Yuxuan Yang, Min Yu
Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study
BMC pregnancy and childbirth
aim study explore perspectives reasoning medical staff class tertiary hospitals factors hindering facilitating uptake use clinical practice guidelines cpgs medical procedures mixedmethod research study collect analyse quantitative qualitative data class tertiary hospitals china inclusion criteria questionnaire survey qualitative research 1 medical practitioners 2 years practice 5 years tertiary hospital questionnaires distributed medical staff 11 cities collect quantitative data frequency ranking barriers enablers analysed spearman correlations computed explore correlation years practice professional title ranking educational background selfreported guideline adherence using constructivist grounded theory method qualitative data generated via indepth facetoface interviews chinese medical practitioners total 359 medical practitioners surveyed 32 medical practitioners interviewed 11 cities higher frequency higher ranking barriers converged lack access less convenient lack applicability lack evidence chinese sample higher frequency higher ranking enablers converged short formats presentation utilisation various media information visualisation linking patient electronic medical records relationships characteristics respondents selfreported adherence research produced theoretical understanding experience medical practitioners using guidelines themes identified follows existing intrinsic flaws guidelines deficient incomplete system mechanism ambiguous findings provide comprehensive culturally sensitive perspective understanding guideline implementation china strategies addressing barriers discussed researched future