Dissemination of the Cochrane Reviews: A national survey among the regional hospitals in Taiwan

Tags: Poster
Chiu Y1, Weng Y2, Shih Y1, Lo H3, Kuo K3
1Institute of Population Health Sciences, National Health Research Institutes, Taiwan, 2Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taiwan, 3College of Medicine, Taipei Medical University, Taiwan

Background: The Cochrane Library has been regarded as the most important online evidence retrieval database of systematic reviews. This study is to investigate the potential incentives for spreading Cochrane reviews.

Methods: Cochrane reviews are freely available since 2007 for the regional hospitals of Taiwan. The online logs of the Cochrane reviews were examined from January 2008 to December 2009. A questionnaire survey was conducted in 2010 to determine the strategies for disseminating Cochrane reviews. The hospitals were stratified into three groups by the relative rate of access: high (n = 15), medium (n = 16), and low (n = 13).

Results: To compare with the low-usage hospitals, the high-usage hospitals tended to assign a disseminator of evidence-based medicine as the leader to take charge of the dissemination (p < 0.001) of usage. In addition, the high-usage hospitals more often used the following 6methods: providing relevant information via e-mail (p < 0.05), investing in early adopters (p < 0.05), having assistance of designated personnel (p < 0.05), making the activity of early adopters' observable (p < 0.05), conducting workshops (p = 0.001), and inviting experts for speeches (p < 0.001). The high-usage group also more often used three or more methods than subjects in the low-usage group (p < 0.001). The organizational barriers carried no significant difference among the hospitals between high- and low-usage groups.

Conclusion: This study has identified several strategies to enhance the dissemination of Cochrane Library, including awareness raising, active delivery of information, mentoring relationships, and educational training. The data suggest disseminating evidence-based medicine simultaneously is a key element.