Dissemination of evidence-based health care in Brazil: use of television programme

Article type
Authors
Riera R, Andriolo R, Lima L, Macedo C, Puga M, Silva B, Vieira V, Atallah A
Abstract
Background: In its search to broadcast the ‘‘novelties and benefits of a certain health technology,’’ the media is a potentially powerful source for the dissemination of non-evidence-based information. Simple and efficient medical procedures lose ground to onerous, inefficient and often jeopardizing procedures, creating numerous ethical, legal and economic problems and promoting the inadequate use of resources available for health policies. Objectives: To use the television programme as a means to disseminate the culture of evidence-based health care in Brazil and to evaluate viewers’ opinions of the method. Methods: A series of weekly 30-minute television programmes concerning topics relevant to health professionals and their patients, based on systematic reviews conducted by The Cochrane Collaboration, was designed and broadcast. Each programme included a specialist on the topic, the director of the Brazilian Cochrane Centre, and patients. The programmes were broadcast on two Brazilian television networks, with the support of the Sao Paulo State Medical Association (APM). According to audience analysis, 300 programs were linked to the broadcast, program viewing was recorded at approximately 20,000 doctors and 2,000,000 general viewers. The cost to produce and broadcast each program was USD 6000. Results: The method was evaluated by 80 medical students at the Federal University of Sao Paulo (UNIFESP), who viewed 30 programs over a 90-day period. The average grade given to the programs was 8 (out of a maximum of 10). Among the 800 doctors who also evaluated the method, 94% rated the programs as good or excellent. Conclusions: In a geographically large country like Brazil, in which the physical distances and educational differences are enormous, the dissemination of healthcare evidence via public television channels could be considered a useful and economically viable resource in the process of knowledge inclusiveness.