Implementation effect of the clinical practice guideline for type 2 diabetes mellitus in public hospitals in China: a cross-sectional study using the A-GIST tool
Objective To evaluate the implementation effect of the Guideline for the Prevention and Treatment of Type 2 Diabetes Mellitus in China, and explore its influencing factors. Methods A cross-sectional study was conducted in public hospitals from November 2022 to December 2022. Medical professionals an...
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| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of New Medicine
2025-06-01
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| Series: | Yixue xinzhi zazhi |
| Subjects: | |
| Online Access: | https://yxxz.whuznhmedj.com/futureApi/storage/attach/2506/dYmNEnf19DJr6F90XDpxwniLvEFjMhDkyNuliuSA.pdf |
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| Summary: | Objective To evaluate the implementation effect of the Guideline for the Prevention and Treatment of Type 2 Diabetes Mellitus in China, and explore its influencing factors. Methods A cross-sectional study was conducted in public hospitals from November 2022 to December 2022. Medical professionals and patients were investigated using the Guideline Implementation Success Assessment Tool (A-GIST). Univariate and multivariate linear regression were conducted to analyze the factors associated with the implementation effect of the guideline.Results A total of 744 medical professionals and 843 patients from 55 public hospitals across China were included in the survey. The overall A-GIST score of the implementation effect of this guideline was 84.06 (77.04, 89.34). As to each dimension, the scores from the highest to the lowest were: reach [100.00 (100.00, 100.00)], adoption [98.67 (93.33, 100.00)], implementation [90.00 (71.00, 99.00)], effectiveness [75.22 (66.53, 83.63)], and maintenance [70.00 (50.00, 85.00)]. Senior medical professionals, middle region, tertiary hospitals, and medical specialties were associated with the implementation effect of the guideline. 53 medical professionals (8.4%) reported obstacles to the implementation of the guideline, mainly including patients' adherence to the guideline, the impact of health insurance, as well as patients' socioeconomic characteristics, educational level, economic status and family support. Conclusion The implementation of the T2DM guideline has been generally successful in public hospitals in China. But the dimensions of effectiveness and maintenance warrant improvement. It is necessary to enhance policy support for the middle region, enrich the access to guidelines, promote the integration and collaboration of secondary and tertiary hospitals, strengthen the training and education of primary healthcare professionals, and address specific challenges faced by the nursing workforce. A-GIST is proved to be a useful tool to assess the implementation effect of the guideline across medical professionals, health institutions, and geographic regions. |
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| ISSN: | 1004-5511 |