Physicians knowledge, attitudes and professional use of RCTs and meta-analyses: A cross-sectional survey
Physicians knowledge, attitudes and professional use of RCTs and meta-analyses: A cross-sectional survey
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DOI：
10.1093/eurpub/ckn134
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Villari, Paolo
中科院分区：
文献类型：
--
作者：
De Vito, Corrado;Nobile, Carmelo G.;Villari, Paolo
背景：熟悉随机对照试验（RCT）和荟萃分析是实践循证医学（EBM）的必要条件。本研究的目的是描述医生的知识，态度和专业行为的方法来评估健康干预措施的效果，特别是荟萃分析，并找出其可能的相关因素。方法：通过自填式问卷对随机抽取的意大利医生进行横断面调查。结果：654份问卷的回复率为70.1。尽管有令人满意的知识和大量的积极态度，意大利医生还没有整合使用随机对照试验和荟萃分析到他们的实践在很大程度上，因为他们很少阅读和使用随机对照试验和荟萃分析，以作出决定，在临床实践中。知识、态度与RCT和荟萃分析的专业使用之间存在高度相关性。此外，我们的多变量分析的结果表明，适当的专业使用的概率，这是较高的医生谁知道英语，有互联网接入，并致力于适当的时间继续医学教育，显着增加与以前的接触荟萃分析在研究生/研究生培训（OR 2.25，95 CI 1.443.52），参加循证医学研究生课程（OR 1.75，95 CI 1.092.82）。最后，意大利医生表现出对进一步培训的高度兴趣。结论：循证医学教育背景的医生和适当的专业使用随机对照试验和荟萃分析之间的关联表明，循证医学培训可能会促进医生之间的循证实践。
Background: Familiarity with Randomized Control Trials (RCTs) and meta-analyses is essential to practice Evidence Based Medicine (EBM). The aims of this study were to describe knowledge, attitudes and professional behavior of physicians towards methods to evaluate the efficacy of health interventions, particularly meta-analysis and to find out their possible associated factors. Methods: A cross-sectional survey was carried out on a random sample of Italian physicians through a self-administered questionnaire. Results: A response rate of 70.1 was achieved (654 questionnaires). Despite satisfactory knowledge and substantial positive attitudes, Italian physicians have not integrated the use of RCTs and meta-analyses into their practice to a large extent, because they infrequently read and use RCTs and meta-analyses to make decisions in clinical practice. There is a high correlation between knowledge, attitudes and professional use of RCTs and meta-analyses. Moreover, the results of our multivariate analysis show that the probability of an appropriate professional use, that is higher for doctors who know the English language, have internet access and dedicate a proper amount of time to continuing medical education, increases significantly with a previous exposure to meta-analysis during graduate/post-graduate training (OR 2.25, 95 CI 1.443.52), and with the attendance of post-graduate courses about EBM (OR 1.75, 95 CI 1.092.82). Finally, Italian physicians demonstrate a high level of interest in further training. Conclusions: The association between the EBM educational background of doctors and the appropriate professional use of RCTs and meta-analyses suggest that EBM training may promote a more evidence-based practice among physicians.