Adherence of Spanish pediatricians to "do not do" guidelines to avoid low-value care in pediatrics.
The main objective of this study was to analyze the degree of knowledge and compliance of Spanish pediatricians with the "do not do" recommendations of the Spanish Association of Pediatrics. A nationwide cross-sectional, descriptive study was carried out using a 25-item questionnaire among Spanish p...
| Publicado en: | European Journal of Pediatrics Vol. 181; no. 11; pp. 3965 - 3976 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Nov2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159548692&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159548692 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03406199 CR1 jtl: European Journal of Pediatrics issn: 03406199 maglogo: N pubinfo: dt: Nov2022 vid: 181 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159548692 159099458 159548692 NLM36102996 10.1007/s00431-022-04613-6 NLM36102996 159548692 ppf: 3965 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Adherence of Spanish pediatricians to "do not do" guidelines to avoid low-value care in pediatrics. aug: au: Piñeiro-Pérez, Roi Ochoa-Sangrador, Carlos López-Martín, David Martínez-Campos, Leticia Calvo-Rey, Cristina Nievas-Soriano, Bruno José Working Group of Ambulatory Management Infections of the Spanish Society of Pediatric Infectious Diseases affil: Pediatrics Service, Villalba General University Hospital, Collado-Villalba, Madrid, Spain sug: ab: The main objective of this study was to analyze the degree of knowledge and compliance of Spanish pediatricians with the "do not do" recommendations of the Spanish Association of Pediatrics. A nationwide cross-sectional, descriptive study was carried out using a 25-item questionnaire among Spanish pediatricians. Univariate, bivariate, and multivariate analyses were performed. A total of 1137 pediatricians participated in the study. Most of them were women (75.1%), older than 55 (28.3%), worked in specialized care (56.9%), with public financing (91.2%), and had been working for more than 20 years (44.9%). The median of inappropriate answers per question was 9.1%. The bivariate and multivariate analyses showed that the factors that influenced higher adequacy to the "do not do" recommendations were younger than 45 years, working in specialized care, and working in the public health system.Conclusion: This research is the first nationwide study in Spain to analyze the adequacy of "do not do" pediatric clinical recommendations. The study showed a high level of compliance by Spanish pediatricians with these recommendations. However, there is a lack of knowledge in less frequent infectious pathologies such as HIV or fungal infections, in not prolonging antibiotic treatment unnecessarily and directing it appropriately according to the antibiogram results. These aspects may be improved by designing measures to enhance pediatricians' knowledge in these specific aspects. Some demographical factors are related to higher adequacy. Performing this research in other countries may allow assessing the current clinical practice of pediatricians.What Is Known: • Low-value care is defined as care that delivers little or no benefit, may cause patients harm, or outcomes marginal benefits at a disproportionately increased cost. • Few nationwide studies have assessed adherence to "do not do" guidelines, especially in pediatric settings.What Is New: • Albeit there is a high level of compliance by Spanish pediatricians with the «do not do» recommendations, there is a lack of knowledge in different aspects that may be improved. • Some demographical factors are related to higher adequacy. Performing this research in other countries may allow assessing the current clinical practice of pediatricians. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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