Barriers to the implementation of new guidelines among pediatric surgeons: online survey
link.springer.com shows its articles on its own site.
Read the article on link.springer.com ↗Article · Jun 2020 · 1 min read
In brief
In brief
This survey of 174 pediatric surgeons reveals distinct barriers to implementing updated practice guidelines between developed and underdeveloped countries. Surgeons in underdeveloped nations cite lack of resources (78%) as the primary obstacle, while those in developed countries report malpractice liability concerns (40%) as the main barrier, highlighting the need for region-specific implementation strategies.
Written by the GCMD Library team from the article.
Abstract
Purpose
To identify barriers that prevent pediatric surgeons from implementing updated practice guidelines.
Methods
An online survey targeting pediatric surgeons was conducted on the StayCurrent MD Application (SCMA) and Pediatric Surgery Education Facebook page (PSE FBP). The survey results for pediatric surgeons of underdeveloped countries (PSUC) and pediatric surgeons of developed countries (PSDC) was compared and analyzed.
Results
Based on the number of active members on PSE FBP and SCA, the response rate was 32.3% (174/539), 66.3% of responses were from PSUC. The majority of PSUC (73%) wanted to have convincing guidelines and the plurality of PSDC (46%) wanted to see approval by the American Pediatric Surgical Association (APSA) for implementation of new guidelines. Lack of resources was the number one response (78%) for PSUC not implementing the most up to date guidelines and about 40% of the PSDC responded “concerned about malpractice liability.”
Conclusions
PSUC and PSDC identified very different barriers to implementation of new guidelines. It is reassuring that accessibility to treatment is not the primary issue, though resistance to implementation is a resounding concern. Identifying the barriers will highlight areas that need to be addressed, and awareness may help resolve some of the barriers.