Evidence‑based medicine among health‑care workers in hospitals in Iran: A nationwide survey
نویسندگان
1 Tabriz Health Services Management Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
2 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
3 Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
4 Department of Health and Community Medicine, Dezful University of Medical Sciences, Dezful, Iran
5 Department of Orthopedic Surgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
6 Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
7 Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
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چکیده
BACKGROUND: Evidence‑based medicine (EBM) plays an important and dominant role inpromoting effective decision‑making in the health system. This study was aimed to evaluate theEBM performance among health‑care workers (HCWs) in hospitals in Iran.METHODS: In this study (a cross‑sectional study), participants were 2800 HCWs in hospitals.A researcher‑made questionnaire was designed, and judgments of 10 experts were used for theimprovement of content validity. The reliability of the questionnaire was assessed by the test‑retestmethod (α = 0.85). Data were analyzed using the descriptive statistics, t‑test, and one‑way ANOVA,in SPSS.16 software.RESULTS: Eventually, 1524 questionnaires were completed (response rate: 54.4%). The resultsof the study show that 62%of participants have not accessed scientific journals, 52% of them havedifficulties using the Internet at work, guidelines were not reachable for 76% of them, and about 80%have not access to databases. About 39% of participants were not well informed about databasesof EBM, and 15.8% of them were immensely knowledgeable about EBM terminology. The mostimportant problems to increase HCWs information about EBM include research methodology‑ relatedproblems, lack of resources and motivation, and coordination problems. The most prominent facilitatorsinclude: providing training courses in EBM and increased facilities. Only work experience showeda significant correlation with barriers and facilitators, and gender revealed a significant correlationwith barriers (P < 0.05).CONCLUSION: It seems that prioritizing the increased access to information resources anddatabases, considering the research skills of the HCWs, extending the opportunities and increasingthe facilities such as workforce, equipment, physical environment, and accessibility can have a greatimpact on the improvement of the activities associated with EBM.
