Use of clinical guidelines in cardiology practice in Sudan

Hwaida Elsadig, Marjorie Weiss, Jenny Scott, Raisa Laaksonen

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Rationale, aims, and objective: The aim of this study was to explore the views of prescribers in cardiology in Sudan about the use of guidelines in clinical practice and the extent to which guidelines whether national or international can be adopted in clinical practice in Sudan. Methods: Interviews were conducted with the consultants in 2 of the main cardiac hospitals in Sudan. This was followed by a survey amongst the doctors in the hospitals to examine the views of a larger population of prescribers about the matter investigated. Results: Twelve consultants were interviewed, and 47 prescribers (60%) replied to the questionnaire that followed. Most doctors relied on foreign guidelines to prescribe for their patients. The doctors acknowledged the limitation of using foreign guidelines in Sudan. A number of doctors were not in favour of following any guidelines, as they perceived that the practice in Sudan does not allow implementation of guidelines. Conclusion: The prescribers in Sudan had to rely on guidelines made in foreign countries if they want to get the benefit of evidence-based medicine to their patients, but they had to find a way to adapt these guidelines to their patients and to the health care system they are working within. However, it is not known if this adaptation of foreign guidelines is providing the benefits intended or is risking evidence-based medicine.

Original languageEnglish
Pages (from-to)127-134
Number of pages8
JournalJournal of Evaluation in Clinical Practice
Volume24
Issue number1
Early online date6 Jun 2017
DOIs
Publication statusPublished - 1 Feb 2018

Keywords

  • cardiology
  • doctors
  • guidelines
  • health care system
  • prescribing
  • Sudan

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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