Schaafsma Frederieke, Hulshof Carel, van Dijk Frank, Verbeek Jos
Coronel Institute for Work, Environment and Health, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Scand J Work Environ Health. 2004 Aug;30(4):327-30. doi: 10.5271/sjweh.802.
This study assessed the extent and nature of information demands among occupational health physicians and their attitude towards the application of evidence-based medicine in occupational health.
A questionnaire survey was carried out among a random sample of 159 physicians practicing occupational medicine in The Netherlands. The questionnaire investigated the type and number of questions encountered in daily practice, the actions taken in response, the physicians' experience in using scientific databases on the Internet, and their attitude towards evidence-based medicine.
The occupational health physicians' questions concerned medical, legal, and rehabilitation topics in particular. In pursuing answers to their questions, they generally chose to contact colleagues. Scientific databases were not consulted very often, although, in general, the attitude towards evidence-based medicine was positive. In addition to known barriers for practicing evidence-based medicine, occupational health physicians perceive a lack of scientific evidence in their field. The extensiveness of the field of knowledge in occupational health care was not regarded as an obstacle to their application of evidence-based medicine.
Occupational health physicians have a demand for information on a broad range of topics, and, in most cases, their attitude towards evidence-based medicine is fairly positive. Besides education and training in evidence-based medicine, access to the Internet and the presence of a good knowledge infrastructure would help occupational health physicians use evidence-based medicine.
本研究评估了职业健康医生的信息需求程度及性质，以及他们对循证医学在职业健康中应用的态度。
对荷兰159名从事职业医学的医生进行随机抽样问卷调查。问卷调查了日常实践中遇到的问题类型和数量、采取的应对措施、医生使用互联网科学数据库的经验以及他们对循证医学的态度。
职业健康医生的问题尤其涉及医学、法律和康复主题。在寻求问题答案时，他们通常选择联系同事。虽然总体上对循证医学的态度是积极的，但科学数据库并未经常被查阅。除了循证医学实践中已知的障碍外，职业健康医生认为他们所在领域缺乏科学证据。职业健康护理知识领域的广泛性并不被视为其应用循证医学的障碍。
职业健康医生对广泛主题的信息有需求，并且在大多数情况下，他们对循证医学的态度相当积极。除了循证医学方面的教育和培训外，互联网接入和良好的知识基础设施将有助于职业健康医生使用循证医学。
