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Subject Area

Radiology

Article Type

Original Study

Abstract

Objective The aim of this study was to assess the adherence of different specialties (family physicians, pediatricians, and otolaryngologists) to Egyptian clinical practice guideline dealing with pediatric acute otitis media (AOM) in Egypt. Background Egyptian clinical practice guideline for AOM has been promoted as a strategy to measure and improve the quality of patient care. However, more efforts have been expended on creating guidelines than implementing them. Patients and methods It was a cross-sectional descriptive study. Participants from different specialties, such as family physicians, pediatricians, and otolaryngologists were selected by systematic random techniques from the list of participants in the conferences. A self-administered questionnaire with 26 items that covered all the aspects of management of Egyptian clinical practice guideline for AOM was distributed to the participants to assess their adherence to the Egyptian guideline of AOM. Results Poor adherence to the Egyptian guideline of AOM was detected in all specialties without significant differences (92.5% of family physicians, 100% of otolaryngologists, and 100% of pediatricians). A physician's age, sex, scientific degree, and experience did not significantly affect the adherence. Conclusion Poor adherence of different specialties to the Egyptian guideline of AOM in Egypt was observed. Resolving this challenge will require comprehensive policy appraisal and harmonized actions at different AOM health care providers. Mere dissemination of evidence and promotion of guidelines will not help.

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