Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants
Abstract Background Nowadays, irrational use of antimicrobials has threatened public health. It’s necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial. However, the utilization status of CPG on antimicrobial and the influe...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-020-05171-z |
| _version_ | 1824045838374010880 |
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| author | Qingwen Deng Wenbin Liu |
| author_facet | Qingwen Deng Wenbin Liu |
| author_sort | Qingwen Deng |
| collection | DOAJ |
| description | Abstract Background Nowadays, irrational use of antimicrobials has threatened public health. It’s necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial. However, the utilization status of CPG on antimicrobial and the influencing factors, especially the ones at the organizational level, remain largely unknown. Methods A cross-sectional questionnaire survey was conducted on a sample among physicians from 16 public hospitals in the eastern, central and western parts of China. A multilevel regression model was employed to examine factors associated with physicians’ utilization of CPG on antimicrobial. Results A total of 815 physicians were included in this study. About 80% of the surveyed physicians reported their adherence to the CPG on antimicrobial. Dimensions of “subjective norm”, “perceived risk” and “behavioral intention” from the domain of physician belief, a dimension of “ease of use” from the domain of CPG traits, and dimensions of “top management support” and “organization & implementation” from the domain of hospital practice were significantly associated with physicians’ utilization of CPG on antimicrobial. And except for working department, most demographics characteristics of the physician were not found to be significantly related to the CPG use. In addition, it also showed that region is a significant factor affecting physicians’ CPG use. Conclusions This study depicted the current status of CPG on antimicrobial and comprehensively identified its potential determinants not only from the three domains at the individual level, such as physician belief, but also from the location region at the organizational level. The results will provide a direct reference for the implementation of CPG on antimicrobial. |
| first_indexed | 2024-12-23T00:29:00Z |
| format | Article |
| id | doaj.art-0fcafd4f34274491872e5b5f7fb735cb |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-23T00:29:00Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-0fcafd4f34274491872e5b5f7fb735cb2022-12-21T18:07:01ZengBMCBMC Health Services Research1472-69632020-04-012011910.1186/s12913-020-05171-zUtilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinantsQingwen Deng0Wenbin Liu1Department of Health Management, School of Public Health, Fujian Medical UniversityDepartment of Health Management, School of Public Health, Fujian Medical UniversityAbstract Background Nowadays, irrational use of antimicrobials has threatened public health. It’s necessary to expand the use of clinical practice guideline (CPG) on antimicrobial for facilitating the proper use of antimicrobial. However, the utilization status of CPG on antimicrobial and the influencing factors, especially the ones at the organizational level, remain largely unknown. Methods A cross-sectional questionnaire survey was conducted on a sample among physicians from 16 public hospitals in the eastern, central and western parts of China. A multilevel regression model was employed to examine factors associated with physicians’ utilization of CPG on antimicrobial. Results A total of 815 physicians were included in this study. About 80% of the surveyed physicians reported their adherence to the CPG on antimicrobial. Dimensions of “subjective norm”, “perceived risk” and “behavioral intention” from the domain of physician belief, a dimension of “ease of use” from the domain of CPG traits, and dimensions of “top management support” and “organization & implementation” from the domain of hospital practice were significantly associated with physicians’ utilization of CPG on antimicrobial. And except for working department, most demographics characteristics of the physician were not found to be significantly related to the CPG use. In addition, it also showed that region is a significant factor affecting physicians’ CPG use. Conclusions This study depicted the current status of CPG on antimicrobial and comprehensively identified its potential determinants not only from the three domains at the individual level, such as physician belief, but also from the location region at the organizational level. The results will provide a direct reference for the implementation of CPG on antimicrobial.http://link.springer.com/article/10.1186/s12913-020-05171-zClinical practice guidelineAntimicrobialMultilevel analysisChina |
| spellingShingle | Qingwen Deng Wenbin Liu Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants BMC Health Services Research Clinical practice guideline Antimicrobial Multilevel analysis China |
| title | Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants |
| title_full | Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants |
| title_fullStr | Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants |
| title_full_unstemmed | Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants |
| title_short | Utilization of clinical practice guideline on antimicrobial in China: an exploratory survey on multilevel determinants |
| title_sort | utilization of clinical practice guideline on antimicrobial in china an exploratory survey on multilevel determinants |
| topic | Clinical practice guideline Antimicrobial Multilevel analysis China |
| url | http://link.springer.com/article/10.1186/s12913-020-05171-z |
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