Upton Dominic, Upton Penney
Division of Psychology, University of Worcester, Henwick Grove, Worcester, England WR2 6OJ.
J Allied Health. 2006 Fall;35(3):127-33.
Clinical effectiveness (CE) and evidence-based practice (EBP) are the cornerstone of modern-day health care. Although many studies have explored attitudes and perceived knowledge of individual professions, few have compared these factors between professional groups, especially in the allied health professions (AHP) and health science services (HSS). We report a study comparing the knowledge and practice of 14 different professional groups from the AHP and HSS in terms of EBP and CE. The aim was to highlight any differences between the 14 professional groups along with the needs of the groups. A postal questionnaire survey was completed by a random sample of 1,000 members of AHP and HSS across the United Kingdom. There were significant differences between professional groups with, in general, professionals from the HSS groups rating their knowledge and application of CE and EBP as lower than members of the AHP. Differences were also noted between individual professional groups. For example, podiatrists, radiographers, and orthoptists reported having less knowledge of CE and EBP than physiotherapists, occupational therapists, dietitians, speech and language therapists, and psychologists. Barriers to implementing EBP were similar for all groups, with lack of both time and money cited as the main issues. A number of differences between professions were recorded that highlight the difference in educational and policy approach required for greater uptake of EBP.
临床疗效（CE）和循证医学实践（EBP）是现代医疗保健的基石。尽管许多研究探讨了各个专业对循证医学实践的态度和认知，但很少有研究比较不同专业群体之间的这些因素，尤其是在专职医疗专业（AHP）和健康科学服务（HSS）领域。我们报告了一项研究，比较了专职医疗专业和健康科学服务领域14个不同专业群体在循证医学实践和临床疗效方面的知识和实践情况。目的是突出这14个专业群体之间的差异以及各群体需求。我们对英国专职医疗专业和健康科学服务领域的1000名成员进行随机抽样，完成了一项邮寄问卷调查。不同专业群体之间存在显著差异，总体而言，健康科学服务领域的专业人员对临床疗效和循证医学实践的知识及应用的自我评分低于专职医疗专业的成员。各专业群体之间也存在差异。例如，足病医生、放射技师和视光师报告称，他们对临床疗效和循证医学实践的了解不如物理治疗师、职业治疗师、营养师、言语和语言治疗师以及心理学家。所有群体实施循证医学实践的障碍相似，时间和资金短缺被认为是主要问题。记录了各专业之间的一些差异，这些差异凸显了为更好地采用循证医学实践所需的教育和政策方法的差异。
