Table 3 Opinions about the sources of CPGs and the use of locally adapted ones
Theme | Quotes from participants |
|---|---|
Sources of CPG used | ‘Most famous, trustable, acceptable by the community or you as a reader’ ‘Mostly updated’ ‘Applicable to patient’ ‘Should be from recognized body; not from just anywhere’ ‘No drug company involvement’ ‘Be government-funded’ ‘Should answer queries’ ‘Origin of guideline’ ‘Supported by organization’ ‘It depends on how the guidelines present the information’ |
Different culture and patients’ population | ‘I will take the guidelines because it is updated but in my opinion, patients differ here from the UK and USA’ ‘Adapted guidelines are trustworthy and I will not hesitate to choose [them]’ ‘We think it is true for particular circumstances, culture, and politics. We have to modify and produce our own practice [guidelines] and we have to conduct research’ ‘We are using it because we don’t have another option’ ‘It is successful [but] we cannot copy and paste all the time. We need information from our community and the problems we are facing’ ‘You can take what you need, and you can be selective according to the community and patients’ beliefs’ |
The ability to be selective and use the best knowledge from different CPGs | ‘[You can] combine more than one guideline to find all information needed’ ‘The volume of information is more in the original [guidelines]; local guidelines include only the useful information and applicable ones’ ‘It is easier, as the American Diabetic Association contains all the details and as a family physician I don’t need all that information; it is useful to know but it is too detailed’ |
Being endorsed by the institution | ‘Our guidelines adopt the most recent guidelines’ ‘Adapted guidelines have the power of authority of the local organization’ |
Perceived risk | ‘Risk, there should be standards or rule to follow any miss- phrasing can lead to wrong information’, ‘Should be ethical and mention the source’, “Not biased to any area, experience or need, we should mention all drugs and institution should follow recommendation”, “Self breast exam is harm but it is still in the national program and I am not following”, “We have to raise it up, they have something in their mind”, “We don’t know who is putting it, the things that supposed to be removed should be referred by special person whom we don’t know”, “We don’t know the methodology, partially we are not relying on the organization guidelines and in other parts where we are sure they are true we are relying on them” |
Guideline representation | ‘Customize the international guidelines to become national guidelines’ ‘Easier’, ‘Shorter’, ‘Relevant parts only’, ‘Simple’, ‘Easy language’, ‘Practical effective parts’ |