What question did this study set out to answer?

To assess practicing pediatricians' awareness, perceived helpfulness, limitations, and practice changes related to four prominent clinical practice guidelines.

May 1, 1998PEDIATRICS

Pediatricians' Awareness of and Attitudes About Four Clinical Practice Guidelines

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Authors

DCDimitri Christakis FRFrederick P. Rivara

Discussion

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Overview

National survey reveals modest awareness and perceived helpfulness of clinical practice guidelines among pediatricians, highlighting barriers to widespread clinical adoption.

Key Points

To assess practicing pediatricians' awareness, perceived helpfulness, limitations, and practice changes related to four prominent clinical practice guidelines.
Conducted a national survey of 600 randomly selected pediatricians from the American Medical Association master file (N=300 of 555 eligible responded; 54% response rate).
Evaluated four guidelines: neonatal hyperbilirubinemia, febrile infant management, otitis media with effusion, and clinical preventive services.
Awareness was 66% for hyperbilirubinemia, 64% for fever, 50% for otitis media, and 16% for preventive services guidelines, with mean helpfulness scores ranging from 3.67 to 6.67 on a 10-point scale.
Reported practice change rates were 28% for hyperbilirubinemia, 36% for fever, 28% for otitis media, and 19% for preventive services, while notable proportions cited guidelines as too cookbook (15%–33%), too time-consuming (6%–19%), or too cumbersome (4%–16%).
Regression analysis demonstrated that more recent medical school graduation and nonuniversity affiliation were significantly associated with higher perceived helpfulness and guideline-prompted behavior change.

Cite This Study

Christakis et al. (1998) studied this question.

synapsesocial.com/papers/6a701fc7febe604dd708ecbe https://doi.org/10.1542/peds.101.5.825

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May 1, 1998PEDIATRICS

Pediatricians' Awareness of and Attitudes About Four Clinical Practice Guidelines

View Full Paper

Ask AI

Bookmark

Authors

DCDimitri Christakis FRFrederick P. Rivara

Discussion

Member takes

Overview

National survey reveals modest awareness and perceived helpfulness of clinical practice guidelines among pediatricians, highlighting barriers to widespread clinical adoption.

Key Points

To assess practicing pediatricians' awareness, perceived helpfulness, limitations, and practice changes related to four prominent clinical practice guidelines.
Conducted a national survey of 600 randomly selected pediatricians from the American Medical Association master file (N=300 of 555 eligible responded; 54% response rate).
Evaluated four guidelines: neonatal hyperbilirubinemia, febrile infant management, otitis media with effusion, and clinical preventive services.
Awareness was 66% for hyperbilirubinemia, 64% for fever, 50% for otitis media, and 16% for preventive services guidelines, with mean helpfulness scores ranging from 3.67 to 6.67 on a 10-point scale.
Reported practice change rates were 28% for hyperbilirubinemia, 36% for fever, 28% for otitis media, and 19% for preventive services, while notable proportions cited guidelines as too cookbook (15%–33%), too time-consuming (6%–19%), or too cumbersome (4%–16%).
Regression analysis demonstrated that more recent medical school graduation and nonuniversity affiliation were significantly associated with higher perceived helpfulness and guideline-prompted behavior change.

Cite This Study

Christakis et al. (1998) studied this question.

synapsesocial.com/papers/6a701fc7febe604dd708ecbe https://doi.org/10.1542/peds.101.5.825

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