Table 3.
Determinants associated with guidelines adherence
| Variables | Univariate logistic regression | Multivariate logistic regression | ||
|---|---|---|---|---|
| OR (95% CI) | p value | OR (95% CI) | p value | |
| Region | ||||
| The Northeast | 2.60 (1.87,3.60) | < 0.001 | 2.02 (1.42,2.88) | < 0.001 |
| The West | 1.98 (1.46,2.69) | < 0.001 | 1.53 (1.07,2.18) | 0.02 |
| The Middle | 2.68 (1.95,3.67) | < 0.001 | 2.16 (1.48,3.15) | < 0.001 |
| The East | 1.000 | 1.000 | ||
| Hospital grade | ||||
| Tertiary hospital | 0.61 (0.47,0.80) | < 0.001 | 0.70 (0.50,0.96) | 0.028 |
| Secondary hospital | 1.000 | 1.000 | ||
| Years of practice | 1.03 (1.02,1.04) | < 0.001 | 1.03 (1.01,1.05) | 0.006 |
| Education background | ||||
| PHD’s | 1.93 (1.21,3.09) | 0.006 | 1.90 (1.07,3.37) | 0.027 |
| Master’s | 2.08 (1.39,3.10) | < 0.001 | 2.11 (1.31,3.41) | 0.002 |
| Bachelor’s | 1.62 (1.12,2.33) | 0.01 | 1.34 (0.88,2.02) | 0.169 |
| Junior college | 1.000 | 1.000 | ||
| Professional title | ||||
| Chief physician or professor of medicine | 1.86 (1.32,2.62) | < 0.001 | 0.68 (0.37,1.24) | 0.208 |
| Associate senior doctor or associate chief physician | 2.08 (1.53,2.84) | < 0.001 | 0.94 (0.60,1.47) | 0.78 |
| Intermediate | 1.57 (1.18,2.08) | 0.002 | 1.01 (0.72,1.43) | 0.951 |
| Primary | 1.000 | 1.000 | ||
| EBM or EBM related education in college | 1.17 (0.94,1.47) | 0.166 | ||
| EBM or EBM related education in work unit | 1.54 (1.19,1.99) | 0.001 | 1.44 (1.08,1.92) | 0.012 |
| Participation in the development of guidelines | 0.77 (0.56,1.05) | 0.101 | ||
| Acknowledgment of guideline providing basic guidance for clinical practice | 4.01 (2.04,7.86) | < 0.001 | 2.10 (0.98,4.50) | 0.055 |
| Knowledge scores for guideline development | 1.00 (0.99,1.02) | 0.887 | ||
| Professional practice area | ||||
| ICU or emergency | 1.23 (0.74,2.04) | 0.433 | 1.05 (0.61,1.82) | 0.848 |
| Pediatrics | 1.75 (1.08,2.82) | 0.023 | 0.97 (0.56,1.70) | 0.908 |
| Gynaecology/obstetrics | 1.68 (0.88,3.19) | 0.115 | 1.10 (0.56,2.17) | 0.774 |
| Nursing | 2.03 (1.14,3.66) | 0.016 | 1.74 (0.94,3.23) | 0.077 |
| Stomatology/ophthalmology/otorhinolaryngology | 0.74 (0.44,1.23) | 0.244 | 0.88 (0.51,1.52) | 0.639 |
| Anesthesia | 1.66 (0.90,3.05) | 0.106 | 1.27 (0.66,2.45) | 0.483 |
| General practice or comprehensive health care | 2.64 (1.66,4.19) | < 0.001 | 2.06 (1.23,3.45) | 0.006 |
| Surgery | 1.92 (1.33,2.76) | < 0.001 | 1.49 (1.01,2.19) | 0.043 |
| Oncology | 2.13 (1.25,3.60) | 0.005 | 1.47 (0.82,2.64) | 0.191 |
| Clinical pharmacy | 0.64 (0.43,0.96) | 0.03 | 0.74 (0.48,1.15) | 0.18 |
| Radiography or medical imaging | 1.50 (0.83,2.70) | 0.179 | 1.25 (0.67,2.33) | 0.486 |
| Traditional Chinese medicine | 1.77 (0.80,3.90) | 0.157 | 1.64 (0.68,3.98) | 0.271 |
| Medicine | 1.000 | 1.000 | ||
CI confidence interval, OR odds ratio