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沙特阿拉伯西南部医生对循证医学的知识、认知、态度及教育需求

Knowledge, perceptions, attitude and educational needs of physicians to evidence based medicine in South-Western Saudi Arabia.

作者信息

Al-Musa Hassan M

机构信息

Family and Community Medicine Department, King Khalid University, College of Medicine, Abha, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2010 Mar;31(3):308-12.

Abstract

OBJECTIVE

To define the knowledge, perception, attitude, educational needs, and barriers in practicing Evidence Based Medicine (EBM) among physicians in Abha city, Kingdom of Saudi Arabia.

METHODS

This is a cross-sectional study using a self-administered validated questionnaire distributed to 290 physicians between 1st July to 30th July 2008. This study took place in the Family and Community Medicine Department, King Khalid University, College of Medicine, Abha, Kingdom of Saudi Arabia.

RESULTS

Completed questionnaires were received from 210 (72.4%) of 290 physicians. Most physicians had a positive attitude towards EBM (median score=8/10). Half of them support the shift from daily based practice to evidence based decision. They showed acceptable level of knowledge on the terminologies used in EBM and critical appraisal. The consultants and specialists had a better knowledge toward EBM compared with residents. The main barriers facing the respondents in practicing EBM as indicated by the physicians were lack of resources and time.

CONCLUSION

The physicians showed acceptable level of knowledge on EBM. There was a gap between their knowledge and practice. This gap could be attributed to what was addressed by the physicians, namely, inadequacy of time and unavailability of access to internet in their working place. The better knowledge of the trained than the untrained physicians could draw the attention towards the importance of training courses relevant to EBM.

摘要

目的

明确沙特阿拉伯王国阿卜哈市医生在实施循证医学(EBM)方面的知识、认知、态度、教育需求及障碍。

方法

这是一项横断面研究,采用自填式有效问卷,于2008年7月1日至7月30日期间分发给290名医生。该研究在沙特阿拉伯王国阿卜哈市国王哈立德大学医学院家庭与社区医学系进行。

结果

290名医生中有210名(72.4%)完成了问卷。大多数医生对循证医学持积极态度(中位数得分=8/10)。其中一半支持从日常实践向循证决策转变。他们对循证医学中使用的术语和批判性评价表现出可接受的知识水平。与住院医生相比,顾问医生和专科医生对循证医学有更好的了解。医生指出,受访者在实施循证医学时面临的主要障碍是缺乏资源和时间。

结论

医生对循证医学表现出可接受的知识水平。他们的知识与实践之间存在差距。这一差距可归因于医生提到的时间不足和工作场所无法访问互联网。受过培训的医生比未受过培训的医生有更好的知识,这可能会使人们关注与循证医学相关的培训课程的重要性。

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