Skip to main content

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