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Am J Med Sci. 2014 Nov;348(5):357-61. doi: 10.1097/MAJ.0000000000000269.

Does guideline knowledge affect treatment compliance among emergency doctors?

Author information

  • 1Department of Clinical Pharmacy (RAA, AHK, SAS, KK), School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia; and Department of Respiratory Medicine (IA), Penang General Hospital, Penang, Malaysia.

Abstract

BACKGROUND:

The insufficient adoption of internationally accepted clinical guidelines may lead to less than adequate patient care of patients with asthma.

OBJECTIVE:

To evaluate the knowledge and treatment compliance with Global Initiative of Asthma (GINA, 2011) asthma treatment guidelines among emergency physicians (EPs) at a referral hospital in northern Malaysia.

METHODS:

A cross-sectional study was designed in the territory-level referral hospital in northern Malaysia. Twenty-seven EPs were asked to complete an asthma guideline questionnaire to assess their knowledge regarding GINA 2011 asthma treatment guidelines. A total of 810 patients were enrolled, and 30 patients were selected per physician. The authors evaluated the physicians' compliance with GINA 2011 asthma treatment guidelines.

RESULTS:

Of 27 EPs, 20 (74.1%) had adequate knowledge of GINA 2011 asthma treatment guidelines. A total of 615 (75.9%) patients received guideline-recommended emergency treatment. Shortness of breath (n = 436, 53.8%) was the most frequently reported chief complaint. Furthermore, there was a significant but weak association between knowledge of the guideline and treatment compliance among emergency doctors (P = 0.003, φ = 0.110). Moreover, there was no significant change in therapy for patients with comorbid conditions. The mean age of respondents was 27.3 years.

CONCLUSIONS:

Overall, a fair level of guideline knowledge and treatment compliance was noted among EPs. Doctors with adequate guideline knowledge were more likely to comply with GINA 2011 asthma treatment guidelines.

PMID:
25118657
[PubMed - indexed for MEDLINE]
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