Guideline-based COPD management in a resource-limited setting - physicians' understanding, adherence and barriers: a cross-sectional survey of internal and family medicine hospital-based physicians in Nigeria

Few data exist on the understanding and adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines in resource-limited settings, which are mostly in sub-Saharan Africa. To assess physicians' understanding, adherence, and barriers to implementation of GOLD guidelin...

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Published in:Primary care respiratory journal 2013-03, Vol.22 (1), p.79-85
Main Authors: Desalu, Olufemi Olumuyiwa, Onyedum, Cajetan C, Adeoti, Adekunle O, Gundiri, Laguhyel B, Fadare, Joseph O, Adekeye, Kehinde A, Onyeri, Kelechi D, Fawibe, Ademola E
Format: Article
Language:English
Subjects:
Adult
Cross-Sectional Studies
Family Practice
Female
Guideline Adherence
Health Care Surveys
Health Knowledge, Attitudes, Practice
Health Resources
Humans
Internal Medicine
Male
Nigeria
Practice Patterns, Physicians
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - therapy
Research Paper
Retrospective Studies
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creator Desalu, Olufemi Olumuyiwa
Onyedum, Cajetan C
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Onyeri, Kelechi D
Fawibe, Ademola E
description Few data exist on the understanding and adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines in resource-limited settings, which are mostly in sub-Saharan Africa. To assess physicians' understanding, adherence, and barriers to implementation of GOLD guidelines in Nigeria. A questionnaire based on the recommendations of the guidelines was self-administered by 156 physicians in departments of internal and family medicine in selected hospitals to assess physician understanding of the GOLD guidelines and barriers to its implementation. The medical records of patients with chronic obstructive pulmonary disease (COPD) were also reviewed to assess adherence to the guideline recommendations. The performance score of all physicians was 22.37±0.39 (range 0-38). Pulmonologists had the highest score (37.00±0.00) while medical officers had the lowest score (19.93±4.98) (F=10.16, df=5, p
doi_str_mv 10.4104/pcrj.2013.00014
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subjects Adult
Cross-Sectional Studies
Family Practice
Female
Guideline Adherence
Health Care Surveys
Health Knowledge, Attitudes, Practice
Health Resources
Humans
Internal Medicine
Male
Nigeria
Practice Patterns, Physicians
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - therapy
Research Paper
Retrospective Studies
title Guideline-based COPD management in a resource-limited setting - physicians' understanding, adherence and barriers: a cross-sectional survey of internal and family medicine hospital-based physicians in Nigeria
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