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The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates

BACKGROUND: The efficacy of implementing practices based on the best evidence is determined by the limitations and preparedness of the structure and processes of the healthcare system as well as healthcare professionals’ (HCP) levels of knowledge and acceptance. Facilitating implementation of such p...

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Autores principales: Baynouna Al Ketbi, Latifa Mohammad, Zein Al Deen, Sana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5975561/
https://www.ncbi.nlm.nih.gov/pubmed/29853782
http://dx.doi.org/10.1186/s12930-018-0041-2
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author Baynouna Al Ketbi, Latifa Mohammad
Zein Al Deen, Sana
author_facet Baynouna Al Ketbi, Latifa Mohammad
Zein Al Deen, Sana
author_sort Baynouna Al Ketbi, Latifa Mohammad
collection PubMed
description BACKGROUND: The efficacy of implementing practices based on the best evidence is determined by the limitations and preparedness of the structure and processes of the healthcare system as well as healthcare professionals’ (HCP) levels of knowledge and acceptance. Facilitating implementation of such practices also partly depends on HCPs’ attitudes. METHOD: We investigate the attitudes and beliefs of four groups of physicians in the United Arab Emirates on clinical practice guidelines (CPGs), with a focus on applying revisions to these CPGs in a different setting than the one in which they were developed, and where no locally developed guidelines exist. RESULTS: CPGs were the main source of information for revisions. We identified a rising concern in the applicability of the recommendations, which persists due to a lack of locally developed revisions. Other concerns include the pressures of practice management changes and of coping with the rapid development in resources and the growing demand on its use. Some international and government-endorsed CPGs were still accepted as being the best candidates for adoption. CONCLUSIONS: This group welcomes evidence-based practice and is supported by electronic medical records, structured care programmes, and ongoing quality monitoring. Barriers and facilitators of clinical practice guidelines are discussed and thoughts on effective implementation strategies are considered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12930-018-0041-2) contains supplementary material, which is available to authorized users.
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spelling pubmed-59755612018-05-31 The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates Baynouna Al Ketbi, Latifa Mohammad Zein Al Deen, Sana Asia Pac Fam Med Research BACKGROUND: The efficacy of implementing practices based on the best evidence is determined by the limitations and preparedness of the structure and processes of the healthcare system as well as healthcare professionals’ (HCP) levels of knowledge and acceptance. Facilitating implementation of such practices also partly depends on HCPs’ attitudes. METHOD: We investigate the attitudes and beliefs of four groups of physicians in the United Arab Emirates on clinical practice guidelines (CPGs), with a focus on applying revisions to these CPGs in a different setting than the one in which they were developed, and where no locally developed guidelines exist. RESULTS: CPGs were the main source of information for revisions. We identified a rising concern in the applicability of the recommendations, which persists due to a lack of locally developed revisions. Other concerns include the pressures of practice management changes and of coping with the rapid development in resources and the growing demand on its use. Some international and government-endorsed CPGs were still accepted as being the best candidates for adoption. CONCLUSIONS: This group welcomes evidence-based practice and is supported by electronic medical records, structured care programmes, and ongoing quality monitoring. Barriers and facilitators of clinical practice guidelines are discussed and thoughts on effective implementation strategies are considered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12930-018-0041-2) contains supplementary material, which is available to authorized users. BioMed Central 2018-05-30 /pmc/articles/PMC5975561/ /pubmed/29853782 http://dx.doi.org/10.1186/s12930-018-0041-2 Text en © The Author(s) 2018 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
Baynouna Al Ketbi, Latifa Mohammad
Zein Al Deen, Sana
The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates
title The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates
title_full The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates
title_fullStr The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates
title_full_unstemmed The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates
title_short The attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in Al Ain, United Arab Emirates
title_sort attitudes and beliefs of general practitioners towards clinical practice guidelines: a qualitative study in al ain, united arab emirates
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5975561/
https://www.ncbi.nlm.nih.gov/pubmed/29853782
http://dx.doi.org/10.1186/s12930-018-0041-2
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