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Titolo:
Evidence-based medicine in general practice: beliefs and barriers among Australian GPs
Autore:
Young, JM; Ward, JE;
Indirizzi:
Univ Western Australia, Dept Publ Hlth, Ctr Hlth Serv Res, Nedlands, WA 6907, Australia Univ Western Australia Nedlands WA Australia 6907 nds, WA 6907, Australia Cent Sydney Area Hlth Serv, Needs Assessment & Hlth Outcomes Unit, Sydney,NSW, Australia Cent Sydney Area Hlth Serv Sydney NSW Australia t, Sydney,NSW, Australia
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 2, volume: 7, anno: 2001,
pagine: 201 - 210
SICI:
1356-1294(200105)7:2<201:EMIGPB>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL-PRACTICE GUIDELINES; CRITICAL-APPRAISAL; EVIDENCE DATABASES; PRACTITIONERS USE; INFORMATION; STRATEGIES; IMPLEMENTATION; MANAGEMENT; PHYSICIANS; DECISIONS;
Keywords:
barriers; critical appraisal; evidence-based medicine; family practice; strategies;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Young, JM Univ Western Australia, Dept Publ Hlth, Ctr Hlth Serv Res, Clifton St Bldg, Nedlands, WA 6907, Australia Univ Western Australia Clifton St Bldg Nedlands WA Australia 6907
Citazione:
J.M. Young e J.E. Ward, "Evidence-based medicine in general practice: beliefs and barriers among Australian GPs", J EVAL CL P, 7(2), 2001, pp. 201-210

Abstract

If implemented, evidence-based medicine (EBM) in general practice will improve health outcomes for patients. This paper examines the views of 60 Australian general practitioners about EBM. While 57% of respondents had a computer in their surgery, 15% had Internet access and only 3% had access to the Cochrane Library at work. The most commonly cited barrier to EBM was 'patient demand for treatment despite lack of evidence for effectiveness' (45%), The next three most highly rated barriers related to lack of time, For each of three tasks of EBM, namely searching for evidence, appraising evidence and discussing the implications of evidence with patients, lack of time was rated as a 'very important barrier' by significantly more participants than lack of skills (McNemar's tests: chi (2)(1) = 7.1, P = 0.008, chi (2)(1) = 14.0, P = 0.001 and chi (2)(1) = 9.0, P = 0.003, respectively). Preferred resources for EBM included clinical practice guidelines (rated as 'very useful' by 55%) and journals that summarize research evidence, for example Evidence-based Medicine (52%). Systematic reviews were considered 'very useful' by only 15% of respondents, consistent with our finding that 30% did not understand the term 'systematic review'. Furthermore, 43% did not understand 'meta-analysis'. A minority indicated they understood the terms 'relative risk' (23%), 'absolute risk' (28%) and 'number needed to treat' (15%) sufficiently to explain to others. Skills development is crucial to achieve EBM in general practice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 22:19:05