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Table 4 Determinants of active use of guidelines in physicians’daily practice

From: Factors affecting the use of clinical practice guidelines by hospital physicians: the interplay of IT infrastructure and physician attitudes

Variables

Adjusted odds ratio [95% CI]

Model A

Model B

Male (ref Female)

1.58 [1.04–2.40]*

1.59 [1.04–2.43]*

Senior residency (ref Junior residency)

1.47 [0.89–2.42]

1.47 [0.89–2.43]

Internal medicine specialty (ref Others)

1.40 [0.88–2.23]

1.41 [0.88–2.25]

Education for CPG use (ref no education)

1.72 [1.04–2.50]**

1.68 [1.12–2.53]*

Knowledge of guideline network 'Minds' (ref No knowledge)

1.00 [0.64–1.56]

0.97 [0.62–1.51]

Preference to use digital guidelines (ref book guidelines)

2.33 [1.45–3.74]***

1.01 [0.37–2.76]

When to use CPGs

 For therapeutic decision-making (Yes)

6.15 [3.62–10.43]***

6.09 [3.58–10.35]***

 To gain related knowledge (Yes)

0.78 [0.49–1.24]

0.77 [0.48–1.22]

 For shared decision-making with patients (Yes)

1.77 [0.97–3.22]

1.82 [0.10–3.31]

Hospital IT score_Medium to High (ref Low)

1.23 [0.72–2.12]

0.61 [0.24–1.53]

Preference to use digital guidelines x Hospital IT score_Medium to High

–

2.88 [0.94–8.83]

C-statistics

0.752

0.753

  1. CI confidence interval, CPG clinical practice guidelines
  2. Model A—without an interaction term, model B—with interaction terms
  3. *P < 0.05
  4. **P < 0.01
  5. ***P < 0.001