PDF(Pubmed)
Abstract：
UNASSIGNED: General practitioners (GPs) have an important role in managing patients with atopic dermatitis (AD). Although pivotal, adherence to dermatological guidelines in general practice has not been assessed.
UNASSIGNED: To assess GPs\' perceived adherence and barriers to the Dutch AD guideline.
UNASSIGNED: A survey was conducted among 391 GPs in the Netherlands between December 2021 and May 2022. GPs rated their perceived adherence and perceived barriers concerning five key recommendations of the AD guideline, following an existing framework. The correlation between perceived adherence and barriers was investigated using Spearman\'s rank correlation.
UNASSIGNED: A total of 213 GPs (54%) participated. Perceived adherence rates varied across recommendations (43.7% to 98.1%). Lowest adherence was reported for recommendations concerning topical corticosteroids (TCS). Across all recommendations, patient factors (65.6%; SD 11.6) and lack of applicability to specific patient groups (29.5%; SD 10.5) were reported most frequently as barriers. The overall correlation between adherence and barriers was strongest for knowledge (ρ .55; SD .10) and attitude-related factors (range: ρ .40--.62).
UNASSIGNED: GPs\' perceived adherence and barriers vary substantially across recommendations of the AD guideline. In particular, GPs reported lower adherence to recommendations concerning TCS. Next to patient-related factors, strong correlations between adherence perceived by GPs and knowledge and attitude-related barriers suggest the importance of addressing these factors as well to improve adherence.
UNASSIGNED: To assess GPs\' perceived adherence and barriers to the Dutch AD guideline.
UNASSIGNED: A survey was conducted among 391 GPs in the Netherlands between December 2021 and May 2022. GPs rated their perceived adherence and perceived barriers concerning five key recommendations of the AD guideline, following an existing framework. The correlation between perceived adherence and barriers was investigated using Spearman\'s rank correlation.
UNASSIGNED: A total of 213 GPs (54%) participated. Perceived adherence rates varied across recommendations (43.7% to 98.1%). Lowest adherence was reported for recommendations concerning topical corticosteroids (TCS). Across all recommendations, patient factors (65.6%; SD 11.6) and lack of applicability to specific patient groups (29.5%; SD 10.5) were reported most frequently as barriers. The overall correlation between adherence and barriers was strongest for knowledge (ρ .55; SD .10) and attitude-related factors (range: ρ .40--.62).
UNASSIGNED: GPs\' perceived adherence and barriers vary substantially across recommendations of the AD guideline. In particular, GPs reported lower adherence to recommendations concerning TCS. Next to patient-related factors, strong correlations between adherence perceived by GPs and knowledge and attitude-related barriers suggest the importance of addressing these factors as well to improve adherence.
摘要：
■全科医生（GP）在管理特应性皮炎（AD）患者中具有重要作用。虽然关键，尚未评估一般实践中对皮肤病学指南的依从性。
■评估全科医生对荷兰AD指南的依从性和障碍。
■在2021年12月至2022年5月期间，对荷兰的391名GP进行了调查。全科医生对他们关于AD指南的五项关键建议的感知依从性和感知障碍进行了评级，遵循现有的框架。使用Spearman的等级相关性研究了感知依从性与障碍之间的相关性。
■共有213名全科医生（54%）参加。各建议的感知依从率各不相同(43.7%至98.1%)。关于外用皮质类固醇（TCS）的建议的依从性最低。在所有建议中，患者因素(65.6%;SD11.6)和缺乏对特定患者组的适用性(29.5%;SD10.5)被报道为障碍最常见.对于知识（ρ.55；SD.10）和态度相关因素（范围：ρ.40-.62），依从性和障碍之间的总体相关性最强。
■GPs\'感知的依从性和障碍在AD指南的建议中差异很大。特别是,全科医生报告对有关TCS的建议的依从性较低。除了患者相关因素，全科医生感知的依从性与知识和态度相关障碍之间的强相关性表明，解决这些因素以及提高依从性的重要性。
■评估全科医生对荷兰AD指南的依从性和障碍。
■在2021年12月至2022年5月期间，对荷兰的391名GP进行了调查。全科医生对他们关于AD指南的五项关键建议的感知依从性和感知障碍进行了评级，遵循现有的框架。使用Spearman的等级相关性研究了感知依从性与障碍之间的相关性。
■共有213名全科医生（54%）参加。各建议的感知依从率各不相同(43.7%至98.1%)。关于外用皮质类固醇（TCS）的建议的依从性最低。在所有建议中，患者因素(65.6%;SD11.6)和缺乏对特定患者组的适用性(29.5%;SD10.5)被报道为障碍最常见.对于知识（ρ.55；SD.10）和态度相关因素（范围：ρ.40-.62），依从性和障碍之间的总体相关性最强。
■GPs\'感知的依从性和障碍在AD指南的建议中差异很大。特别是,全科医生报告对有关TCS的建议的依从性较低。除了患者相关因素，全科医生感知的依从性与知识和态度相关障碍之间的强相关性表明，解决这些因素以及提高依从性的重要性。
