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Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia

BACKGROUND: The level of uncontrolled asthma is still high despite the availability of effective treatments and evidence-based guidelines for controlling asthma. Knowledge and adherence to evidence-based guidelines among care providers are crucial to the treatment. OBJECTIVE: To investigate the dete...

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Autores principales: Alrabiah, Abdulaziz M., Elsaid, Tarek, Tourkmani, Ayla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259549/
https://www.ncbi.nlm.nih.gov/pubmed/30598935
http://dx.doi.org/10.4103/jfmpc.jfmpc_189_18
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author Alrabiah, Abdulaziz M.
Elsaid, Tarek
Tourkmani, Ayla
author_facet Alrabiah, Abdulaziz M.
Elsaid, Tarek
Tourkmani, Ayla
author_sort Alrabiah, Abdulaziz M.
collection PubMed
description BACKGROUND: The level of uncontrolled asthma is still high despite the availability of effective treatments and evidence-based guidelines for controlling asthma. Knowledge and adherence to evidence-based guidelines among care providers are crucial to the treatment. OBJECTIVE: To investigate the determinants of family physicians’ knowledge and application of asthma management guidelines at primary healthcare setting in Saudi Arabia. METHODS: This is a cross-sectional study, conducted at 18 primary healthcare centers in Riyadh, Saudi Arabia. The sample consisted of 246 physicians. A self-administrated questionnaire was distributed among the physicians. The questionnaire included demographic, job characteristics, knowledge of asthma guidelines, and application of asthma guidelines’ questions about the essential items related to diagnosis and management of asthma according to the international/local guidelines. The minimum acceptable level for each knowledge and application of guidelines was defined as scoring 70% correct answers. RESULTS: The results show very low level of knowledge of guidelines among physicians with 94.6% scoring below the acceptable knowledge level. The guidelines are applied below the acceptable level with 55.6% scoring below the cut-off point. Higher level of knowledge is associated with higher position of the physician (P = 0.006), qualification held by the physician, namely, MRCGP qualification vs. MBBS (P < 0.001), and the physician's experience, namely, 10–15 years of experience vs. less than 5 years (P = 0.01). The application of guidelines is associated with position of the physician (P = 0.041). Physicians with registrar position scored higher application for guidelines than general practitioners and senior house officers. CONCLUSION: Recognition of the low level of knowledge and application of guidelines among care providers and working toward minimizing this problem can be through education, training, and monitoring of application; this can potentially improve asthma control among patients.
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spelling pubmed-62595492018-12-31 Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia Alrabiah, Abdulaziz M. Elsaid, Tarek Tourkmani, Ayla J Family Med Prim Care Original Article BACKGROUND: The level of uncontrolled asthma is still high despite the availability of effective treatments and evidence-based guidelines for controlling asthma. Knowledge and adherence to evidence-based guidelines among care providers are crucial to the treatment. OBJECTIVE: To investigate the determinants of family physicians’ knowledge and application of asthma management guidelines at primary healthcare setting in Saudi Arabia. METHODS: This is a cross-sectional study, conducted at 18 primary healthcare centers in Riyadh, Saudi Arabia. The sample consisted of 246 physicians. A self-administrated questionnaire was distributed among the physicians. The questionnaire included demographic, job characteristics, knowledge of asthma guidelines, and application of asthma guidelines’ questions about the essential items related to diagnosis and management of asthma according to the international/local guidelines. The minimum acceptable level for each knowledge and application of guidelines was defined as scoring 70% correct answers. RESULTS: The results show very low level of knowledge of guidelines among physicians with 94.6% scoring below the acceptable knowledge level. The guidelines are applied below the acceptable level with 55.6% scoring below the cut-off point. Higher level of knowledge is associated with higher position of the physician (P = 0.006), qualification held by the physician, namely, MRCGP qualification vs. MBBS (P < 0.001), and the physician's experience, namely, 10–15 years of experience vs. less than 5 years (P = 0.01). The application of guidelines is associated with position of the physician (P = 0.041). Physicians with registrar position scored higher application for guidelines than general practitioners and senior house officers. CONCLUSION: Recognition of the low level of knowledge and application of guidelines among care providers and working toward minimizing this problem can be through education, training, and monitoring of application; this can potentially improve asthma control among patients. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6259549/ /pubmed/30598935 http://dx.doi.org/10.4103/jfmpc.jfmpc_189_18 Text en Copyright: © 2018 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Alrabiah, Abdulaziz M.
Elsaid, Tarek
Tourkmani, Ayla
Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia
title Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia
title_full Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia
title_fullStr Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia
title_full_unstemmed Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia
title_short Determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in Riyadh, Saudi Arabia
title_sort determinants of family medicine physicians’ knowledge and application of asthma management guidelines at primary healthcare centers in riyadh, saudi arabia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259549/
https://www.ncbi.nlm.nih.gov/pubmed/30598935
http://dx.doi.org/10.4103/jfmpc.jfmpc_189_18
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