Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice.

Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice. Research Abstract Details 

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Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice. Abstract Text:

BACKGROUND: [corrected] Promoting the adoption of medical evidence into clinical practice has been advocated as one approach to improving healthcare quality and reducing medical errors. Data describing the effectiveness of different strategies to achieve this goal in real-world settings are limited. OBJECTIVE: To determine the effectiveness of selected interventions on the adoption of medical evidence into clinical practice. STUDY DESIGN: A cross-sectional survey of a random sample of physicians selected from the American Medical Association's Physician Master File. PATIENTS AND METHODS: We examined the perceived effectiveness of 7 strategies (represented by 27 individual interventions) and 5 general approaches for promoting the adoption of medical evidence into clinical practice in 1100 practicing physicians. Respondent exposure to interventions was also determined. Regression analyses were performed to identify factors that affected effectiveness ratings. Analysis of variance was used to test the hypothesis of equal mean scores across different comparison groups. RESULTS: Of 1,100 surveys mailed, 63 (5.7%) were excluded and 431 were completed (response rate = 41.6%). Mean +/- SD effectiveness scores for the 27 individual interventions on a 5-point Likert scale ranged from 2.0 +/- 0.9 (literature received from insurance companies and managed care organizations) to 4.2 +/- 0.8 (one-on-one communication with respected colleagues). Ranges for the 7 strategies were 2.6 +/- 1.0 (patient-mediated interventions) to 3.6 +/- 0.9 (educational meetings) and for the 5 general approaches were 1.98 +/- 0.9 (administrative interventions) to 3.3 +/- 0.8 (provider education). The hypothesis of equal mean effectiveness scores was rejected for all comparisons (P < .001). Frequency of exposure was the only variable to predict effectiveness (P < .001 for all regression models). CONCLUSION: From the perspective of practicing physicians, the frequency of exposure to strategies for promoting the adoption of medical evidence into clinical practice strongly affects their perceived effectiveness.

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Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The American journal of managed care

VOLUME: 9

Page Numbers: 225-34

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ISSN: 1088-0224

DAY: 6

MONTH: Mar

YEAR: 2003

Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice. Information

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LANGUAGE: eng

NlmUniqueID: 9613960

Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Physician attitudes toward strategies to promote the adoption of medical evidence into clinical practice.

AFFILIATION: Department of Medicine and Health Services Research, Cedars-Sinai Health System, and Zynx Health Inc, Los Angeles, Calif 90212, USA.

Country: United States

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MEDLINETA: Am J Manag Care

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