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Table 3 Determinants associated with guidelines adherence

From: Determinants of successful guideline implementation: a national cross-sectional survey

Variables Univariate logistic regression Multivariate logistic regression
OR (95% CI) p value OR (95% CI) p value
Region
The Northeast 2.60 (1.87,3.60) < 0.001 2.02 (1.42,2.88) < 0.001
The West 1.98 (1.46,2.69) < 0.001 1.53 (1.07,2.18) 0.02
The Middle 2.68 (1.95,3.67) < 0.001 2.16 (1.48,3.15) < 0.001
The East 1.000   1.000  
Hospital grade
Tertiary hospital 0.61 (0.47,0.80) < 0.001 0.70 (0.50,0.96) 0.028
Secondary hospital 1.000   1.000  
Years of practice 1.03 (1.02,1.04) < 0.001 1.03 (1.01,1.05) 0.006
Education background
PHD’s 1.93 (1.21,3.09) 0.006 1.90 (1.07,3.37) 0.027
Master’s 2.08 (1.39,3.10) < 0.001 2.11 (1.31,3.41) 0.002
Bachelor’s 1.62 (1.12,2.33) 0.01 1.34 (0.88,2.02) 0.169
Junior college 1.000   1.000  
Professional title
Chief physician or professor of medicine 1.86 (1.32,2.62) < 0.001 0.68 (0.37,1.24) 0.208
Associate senior doctor or associate chief physician 2.08 (1.53,2.84) < 0.001 0.94 (0.60,1.47) 0.78
Intermediate 1.57 (1.18,2.08) 0.002 1.01 (0.72,1.43) 0.951
Primary 1.000   1.000  
EBM or EBM related education in college 1.17 (0.94,1.47) 0.166   
EBM or EBM related education in work unit 1.54 (1.19,1.99) 0.001 1.44 (1.08,1.92) 0.012
Participation in the development of guidelines 0.77 (0.56,1.05) 0.101   
Acknowledgment of guideline providing basic guidance for clinical practice 4.01 (2.04,7.86) < 0.001 2.10 (0.98,4.50) 0.055
Knowledge scores for guideline development 1.00 (0.99,1.02) 0.887   
Professional practice area
ICU or emergency 1.23 (0.74,2.04) 0.433 1.05 (0.61,1.82) 0.848
Pediatrics 1.75 (1.08,2.82) 0.023 0.97 (0.56,1.70) 0.908
Gynaecology/obstetrics 1.68 (0.88,3.19) 0.115 1.10 (0.56,2.17) 0.774
Nursing 2.03 (1.14,3.66) 0.016 1.74 (0.94,3.23) 0.077
Stomatology/ophthalmology/otorhinolaryngology 0.74 (0.44,1.23) 0.244 0.88 (0.51,1.52) 0.639
Anesthesia 1.66 (0.90,3.05) 0.106 1.27 (0.66,2.45) 0.483
General practice or comprehensive health care 2.64 (1.66,4.19) < 0.001 2.06 (1.23,3.45) 0.006
Surgery 1.92 (1.33,2.76) < 0.001 1.49 (1.01,2.19) 0.043
Oncology 2.13 (1.25,3.60) 0.005 1.47 (0.82,2.64) 0.191
Clinical pharmacy 0.64 (0.43,0.96) 0.03 0.74 (0.48,1.15) 0.18
Radiography or medical imaging 1.50 (0.83,2.70) 0.179 1.25 (0.67,2.33) 0.486
Traditional Chinese medicine 1.77 (0.80,3.90) 0.157 1.64 (0.68,3.98) 0.271
Medicine 1.000   1.000  
  1. CI confidence interval, OR odds ratio
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