General practitioners' perceptions of the route to evidence based medicine: a questionnaire survey
General practitioners' perceptions of the route to evidence based medicine: a questionnaire survey
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DOI：
10.1136/bmj.316.7128.361
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发表时间：
1998-01-31
影响因子：
--
通讯作者：
Field, J
中科院分区：
文献类型：
--
作者：
McColl, A;Smith, H;Field, J
目的：了解全科医生对循证医学的态度及其相关教育需求。设计：对全科医生进行问卷调查。背景：英格兰前韦塞克斯地区的全科医生。对象：随机抽取25%的全科医生样本（452人），其中302人回答。主要结果衡量指标：受访者对循证医学的态度、获取和解释证据的能力、实践循证医学的感知障碍，以及从基于意见的医学转向基于证据的医学的最佳方法。结果：受访者主要欢迎循证医学，并同意其实践改善了患者护理。他们对提取期刊、评论出版物和数据库的认识水平很低（只有40%的人知道Cochrane系统评论数据库），即使知道，许多人也没有使用它们。在他们的手术中，20%的人可以访问书目数据库，17%的人可以访问万维网。大多数人对所使用的技术术语有所了解。实践循证医学的主要障碍是缺乏个人时间。受访者认为，向循证全科实践迈进的最适当方式是使用同事制定的循证指南或建议。结论：促进和改善证据摘要的可及性，而不是教授全科医生文献检索和批判性评价，将是鼓励循证全科实践的更合适的方法。应鼓励在获取和解释证据方面有技能的全科医生制定当地基于证据的指南和建议。
Objectives: To determine the attitude of general practitioners towards evidence based medicine and their related educational needs.Design: A questionnaire study of general practitioners.Setting: General practice in the former Wessex region, England.Subjects: Randomly selected sample of 25% of all general practitioners (452), of whom 302 replied.Main outcome measures: Respondents' attitude towards evidence based medicine, ability to access and interpret evidence, perceived barriers to practising evidence based medicine, and best method of moving from opinion based to evidence based medicine.Results: Respondents mainly welcomed evidence based medicine and agreed that its practice improves patient care. They had a low level of awareness of extracting journals, review publications, and databases (only 40% knew of the Cochrane Database of Systematic Reviews), and, even if a aware, many did not use them. In their surgeries 20% had access to bibliographic databases and 17% to the world wide web. Most had some understanding of the technical terms used. The major perceived barrier to practising evidence based medicine tvas lack of personal time. Respondents thought the most appropriate way to move towards evidence based general practice was by using evidence based guidelines or proposals developed by colleagues.Conclusion: Promoting and improving access to summaries of evidence, rather than teaching all general practitioners literature searching and critical appraisal, would be the more appropriate method of encouraging evidence based general practice. General practitioners who are skilled in accessing and interpreting evidence should be encouraged to develop local evidence based guidelines and advice.