Hannes K, Pieters G, Simons W, Herman G, Aertgeerts B
Belgisch Centrum voor Evidence-Based Medicine/Belgian Branch of the Cochrane Collaboration, Leuven, Belgium.
Tijdschr Psychiatr. 2008;50(6):345-52.
The impact of evidence-based practice (EBP) has increased substantially in recent years. However, health care practitioners are experiencing difficulties in implementing EBP.
The specific task was to find out what problems are encountered by Flemish (Belgian, Dutch-speaking) health care practitioners. method In order to explore this problem, we adopted a qualitative research strategy and set up 25 focus groups, 5 of which consisted solely of psychiatrists. results Psychiatrists shared with other health care disciplines some concerns about the characteristics of 'evidence' and about the influential role played by their 'partners' in the health care system, namely by government, commercial firms and patients. Psychiatrists perceived their discipline to be much more complex than other disciplines, particularly in areas such as research design, patients' problems, psychiatric diagnosis and therapeutic psychiatrist-patient relationships. The literature and the preliminary results of ongoing research revealed that other disciplines too are confronted with similar complexities.
There seems to be no justification for ruling out the possibility of implementing EBP on the basis of discipline-related barriers.
近年来，循证实践（EBP）的影响已大幅增加。然而，医疗从业者在实施循证实践方面正面临困难。
具体任务是查明佛兰芒语区（比利时，说荷兰语）的医疗从业者遇到了哪些问题。方法 为了探究这个问题，我们采用了定性研究策略，并设立了25个焦点小组，其中5个仅由精神科医生组成。结果 精神科医生与其他医疗学科共同关注“证据”的特征以及他们在医疗系统中的“合作伙伴”（即政府、商业公司和患者）所起的影响作用。精神科医生认为他们的学科比其他学科复杂得多，特别是在研究设计、患者问题、精神科诊断和治疗性医患关系等领域。文献和正在进行的研究的初步结果表明，其他学科也面临类似的复杂性。
似乎没有理由基于学科相关障碍而排除实施循证实践的可能性。
