Alshehri Abdussalam Ali, Al-Khowailed Mohammad Saleh, Alnuaymah Fahad Mohammed, Alharbi Asma Sameer, Alromaihi Meaad Saif, Alghofaili Ruba Saleh, Al-Maddallah Wala'a Saleh, Alqattan Selma Jawad, Alyahya Maytha Abdullah
Department of Emergency, King Saud Medical City, Riyadh, Saudi Arabia.
Department of Dermatology, College of Medicine, Qassim University, Saudi Arabia.
Int J Health Sci (Qassim). 2018 Mar-Apr;12(2):9-15.
To determine the knowledge, attitude, and practice regarding evidence-based medicine (EBM) among hospital physicians in Qassim region of Saudi Arabia.
It is a cross-sectional study. A self-administered questionnaire survey was done among 288 physicians working in secondary and tertiary care centers. The study was conducted between June and September 2015.
The overall response rate for the survey was 72%. Majority of the respondents had a positive attitude toward EBM and welcomed the concept. A total of 83% respondents stated that they used EBM in their daily practice and 93.5% agreed that practicing EBM improves patient care. There was a moderate level of awareness regarding extracting information from journals and clinical evidence databases. Although the respondents were aware and demonstrated familiarity with the process of knowledge extraction procedures to determine the best care, as many as 40% did not use them. The respondents had a poor overall understanding of the technical terms used in EBM. Among the respondents, 38.5% thought that the best way to move from opinion-based medicine to EBM was through learning the skills of EBM. The factors that positively affected physician awareness included: Academic qualification and professional title. Knowledge and attitude were affected by qualification, professional title and specialty.
The attitude of most physician practitioners in this study is favorable toward EBM, but this was not correlated with knowledge and awareness. The inclusion of physician training courses in EBM concepts, technical terms and applied practice is highly recommended.
确定沙特阿拉伯卡西姆地区医院医生对循证医学（EBM）的知识、态度和实践情况。
这是一项横断面研究。对在二级和三级护理中心工作的288名医生进行了自填式问卷调查。该研究于2015年6月至9月进行。
调查的总体回复率为72%。大多数受访者对循证医学持积极态度并欢迎这一概念。共有83%的受访者表示他们在日常实践中使用循证医学，93.5%的受访者同意实践循证医学可改善患者护理。在从期刊和临床证据数据库中提取信息方面，知晓程度处于中等水平。尽管受访者了解并熟悉确定最佳护理的知识提取程序，但多达40%的人并未使用这些程序。受访者对循证医学中使用的技术术语总体理解较差。在受访者中，38.5%的人认为从基于意见的医学转向循证医学的最佳方法是学习循证医学技能。对医生认知产生积极影响的因素包括：学历和职称。知识和态度受资格、职称和专业影响。
本研究中大多数医生从业者对循证医学的态度是积极的，但这与知识和认知并无关联。强烈建议纳入关于循证医学概念、技术术语和应用实践的医生培训课程。
