摘要
目的通过调查了解三级医院临床医师对循证医学的认知及服务需求情况,为循证医学的发展及其在临床实践中的进一步推广提供科学依据和参考。方法以河南省12家三级医院,898名临床医师为研究对象,采用统一自填式问卷调查其对循证医学的认知及服务需求情况。结果本研究共发放并回收问卷916份,其中有效问卷898份,有效回收率98.03%。被调查的研究对象男女性别比为0.96∶1,平均年龄36.4(25.0~59.0)岁。对循证医学重要性的总体认可度高达90.98%,对循证医学相关知识的需求率为93.43%。三级医院临床医师对循证医学相关知识需求度较高的依次是循证医学专业资源库(91.20%),文献检索的技巧(90.09%),如何发表高质量的循证医学论文(89.42%),循证医学证据的评价(86.41%)及循证医学的实施步骤(82.52%);期望获取循证医学相关知识的方式方面,总体需求率从高到低依次为微信公众号(92.09%),讲座培训(89.42%),学术会议(84.63%),同事交流(84.41%),课程研修(82.74%),专著期刊(80.85%)以及网站宣传(78.40%)。此外,不同年龄、不同工作年限、不同学历、不同科室间的临床医师对循证医学重要性的认识和需求差异有统计学意义。结论三级医院临床医师对循证医学重要性认识度较高,对循证医学相关知识的需求也较大,应根据临床医生的不同需求,有针对性及侧重点地制定措施、进行培训、促进实践。
Objective To understand the cognitive status and service demands of clinician for evidence-based medicine in first-class hospitals in Henan, and to provide scientific reference for the development of evidence-based medicine and its further application in clinical practice. Methods A unified self-administered questionnaire survey was conducted among 898 clinicians randomly selected from 12 first-class hospitals in Henan and data were analyzed using SPSS 23.0. Results A total of 916 questionnaires were distributed and 898 were valid questionnaires with the effective recovery rate of 98.03%.The male to female subject ratio was 0.96∶1, with the average age of 36.4(25.0-59.0) years.The overall rate of recognition for the importance of evidence-based medicine was 90.98%, and the rate of reporting a demand for knowledge related to evidence-based medicine was 93.43% with the highest demand of 91.20% in the resource of evidence-based medicine, 90.09% in literature search skills, 89.42% in the method for publishing high-quality evidence-based medical papers,86.41% in evaluation of evidence-based medical evidence and 82.52% in the procedure of evidence-based medicine implementation. In terms of the way of acquiring knowledge related to evidence-based medical science, the overall demand rate was the highest of 92.09% for WeChat public number, followed by lecture training(89.42%), academic conference(84.63%), colleagues exchange(84.41%), course training(82.74%), monographs(80.85%) and website propagation(78.40%).In addition, the cognitive ability for the importance of evidence-based medicine and demands for the knowledge varied significantly among clinicians with different ages,years of work,academic qualifications,and in different departments. Conclusions The clinicians in first-class hospitals have high awareness of the importance of evidence-based medicine,and high demands for evidence-based medicine related knowledge.Targeted programs and trainings should be provided to clinicians based on their specific demands.
引文
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