Abstract
ContextMany clinical practice guidelines have been developed for the management of musculoskeletal disorders (MSDs). However, there is a gap between evidence-based knowledge and clinical practice, and reasons are poorly understood. Understanding why healthcare providers use clinical practice guidelines is essential to improve their implementation, dissemination, and adherence.AimTo identify determinants of clinical practice guidelines’ utilization by health care providers involved in the assessment and management of MSDs.MethodA scoping review of the literature was conducted. Three databases were searched from inception to March 2021. Article identification, study design, methodological quality, type of healthcare providers, MSDs, barriers and facilitators associated with guidelines’ utilization were extracted from selected articles.RESULTS: 8671 citations were retrieved, and 43 articles were selected. 51% of studies were from Europe, and most were quantitative studies (64%) following a cross-sectional design (88%). Almost 80% of articles dealt with low back pain guidelines, and the most studied healthcare providers were general practitioners or physiotherapists. Five main barriers to guideline utilization were expressed by providers: 1) disagreement between recommendations and patient expectations; 2) guidelines not specific to individual patients; 3) unfamiliarity with “non-specific” term, or with the bio psychosocial model of MSDs; 4) time consuming; and 5) heterogeneity in guideline methods. Four main facilitators to guideline utilization were cited: 1) clinician’s interest in evidence-based practice; 2) perception from clinicians that the guideline will improve triage, diagnosis and management; 3) time efficiency; and 4) standardized language.ConclusionIdentifying modifiable determinants is the first step in developing implementation strategies to improve guideline utilization in clinical practice.
Highlights
Musculoskeletal disorders (MSDs) are the leading cause of years lived with disability in the world [1]
Five main barriers to guideline utilization were expressed by providers: 1) disagreement between recommendations and patient expectations; 2) guidelines not specific to individual patients; 3) unfamiliarity with “non-specific” term, or with the bio psychosocial model of MSDs; 4) time consuming; and 5) heterogeneity in guideline methods
Identifying modifiable determinants is the first step in developing implementation strategies to improve guideline utilization in clinical practice
Summary
Musculoskeletal disorders (MSDs) are the leading cause of years lived with disability in the world [1]. These disorders affect people of all ages but the prevalence peaks in older individuals [2]. Guidelines are defined as guidance documents for clinical practice [10]. They are generally developed by synthesizing the best evidence on patient-centered care [5, 6]. Clinicians are encouraged to use guidelines to improve: 1) health outcomes in patients, 2) quality of clinical decisions by healthcare professionals, 3) efficiency of the healthcare system, 4) safety of care, and 5) cost effectiveness [11]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
