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.
|School:||Mount Sinai School of Medicine|
|School Location:||United States -- New York|
|Source:||MAI 50/02M, Masters Abstracts International|
|Subjects:||Health care management|
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