Applying the RE-AIM Framework to Evaluate the Dissemination and Implementation of Clinical Practice Guidelines for Sexually Transmitted Infections
Journal of Korean Medical Science
;
: 847-852, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-210704
ABSTRACT
Clinical practice guidelines (CPG) are one of the most effective ways to translate evidence of medical improvement into everyday practice. This study evaluated the dissemination and implementation of the Sexually Transmitted Infections-Korean Guidelines (STIKG) by applying the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) framework. A survey questionnaire was administered to clinicians via the internet. Among the 332 respondents, 190 (57.2%) stated that they were aware of STIKG and 107 (33.2%) implemented STIKG in their practice. The odds that a physician was exposed to STIKG (dissemination) were 2.61 times greater among physicians with previous training or education for any CPG than those who did not. Clinicians who indicated that STIKG were easy to understand were 4.88 times more likely to implement STIKG in their practice than those who found them not so easy. When a clinician's workplace had a supporting system for CPG use, the odds of implementation was 3.76 times higher. Perceived level of effectiveness of STIKG did not significantly influence their implementation. The findings of this study suggest that, ultimately, knowing how to engage clinicians in CPG implementation is as important as how to disseminate such guidelines; moreover, easy-to-use guidelines and institutional support are key factors.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Médicos
/
Qualidade da Assistência à Saúde
/
Padrões de Prática Médica
/
Infecções Sexualmente Transmissíveis
/
Conhecimentos, Atitudes e Prática em Saúde
/
Inquéritos e Questionários
/
Fidelidade a Diretrizes
/
Disseminação de Informação
/
Vigilância em Saúde Pública
/
Implementação de Plano de Saúde
Tipo de estudo:
Guia de Prática Clínica
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Revisão sistemática de estudos observacionais
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Korean Medical Science
Ano de publicação:
2015
Tipo de documento:
Artigo
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