A comprehensive model of factors affecting adoption of clinical practice guidelines in Korea

Yang Kyun Kim, Sun Hee Lee, Ju Hyun Seo, Ju Hye Kim, Seong Deok Kim, Gook Ki Kim

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


This study aims to investigate the factors related to the adoption of clinical practice guidelines in clinical settings in Korea; it also aims to determine how these factors differ depending on the specific situation of health care system and professional climate. The research sample comprised physicians who are board members of academic societies with experiences in development of clinical practice guidelines using a convenient sampling. We analyzed 324 physicians with pooling two-year sample of 2007 and 2008. From all the respondents, 48.8% stated that they followed Clinical Practice Guidelines, and 93.4% agreed with the content in the Clinical Practice Guidelines. With regard to the item on the self-efficacy of practicing guidelines, 90.3% of the respondents selected 'low level'. In the regression analysis, the factors associated with implementation were level of recognition, agreement and self-efficacy and positive attitude towards practice guidelines. Although the health care system in Korea differs from those in Western countries, our results revealed that the factors related to the adoption of practice guidelines were similar to the research results of Western countries. These results suggest that professionals' attitudes towards clinical practice guidelines are universal, and implementation strategies should be developed globally.

Original languageEnglish
Pages (from-to)1568-1573
Number of pages6
JournalJournal of Korean Medical Science
Issue number11
StatePublished - Nov 2010


  • Adoption
  • Clinical practice guidelines
  • Evidence-based medicine
  • Implementation
  • Korean physicians
  • Recognition
  • Self efficacy


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