Guideline for schizophrenia: implementation status and attitude toward an upcoming living guideline

作者：Naiiri Khorikian–Ghazari, Carolin Lorenz, Duygu Güler, Theresa Halms, Astrid Röh, Marisa Flick, Angelika Burschinski, Charline Pielenz, Eva Salveridou‐Hof, Thomas Schneider-Axmann, Marco Schneider, Elias Wagner, Peter Falkai, Wolfgang Gäebel, Stefan Leucht, Alkomiet Hasan, Gabriele Gaigl · 发表于：European Archives of Psychiatry and Clinical Neuroscience · 年份：2023 · DOI：10.1007/s00406-023-01568-z · 被引用次数：11 · 研究领域：Clinical practice guidelines implementation、Health Policy Implementation Science、Health Systems, Economic Evaluations, Quality of Life

The implementation status of clinical guidelines is, despite their important role in connecting research with practice, frequently not satisfactory. This study aims to investigate the implementation status of the current German guideline for schizophrenia. Moreover, the attitude toward a living guideline has been explored for the first time by presenting screenshots of the German schizophrenia guideline transferred to a digital living guideline format called MAGICapp. A cross-sectional online survey was performed under the participation of 17 hospitals for psychiatry and psychosomatic medicine in Southern Germany and one professional association for German neurologists and psychiatrists. 439 participants supplied sufficient data for analysis. 309 provided complete data sets. Regarding the current guideline for schizophrenia and key recommendations, a large awareness-to-adherence gap was found. Group comparisons between different professions (caregivers, medical doctors, psychologists/psychotherapists, psychosocial therapists) detected differences in the implementation status showing higher awareness and agreement with the schizophrenia guideline and its key recommendations among medical doctors compared to psychosocial therapists and caregivers. Moreover, we detected differences in the implementation status of the guideline as a whole and its key recommendations between specialist and assistant doctors. The attitude toward an upcoming living guideline was mostly positive, esp...