Abstract：
OBJECTIVE: To study how physicians\' commitment to the basic provisions of clinical guidelines (CGs) for the diagnosis and treatment of chronic heart failure (CHF) has changed over the two years of the document existence.
METHODS: An anonymous survey was performed for 263 physicians (204 cardiologists, 46 internists and 13 other specialists) who were trained in advanced training programs in 2022. The questionnaire included questions regarding self-assessment of the respondents\' professional knowledge, their attitude to the role of CGs in everyday practice and ideas about methods for treatment of CHF.
RESULTS: Respondents gave 60.6 % correct answers to questions related to the treatment of CHF. More than 70% correct answers were given by 42.7% of cardiologists and 17.4% of internists. Compared to 2020, the proportion of cardiologists who gave more than 70 % correct answers increased significantly (p<0.05). CGs were considered mandatory by 26.2% and important or sometimes useful by 71.5% of respondents. Cardiologists considered CGs mandatory more frequently than internists (29.9 and 15.2 %, respectively; p=0.04). The mean number of correct answers was greater in the subgroup of respondents who considered CGs mandatory (p<0.001). More than 70% correct answers were given by only 43.8% of cardiologists, who considered themselves fully informed and able to advise colleagues on complex issues of diagnosis and treatment of CHF, and 40.6% of physicians who considered their knowledge acceptable for managing patients with CHF.
CONCLUSIONS: The majority of physician consider CGs an important methodological document but only a little more than 25 % are aware that CGs are mandatory. Cardiologists are better informed than internists about the principal provisions of National Clinical Guidelines for the diagnosis and treatment of CHF, but the average level of physician knowledge remains low.
METHODS: An anonymous survey was performed for 263 physicians (204 cardiologists, 46 internists and 13 other specialists) who were trained in advanced training programs in 2022. The questionnaire included questions regarding self-assessment of the respondents\' professional knowledge, their attitude to the role of CGs in everyday practice and ideas about methods for treatment of CHF.
RESULTS: Respondents gave 60.6 % correct answers to questions related to the treatment of CHF. More than 70% correct answers were given by 42.7% of cardiologists and 17.4% of internists. Compared to 2020, the proportion of cardiologists who gave more than 70 % correct answers increased significantly (p<0.05). CGs were considered mandatory by 26.2% and important or sometimes useful by 71.5% of respondents. Cardiologists considered CGs mandatory more frequently than internists (29.9 and 15.2 %, respectively; p=0.04). The mean number of correct answers was greater in the subgroup of respondents who considered CGs mandatory (p<0.001). More than 70% correct answers were given by only 43.8% of cardiologists, who considered themselves fully informed and able to advise colleagues on complex issues of diagnosis and treatment of CHF, and 40.6% of physicians who considered their knowledge acceptable for managing patients with CHF.
CONCLUSIONS: The majority of physician consider CGs an important methodological document but only a little more than 25 % are aware that CGs are mandatory. Cardiologists are better informed than internists about the principal provisions of National Clinical Guidelines for the diagnosis and treatment of CHF, but the average level of physician knowledge remains low.
摘要：
目的：研究医师对慢性心力衰竭（CHF）诊断和治疗临床指南（CGs）基本规定的承诺在文件存在的两年内发生了怎样的变化。
方法：对263名医生进行了匿名调查（204名心脏病专家，46名内科医生和13名其他专家），他们在2022年接受了高级培训计划的培训。问卷包括关于受访者自我评估专业知识的问题，他们对CGs在日常实践中的作用的态度以及对CHF治疗方法的看法。
结果：受访者对与CHF治疗相关的问题给出了60.6%的正确答案。42.7％的心脏病专家和17.4％的内科医生给出了70％以上的正确答案。与2020年相比，给出正确答案超过70％的心脏病专家的比例显着增加（p＆lt;0.05）。26.2%的受访者认为CG是强制性的，71.5%的受访者认为CG是重要的或有时有用的。心脏病学家认为CGs比内科医生更频繁(29.9%和15.2%，分别为；p=0.04)。认为CG强制性的亚组中正确答案的平均数量更大（p<0.001）。只有43.8%的心脏病学家给出了70%以上的正确答案,他们认为自己完全知情，能够就CHF的诊断和治疗的复杂问题向同事提供建议，40.6%的医生认为他们的知识可以用于治疗CHF患者。
结论：大多数医生认为CGs是一个重要的方法学文件，但只有25%以上的医生知道CGs是强制性的。心脏病学家比内科医生更了解CHF诊断和治疗的国家临床指南的主要规定。但是医生知识的平均水平仍然很低。
方法：对263名医生进行了匿名调查（204名心脏病专家，46名内科医生和13名其他专家），他们在2022年接受了高级培训计划的培训。问卷包括关于受访者自我评估专业知识的问题，他们对CGs在日常实践中的作用的态度以及对CHF治疗方法的看法。
结果：受访者对与CHF治疗相关的问题给出了60.6%的正确答案。42.7％的心脏病专家和17.4％的内科医生给出了70％以上的正确答案。与2020年相比，给出正确答案超过70％的心脏病专家的比例显着增加（p＆lt;0.05）。26.2%的受访者认为CG是强制性的，71.5%的受访者认为CG是重要的或有时有用的。心脏病学家认为CGs比内科医生更频繁(29.9%和15.2%，分别为；p=0.04)。认为CG强制性的亚组中正确答案的平均数量更大（p<0.001）。只有43.8%的心脏病学家给出了70%以上的正确答案,他们认为自己完全知情，能够就CHF的诊断和治疗的复杂问题向同事提供建议，40.6%的医生认为他们的知识可以用于治疗CHF患者。
结论：大多数医生认为CGs是一个重要的方法学文件，但只有25%以上的医生知道CGs是强制性的。心脏病学家比内科医生更了解CHF诊断和治疗的国家临床指南的主要规定。但是医生知识的平均水平仍然很低。
