A good method to promote evidence-based medicine into clinical practice in Taiwan? A clinical pharmacist’s perception

Tags: Poster
Chin Lin P, Bin Huang Y, Lien Hung P, Lai Tseng P

Background: Evidence-based patient care has become an important issue in recent years. Many efforts have been tried to introduce evidence-based medicine (EBM) to all clinicians and medical workers, such as nurses, pharmacists or technicians, to improve the quality of patient care. Various types of education, training programs and workshops about EBM have demonstrated some achievement. Objectives: To describe a method that successfully transferred EBM into clinical practice in the majority of clinical pharmacists in Taiwan. Methods: An EBM competition was proposed by the Taiwan Joint Commission on Hospital Accreditation and National Health Research Institutes from 2006. Results: The scoring criteria set for the EBM competition included the quality and quantity of PICO, search skills, critical appraisal skills, application and evaluation. From 2006 to 2008, the number of teams grew quickly. All the participants in 2006 were clinicians. In 2007, one team of pharmacists took part in the competition and won. In 2008, 50 teams participated, of which 18% were pharmacists, and they were awarded more prizes (Table 1). The clinical pharmacists in almost all hospitals were encouraged to take part in the EBM competition and strived to win the prize. Conclusions: An EBM competition may not be a good idea while introducing EBM, but this approach appears useful for promoting EBM. Now, the well-trained and experienced clinical pharmacists in Taiwan not only apply EBM practice to patient care, but also in the process of recommending a new drug into a hospital and the treatment decision making for the Bureau of National Health Insurance.