Dissertation/Thesis Abstract

Barriers to Adherence to Outpatient Chronic Obstructive Pulmonary Disease Guidelines among Primary Care Providers
by Perez, Xavier, M.P.H., Mount Sinai School of Medicine, 2011, 37; 1499455
Abstract (Summary)

Background: The Global initiative for Chronic Obstructive Lung Disease (GOLD) guidelines were developed to standardized the treatment of patients with chronic obstructive pulmonary disease. Unfortunately, studies have shown poor provider adherence to these guidelines. In this study, we evaluated causes for lack of provider adherence.

Methods: A standardized questionnaire was administered to general medical practitioners to evaluate whether level of training, lack of awareness, poor familiarity, disagreement, time constraints, and low-self efficacy were associated with low adherence to seven practices recommended by the GOLD guidelines.

Results: Overall, 154 primary care providers participated in this study. Several barriers were associated with non-compliance to various recommendations on the univariate analysis. On the multivariate analysis, lack of self-efficacy was a significant barrier for the use of inhaled corticosteroids (P=0.008) and time constraints was associated with poor adherence to pulmonary function testing (P=0.049).

Conclusions: Low self confidence and time constraints were associated with Several poor adherence to the GOLD guidelines. This information can be used to develop tailored interventions to improve adherence to current guidelines among general practitioners.

Indexing (document details)
Advisor: Wisnivesky, Juan
Commitee:
School: Mount Sinai School of Medicine
Department: Public Health
School Location: United States -- New York
Source: MAI 50/02M, Masters Abstracts International
Source Type: DISSERTATION
Subjects: Health care management
Keywords:
Publication Number: 1499455
ISBN: 978-1-124-87494-4
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