Al-Gelban Khalid S, Al-Khaldi Yahia M, Al-Wadei Abdullah M, Mostafa Ossama A
Dept. of Family and Community Medicine, College of Medicine, King Khalid University, Aseer Region, Saudi Arabia.
J Family Community Med. 2009 Jan;16(1):1-5.
To explore the attitudes of doctors in the general hospitals and their application of evidence-based medicine (EBM) and to identify the barriers that hinder its use.
This study included 346 doctors in the general hospitals of Aseer. A questionnaire was designed to assess their awareness as well as the barriers that hinder their practice of EBM. A visual analogue scale was used to assess their attitude.
The attitudes of doctors toward aspects of EBM were generally positive. However, their use of EBM sources and application were generally poor. The main reasons for retrieving evidence were to keep them up-to-date (72.8%) and to help make clinical decisions (70.2%). The least mentioned reason for evidence retrieval was research (41.9%). Review of textbooks was the main method of evidence retrieval (71.1%), while a database search was the method least used (22.8%). The main barriers to the practice of EBM practice were "lack of facilities" followed by "lack of time", while the barrier least mentioned was the "lack of interest".
Although doctors have positive attitudes toward EBM, their knowledge and application of EBM need much improvement. The main barriers to their application of EBM are the lack of facilities and the lack of time.
The necessary infrastructure for the application of EBM should be made available for all medical staff. There is a need for special courses and hands-on workshops in general hospitals to address the necessary knowledge and skills of EBM are essential.
探讨综合医院医生对循证医学（EBM）的态度及其应用情况，并找出阻碍其使用的障碍。
本研究纳入了阿西尔综合医院的346名医生。设计了一份问卷来评估他们的认知以及阻碍他们实践循证医学的障碍。使用视觉模拟量表来评估他们的态度。
医生对循证医学各方面的态度总体上是积极的。然而，他们对循证医学资源的使用和应用总体较差。检索证据的主要原因是跟上最新进展（72.8%）和帮助做出临床决策（70.2%）。提及最少的证据检索原因是研究（41.9%）。查阅教科书是证据检索的主要方法（71.1%），而数据库搜索是最少使用的方法（22.8%）。循证医学实践的主要障碍是“缺乏设施”，其次是“缺乏时间”，而提及最少的障碍是“缺乏兴趣”。
尽管医生对循证医学持积极态度，但他们对循证医学的知识和应用仍需大幅改进。他们应用循证医学的主要障碍是缺乏设施和缺乏时间。
应为所有医务人员提供应用循证医学所需的基础设施。综合医院需要开设专门课程和实践工作坊，以传授循证医学的必要知识和技能。
