei Yuwen, Ya Zhong, Linda Bian, Zhaoxiang Han, Xuejie Lu, Aiping BMC Complement Altern Med Research Article BACKGROUND: Clinical practice guidelines (CPGs) for Chinese medicine (CM) are being developed to assist doctors with appropriate decisions concerning CM care. To date, there has been little investigation on the perspectives of those to whom the guidelines are directed. METHODS: A self-administered questionnaire was sent to 4503 doctors in 28 provinces of China in the latter half of 2012. Questions were organized around the topics of knowledge, application, practice changes, beliefs and outcomes of implementation. Basic classificatory data on specialties and years of qualification were also collected. RESULTS: Replies were received from 4495 CM doctors (99.82%). Of these, 85.56% of CM doctors reported being familiar with CPG recommendations, but the overall adherence rate was only 50.39%. The length of time practicing CM may influence the rate of adherence, since 709 doctors (51.90%) with less than 5 years of experience reported never having followed CPGs. Doctors in nine specialties showed a modest degree of homogeneity in their attitudes towards CM diagnosis and treatment, which were generally positive. Most doctors regarded CPG-recommended therapies as safe (92%), economic (84%), and effective (76%). Approximately four-fifths of those questioned selected ‘acceptable’ (60.84%) and ‘acceptable after revision’ (19.23%) regarding their comprehensive assessment of the CPGs. CONCLUSIONS: An encouraging result from this survey is that the majority of CM doctors support the concept of CPGs for the practice of CM. However, the results of this survey also suggest that improving the adherence of CM doctors to the guidelines remains a major challenge to improving the practice standards for CM. BioMed Central 2017-09-06 /pmc/articles/PMC5588680/ /pubmed/28877689 http://dx.doi.org/10.1186/s12906-017-1946-2 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Liu, Mengyu
Zhang, Chi
Zha, Qinglin
Yang, Wei
Yuwen, Ya
Zhong, Linda
Bian, Zhaoxiang
Han, Xuejie
Lu, Aiping
A national survey of Chinese medicine doctors and clinical practice guidelines in China
title A national survey of Chinese medicine doctors and clinical practice guidelines in China
title_full A national survey of Chinese medicine doctors and clinical practice guidelines in China
title_fullStr A national survey of Chinese medicine doctors and clinical practice guidelines in China
title_full_unstemmed A national survey of Chinese medicine doctors and clinical practice guidelines in China
title_short A national survey of Chinese medicine doctors and clinical practice guidelines in China
title_sort national survey of chinese medicine doctors and clinical practice guidelines in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5588680/
https://www.ncbi.nlm.nih.gov/pubmed/28877689
http://dx.doi.org/10.1186/s12906-017-1946-2
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