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首页> 外文期刊>Eastern Mediterranean Health Journal: Al-Magallat al-Sihhiyyat li-Sarq al-Mutawassit >Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt
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Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt

机译：埃及医师对循证医学的知识，做法和态度

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Background : Evidence-based medicine help clinicians deal with information overload, to distribute healthcare resources more equitably, help reduce healthcare costs, and justify treatment choices to the public. Aims : This study aimed to assess evidence-based medicine (EBM) knowledge, practices and attitudes among physicians in Tanta University hospital, Tanta, Egypt. Methods : A cross-sectional study was used. Collection of data was by a self-administrated questionnaire distributed to 398 physicians in different specialties during 2017. Results : Response rate was 93.6%. More than half (61.3%) of participants reported Pub Med as used in decision-making. Physicians with good knowledge of EBM represented 10.5%, those with fair knowledge represented 54%, and those with poor knowledge represented 35.5%. Regarding attitudes towards EBM, 76.4% of study participants welcomed the current promotion of EBM; 81.4% thought that it useful to use research findings in daily management of patients; and 89.9% thought that practicing EBM improved patient outcomes. More than half of participants (55.8%) had attended courses related to EBM, but only 6.8% had attended courses related to critical appraisal. The majority of participants (97%) had access to the World Wide Web. Barriers reported by participants that interfere with EBM practice were patient overload (68.1%), lack of time (60.1%), colleagues’ attitudes (47%), lack of skills (46.7%), and fear of criticism (44.5%). Conclusions : Most participants in this study have a positive attitude towards EBM, have a fair knowledge of it, but poor practices. EBM should be integrated in the curriculum of both undergraduate and postgraduate studies, and EBM training courses provided to residents to ensure correct application of EBM in daily practice.
机译：背景：循证医学帮助临床医生应对信息超载，更公平地分配医疗资源，帮助降低医疗成本并向公众证明治疗选择的合理性。目的：本研究旨在评估埃及坦塔市坦塔大学医院医师中循证医学（EBM）的知识，做法和态度。方法：采用横断面研究。通过在2017年期间向398个不同专业的医生分发的自我管理调查表收集数据。结果：回应率为93.6％。超过一半（61.3％）的参与者称Pub Med用于决策。具有良好EBM知识的医师占10.5％，具有公平知识的医师占54％，而知识较弱的医师占35.5％。关于对循证医学的态度，有76.4％的研究参与者欢迎目前对循证医学的推广; 81.4％的人认为将研究结果用于患者的日常管理中很有用; 89.9％的人认为练习EBM可改善患者预后。一半以上的参与者（55.8％）参加了与循证医学相关的课程，但只有6.8％的人参加了与严格评估相关的课程。大多数参与者（97％）可以访问万维网。参与者报告的妨碍EBM练习的障碍包括患者超负荷（68.1％），时间不足（60.1％），同事的态度（47％），缺乏技能（46.7％）和害怕受到批评（44.5％）。结论：这项研究的大多数参与者对EBM持积极态度，对EBM有一定的了解，但是实践较差。循证医学应纳入本科和研究生课程，并为居民提供循证医学培训课程，以确保在日常实践中正确应用循证医学。

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