Article type
Year
Abstract
Background: Evidence-based medicine (EBM) is still novel for most of the Chinese clinicians. As a developing country, China shares scarce resources of health care; furthermore, there exists waste of the resources. How to improve cost-benefit in health care becomes an important work for endeavor. We, therefore, made an investigation on knowledge requirements among young clinicians that come from widespread hospitals nationally. Objectives: To understand to what degree the Chinese clinicians make decisions in clinical circumstances following evidence-based practice through the base line investigation. Method: A questionnaire survey was performed among 215 clinicians (including practitioner, residents and physicians in charge) during their continuous education in the university. The qualified questionnaires were from 206 clinicians.
Results: The clinicians were 108 male and 98 female, with average age of 28 (ranged from 21 to 43 years), and their professional posts were as follows: 56 physicians in charge, 44 residents, 54 practitioner with secondary medical school education, 20 nurses, 20 technicians of medical laboratory. Their specialties included internal medicine (59), surgery (71), gynecology and obstetrics (10), Otology, Rhinology and Laryngology (9), pediatrics (8), infectious disease (6), medical laboratory (13), and others. The average working duration was 6.1 4.7 years. 37%(76/206) of clinicians had ever been engaged in clinical researches, 38%(78/206) learned clinical epidemiology through their college. For the basis on which the clinicians made decisions, 51% reported from textbooks or monographs, 26% from clinical experience, 13% from specialist or senior doctors, only 10% from checking out journals or searching literatures. The average reading time per week for the clinicians was 4.2 3.5 hours, while average number of papers for reading was 4 (0~20). The priority to classification of paper in reading interests was listed as clinical experience, case's report, reviews, original articles, and abstracted paper in their given order, and what they concerned most for different parts of paper were discussion or conclusions, abstracts, material and methods, and results, successively. 170(83%) clinicians considered continuous education quite necessary, 32(16%) considered necessary, and the rest unnecessary. 185 clinicians had never heard of EBM.
Conclusions: Although there is plenty of room for introducing EBM into clinical practice of health care, we could not expect great achievements in the near future and there are needs for improvement of both basic and continuous medical education on clinical epidemiology and
Results: The clinicians were 108 male and 98 female, with average age of 28 (ranged from 21 to 43 years), and their professional posts were as follows: 56 physicians in charge, 44 residents, 54 practitioner with secondary medical school education, 20 nurses, 20 technicians of medical laboratory. Their specialties included internal medicine (59), surgery (71), gynecology and obstetrics (10), Otology, Rhinology and Laryngology (9), pediatrics (8), infectious disease (6), medical laboratory (13), and others. The average working duration was 6.1 4.7 years. 37%(76/206) of clinicians had ever been engaged in clinical researches, 38%(78/206) learned clinical epidemiology through their college. For the basis on which the clinicians made decisions, 51% reported from textbooks or monographs, 26% from clinical experience, 13% from specialist or senior doctors, only 10% from checking out journals or searching literatures. The average reading time per week for the clinicians was 4.2 3.5 hours, while average number of papers for reading was 4 (0~20). The priority to classification of paper in reading interests was listed as clinical experience, case's report, reviews, original articles, and abstracted paper in their given order, and what they concerned most for different parts of paper were discussion or conclusions, abstracts, material and methods, and results, successively. 170(83%) clinicians considered continuous education quite necessary, 32(16%) considered necessary, and the rest unnecessary. 185 clinicians had never heard of EBM.
Conclusions: Although there is plenty of room for introducing EBM into clinical practice of health care, we could not expect great achievements in the near future and there are needs for improvement of both basic and continuous medical education on clinical epidemiology and