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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Clinical Physicians’ Attitudes towards Evidence-Based Medicine (EBM) and Their Evidence-Based Practice (EBP) in Wuhan China
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Clinical Physicians’ Attitudes towards Evidence-Based Medicine (EBM) and Their Evidence-Based Practice (EBP) in Wuhan China

机译：中国武汉市临床医师对循证医学的态度及其循证实践

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Objective: Numerous studies have proved the importance of Evidence-Based Medicine (EBM) in daily clinical practice, however, clinicians’ attitudes play an important role in determining its implementation. The objective of this study was to investigate Chinese clinical physicians’ perception of and attitude towards EBM and their Evidence-Based Practice (EBP) as well as the barriers towards EBP. Methods: Using a cross-sectional design, self-response questionnaires were distributed to clinical physicians (internal medicine and surgery departments) across three tertiary hospitals in Wuhan, China. Results: In total, 131 out of 195 (67.2%) physicians completed and returned the questionnaire. A total of 64.9% of the physicians either knew moderately or a lot about EBM. The mean score of physicians’ attitude toward EBM was 2.35 ± 0.35, and that of their EBP skill/ competency was 1.51 ± 0.56 (on 0–3 Likert scale). In total, 76.0% of physicians often or sometimes applied EBM in routine daily practice. The largest barrier preventing implementation was the varying individual differences in diseases (61.0%), followed by a lack of investment from the hospital/department (39.8%), and a lack of patient cooperation (37.4%). Chinese physicians in tertiary hospitals possessed expressed positive attitudes towards EBM; however, they only retained a moderate level of clinical evidence competency. Both an individual factor (personal interest) and organizational factors (workload, hospital requirement) had an effect on physicians’ attitudes and their EBP skills. Management and organizational efforts, in addition to time dedicated for EBP projects could help reduce barriers that prevent EBP.
机译：目的：大量研究证明了循证医学（EBM）在日常临床实践中的重要性，但是，临床医生的态度在决定其实施方面起着重要作用。这项研究的目的是调查中国临床医生对循证医学及其对循证医学的认识和态度，以及对循证医学的障碍。方法：采用横断面设计，向中国武汉市三家三级医院的临床医生（内科和外科科）分发自我应答问卷。结果：总共195名医生中的131名（67.2％）完成并返回了问卷。共有64.9％的医生对EBM有中等程度的了解或了解很多。医师对EBM态度的平均得分为2.35±0.35，而他们的EBP技能/能力得分为1.51±0.56（以0–3 Likert量表计）。总计有76.0％的医生在日常的日常实践中经常或有时应用EBM。阻碍实施的最大障碍是疾病的个体差异不同（61.0％），其次是医院/部门缺乏投资（39.8％）和患者合作不足（37.4％）。三级医院的中国医师对循证医学表现出积极的态度。但是，他们只保留了中等水平的临床证据能力。个人因素（个人兴趣）和组织因素（工作量，医院需求）都对医生的态度和他们的EBP技能有影响。除了用于EBP项目的时间外，管理和组织方面的努力还可以帮助减少阻碍EBP的障碍。

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