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Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan

BACKGROUND: In 2012, the American Board of Internal Medicine Foundation launched the Choosing Wisely campaign to reduce unnecessary care. However, it is unclear how much emergency physicians in Taiwan understand about Choosing Wisely. The purpose of this study was to explore the knowledge, attitude,...

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Autores principales: Juang, Wang-Chuan, Chiou, Sonia Ming-Jiu, Yang, Hui-Ling, Li, Ying-Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275691/
https://www.ncbi.nlm.nih.gov/pubmed/35819965
http://dx.doi.org/10.1371/journal.pone.0271346
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author Juang, Wang-Chuan
Chiou, Sonia Ming-Jiu
Yang, Hui-Ling
Li, Ying-Chun
author_facet Juang, Wang-Chuan
Chiou, Sonia Ming-Jiu
Yang, Hui-Ling
Li, Ying-Chun
author_sort Juang, Wang-Chuan
collection PubMed
description BACKGROUND: In 2012, the American Board of Internal Medicine Foundation launched the Choosing Wisely campaign to reduce unnecessary care. However, it is unclear how much emergency physicians in Taiwan understand about Choosing Wisely. The purpose of this study was to explore the knowledge, attitude, and behaviour of emergency physicians in Taiwan regarding Choosing Wisely and its related factors; the intention was to identify the baseline knowledge on the basis of which to promote Choosing Wisely in Taiwan. METHODS: This was a cross-sectional study including emergency physicians in Taiwan as research subjects who answered online questionnaires. A 42-item questionnaire was designed according to the Knowledge, Attitude, and Behaviour model (KAB). The questionnaire linkages were delivered to emergency physicians through social media (eg., Line, Facebook) and received assistance from different hospital directors. A total of 162 valid questionnaires were collected. Data analyses include t-test, analysis of variance, chi-square test, Pearson’s correlation, and multivariate linear regression model. RESULTS: The study determined that although only 38.9% of emergency physicians had heard of Choosing Wisely, the mean correct rate of knowledge score among emergency physicians was 70.1%. Attitude and the behaviour related to Choosing Wisely were positively associated, which means that the more positive the attitude towards Choosing Wisely is, the more positive the behaviour towards Choosing Wisely is. In multiple linear regression analyses, having served as a supervisor, belonging to divisions of health insurance service, and having heard of Choosing Wisely (P < 0.05) positively affect the knowledge of Choosing Wisely, but age presented a negative association. CONCLUSION: This study found that physicians’ knowledge does not influence their attitudes and behaviours, which may be related to barriers of practicing Choosing Wisely activities. To effectively promote Choosing Wisely campaign, it is recommended to focus on the significant factors associated with emergency physicians’ perceptions regarding knowledge, attitude, and behavior of Choosing Wisely. Based on these factors, appropriate practice guidelines for Choosing Wisely can be formulated and promoted.
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spelling pubmed-92756912022-07-13 Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan Juang, Wang-Chuan Chiou, Sonia Ming-Jiu Yang, Hui-Ling Li, Ying-Chun PLoS One Research Article BACKGROUND: In 2012, the American Board of Internal Medicine Foundation launched the Choosing Wisely campaign to reduce unnecessary care. However, it is unclear how much emergency physicians in Taiwan understand about Choosing Wisely. The purpose of this study was to explore the knowledge, attitude, and behaviour of emergency physicians in Taiwan regarding Choosing Wisely and its related factors; the intention was to identify the baseline knowledge on the basis of which to promote Choosing Wisely in Taiwan. METHODS: This was a cross-sectional study including emergency physicians in Taiwan as research subjects who answered online questionnaires. A 42-item questionnaire was designed according to the Knowledge, Attitude, and Behaviour model (KAB). The questionnaire linkages were delivered to emergency physicians through social media (eg., Line, Facebook) and received assistance from different hospital directors. A total of 162 valid questionnaires were collected. Data analyses include t-test, analysis of variance, chi-square test, Pearson’s correlation, and multivariate linear regression model. RESULTS: The study determined that although only 38.9% of emergency physicians had heard of Choosing Wisely, the mean correct rate of knowledge score among emergency physicians was 70.1%. Attitude and the behaviour related to Choosing Wisely were positively associated, which means that the more positive the attitude towards Choosing Wisely is, the more positive the behaviour towards Choosing Wisely is. In multiple linear regression analyses, having served as a supervisor, belonging to divisions of health insurance service, and having heard of Choosing Wisely (P < 0.05) positively affect the knowledge of Choosing Wisely, but age presented a negative association. CONCLUSION: This study found that physicians’ knowledge does not influence their attitudes and behaviours, which may be related to barriers of practicing Choosing Wisely activities. To effectively promote Choosing Wisely campaign, it is recommended to focus on the significant factors associated with emergency physicians’ perceptions regarding knowledge, attitude, and behavior of Choosing Wisely. Based on these factors, appropriate practice guidelines for Choosing Wisely can be formulated and promoted. Public Library of Science 2022-07-12 /pmc/articles/PMC9275691/ /pubmed/35819965 http://dx.doi.org/10.1371/journal.pone.0271346 Text en © 2022 Juang et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Juang, Wang-Chuan
Chiou, Sonia Ming-Jiu
Yang, Hui-Ling
Li, Ying-Chun
Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
title Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
title_full Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
title_fullStr Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
title_full_unstemmed Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
title_short Exploring emergency physicians’ knowledge, attitudes, and behaviour towards Choosing Wisely in Taiwan
title_sort exploring emergency physicians’ knowledge, attitudes, and behaviour towards choosing wisely in taiwan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275691/
https://www.ncbi.nlm.nih.gov/pubmed/35819965
http://dx.doi.org/10.1371/journal.pone.0271346
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