Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners
AbstractBackground General practitioners (GPs) have an important role in managing patients with atopic dermatitis (AD). Although pivotal, adherence to dermatological guidelines in general practice has not been assessed.Objectives To assess GPs’ perceived adherence and barriers to the Dutch AD guidel...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | European Journal of General Practice |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/13814788.2023.2242583 |
| _version_ | 1827594410736484352 |
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| author | Aviël Ragamin Karlijn F. van Halewijn Marie L.A. Schuttelaar Marjolein Lugtenberg Suzanne G.M.A. Pasmans Gijs Elshout Renske Schappin |
| author_facet | Aviël Ragamin Karlijn F. van Halewijn Marie L.A. Schuttelaar Marjolein Lugtenberg Suzanne G.M.A. Pasmans Gijs Elshout Renske Schappin |
| author_sort | Aviël Ragamin |
| collection | DOAJ |
| description | AbstractBackground General practitioners (GPs) have an important role in managing patients with atopic dermatitis (AD). Although pivotal, adherence to dermatological guidelines in general practice has not been assessed.Objectives To assess GPs’ perceived adherence and barriers to the Dutch AD guideline.Methods A survey was conducted among 391 GPs in the Netherlands between December 2021 and May 2022. GPs rated their perceived adherence and perceived barriers concerning five key recommendations of the AD guideline, following an existing framework. The correlation between perceived adherence and barriers was investigated using Spearman’s rank correlation.Results A total of 213 GPs (54%) participated. Perceived adherence rates varied across recommendations (43.7% to 98.1%). Lowest adherence was reported for recommendations concerning topical corticosteroids (TCS). Across all recommendations, patient factors (65.6%; SD 11.6) and lack of applicability to specific patient groups (29.5%; SD 10.5) were reported most frequently as barriers. The overall correlation between adherence and barriers was strongest for knowledge (ρ .55; SD .10) and attitude-related factors (range: ρ .40--.62).Conclusion GPs’ perceived adherence and barriers vary substantially across recommendations of the AD guideline. In particular, GPs reported lower adherence to recommendations concerning TCS. Next to patient-related factors, strong correlations between adherence perceived by GPs and knowledge and attitude-related barriers suggest the importance of addressing these factors as well to improve adherence. |
| first_indexed | 2024-03-09T02:35:14Z |
| format | Article |
| id | doaj.art-2ed9f1e884c14f9a9b80fb8e6d1918ec |
| institution | Directory Open Access Journal |
| issn | 1381-4788 1751-1402 |
| language | English |
| last_indexed | 2024-03-09T02:35:14Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of General Practice |
| spelling | doaj.art-2ed9f1e884c14f9a9b80fb8e6d1918ec2023-12-06T11:11:04ZengTaylor & Francis GroupEuropean Journal of General Practice1381-47881751-14022023-12-0129110.1080/13814788.2023.2242583Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitionersAviël Ragamin0Karlijn F. van Halewijn1Marie L.A. Schuttelaar2Marjolein Lugtenberg3Suzanne G.M.A. Pasmans4Gijs Elshout5Renske Schappin6Department of Dermatology, Erasmus MC, University Medical Center, Rotterdam, The NetherlandsDepartment of General Practice, Erasmus MC, University Medical Center, Rotterdam, The NetherlandsDepartment of Dermatology, University Medical Center Groningen, University of Groningen, Groningen, The NetherlandsDepartment of Dermatology, Erasmus MC, University Medical Center, Rotterdam, The NetherlandsDepartment of Dermatology, Erasmus MC, University Medical Center, Rotterdam, The NetherlandsDepartment of General Practice, Erasmus MC, University Medical Center, Rotterdam, The NetherlandsDepartment of Dermatology, Erasmus MC, University Medical Center, Rotterdam, The NetherlandsAbstractBackground General practitioners (GPs) have an important role in managing patients with atopic dermatitis (AD). Although pivotal, adherence to dermatological guidelines in general practice has not been assessed.Objectives To assess GPs’ perceived adherence and barriers to the Dutch AD guideline.Methods A survey was conducted among 391 GPs in the Netherlands between December 2021 and May 2022. GPs rated their perceived adherence and perceived barriers concerning five key recommendations of the AD guideline, following an existing framework. The correlation between perceived adherence and barriers was investigated using Spearman’s rank correlation.Results A total of 213 GPs (54%) participated. Perceived adherence rates varied across recommendations (43.7% to 98.1%). Lowest adherence was reported for recommendations concerning topical corticosteroids (TCS). Across all recommendations, patient factors (65.6%; SD 11.6) and lack of applicability to specific patient groups (29.5%; SD 10.5) were reported most frequently as barriers. The overall correlation between adherence and barriers was strongest for knowledge (ρ .55; SD .10) and attitude-related factors (range: ρ .40--.62).Conclusion GPs’ perceived adherence and barriers vary substantially across recommendations of the AD guideline. In particular, GPs reported lower adherence to recommendations concerning TCS. Next to patient-related factors, strong correlations between adherence perceived by GPs and knowledge and attitude-related barriers suggest the importance of addressing these factors as well to improve adherence.https://www.tandfonline.com/doi/10.1080/13814788.2023.2242583Atopic dermatitisguideline adherencegeneral practitionerprimary care |
| spellingShingle | Aviël Ragamin Karlijn F. van Halewijn Marie L.A. Schuttelaar Marjolein Lugtenberg Suzanne G.M.A. Pasmans Gijs Elshout Renske Schappin Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners European Journal of General Practice Atopic dermatitis guideline adherence general practitioner primary care |
| title | Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners |
| title_full | Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners |
| title_fullStr | Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners |
| title_full_unstemmed | Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners |
| title_short | Perceived adherence and associated barriers to the national atopic dermatitis guideline: A survey among general practitioners |
| title_sort | perceived adherence and associated barriers to the national atopic dermatitis guideline a survey among general practitioners |
| topic | Atopic dermatitis guideline adherence general practitioner primary care |
| url | https://www.tandfonline.com/doi/10.1080/13814788.2023.2242583 |
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