Nejašmić Danijel, Miošić Ivana, Vrdoljak Davorka, Permozer Hajdarović Snježana, Tomičić Marion, Gmajnić Rudika, Diminić Lisica Ines, Sironić Hreljanović Jelena, Pleh Vlatka, Cerovečki Venija, Tomljenović Anita, Bekić Sanja, Jerčić Minka, Tuđa Karla, Puljak Livia
Danijel Nejašmić, Department of Medical Physics and Biophysics, University of Split School of Medicine, Šoltanska 2, 21000 Split, Croatia,
Croat Med J. 2017 Aug 31;58(4):300-309. doi: 10.3325/cmj.2017.58.300.
To determine the use of evidence-based medicine (EBM) information and the level of awareness and knowledge of EBM among patients in Croatia.
A cross-sectional study was conducted among 987 patients in 10 family medicine practices in Croatia. Patients from both urban (n=496) and rural (n=482) areas were surveyed. A 27-item questionnaire was used to collect data about sources that patients searched for medical information, patient awareness and use of Cochrane systematic reviews and other EBM resources, and their demographic characteristics.
Half of the patients searched for medical information from sources other than physician. Internet was the most common place they searched for information. Very few patients indicated using EBM sources for medical information; one fifth of patients heard of EBM and 4% of the patients heard of the Cochrane Collaboration. Patients considered physician's opinion as the most reliable source of medical information. A logistic regression model showed that educational level and urban vs rural residence were the predictors of awareness about EBM and systematic reviews (P<0.001 for both).
Our finding that patients consider a physician's opinion to be the most reliable source of health-related information could be used for promotion of high-quality health information among patients. More effort should be devoted to the education of patients in rural areas and those with less formal education. New avenues for knowledge translation and dissemination of high-quality health information among patients are necessary.
确定克罗地亚患者对循证医学（EBM）信息的使用情况以及他们对循证医学的认知水平和知识掌握程度。
在克罗地亚10家家庭医疗诊所的987名患者中开展了一项横断面研究。对来自城市地区（n = 496）和农村地区（n = 482）的患者进行了调查。使用一份包含27个条目的问卷收集有关患者搜索医学信息的来源、患者对Cochrane系统评价及其他循证医学资源的认知和使用情况，以及他们的人口统计学特征的数据。
一半的患者从医生以外的来源搜索医学信息。互联网是他们搜索信息最常见的地方。极少有患者表示使用循证医学来源获取医学信息；五分之一的患者听说过循证医学，4%的患者听说过Cochrane协作网。患者认为医生的意见是医学信息最可靠的来源。逻辑回归模型显示，教育水平以及城市与农村居住地是循证医学和系统评价认知度的预测因素（两者P均<0.001）。
我们的研究发现，患者认为医生的意见是与健康相关信息最可靠的来源，这一发现可用于在患者中推广高质量的健康信息。应更加努力地对农村地区以及受正规教育较少的患者进行教育。有必要开辟新途径，在患者中进行知识转化和传播高质量的健康信息。
