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Clinical Physicians’ Attitudes towards Evidence-Based Medicine (EBM) and Their Evidence-Based Practice (EBP) in Wuhan, China

Author

Listed:
  • Jianan Hong

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430000, China)

  • Jing Chen

    (School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430000, China)

Abstract

Objective: Numerous studies have proved the importance of Evidence-Based Medicine (EBM) in daily clinical practice, however, clinicians’ attitudes play an important role in determining its implementation. The objective of this study was to investigate Chinese clinical physicians’ perception of and attitude towards EBM and their Evidence-Based Practice (EBP) as well as the barriers towards EBP. Methods: Using a cross-sectional design, self-response questionnaires were distributed to clinical physicians (internal medicine and surgery departments) across three tertiary hospitals in Wuhan, China. Results: In total, 131 out of 195 (67.2%) physicians completed and returned the questionnaire. A total of 64.9% of the physicians either knew moderately or a lot about EBM. The mean score of physicians’ attitude toward EBM was 2.35 ± 0.35, and that of their EBP skill/ competency was 1.51 ± 0.56 (on 0–3 Likert scale). In total, 76.0% of physicians often or sometimes applied EBM in routine daily practice. The largest barrier preventing implementation was the varying individual differences in diseases (61.0%), followed by a lack of investment from the hospital/department (39.8%), and a lack of patient cooperation (37.4%). Chinese physicians in tertiary hospitals possessed expressed positive attitudes towards EBM; however, they only retained a moderate level of clinical evidence competency. Both an individual factor (personal interest) and organizational factors (workload, hospital requirement) had an effect on physicians’ attitudes and their EBP skills. Management and organizational efforts, in addition to time dedicated for EBP projects could help reduce barriers that prevent EBP.

Suggested Citation

  • Jianan Hong & Jing Chen, 2019. "Clinical Physicians’ Attitudes towards Evidence-Based Medicine (EBM) and Their Evidence-Based Practice (EBP) in Wuhan, China," IJERPH, MDPI, vol. 16(19), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3758-:d:273907
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    References listed on IDEAS

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    1. Bui The Hung & Nguyen Phuoc Long & Le Phi Hung & Nguyen Thien Luan & Nguyen Hoang Anh & Tran Diem Nghi & Mai Van Hieu & Nguyen Thi Huyen Trang & Herizo Fabien Rafidinarivo & Nguyen Ky Anh & David Hawk, 2015. "Research Trends in Evidence-Based Medicine: A Joinpoint Regression Analysis of More than 50 Years of Publication Data," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-13, April.
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    Cited by:

    1. Mohd Ghouse Ahmad Ghaus & Tuan Hairulnizam Tuan Kamauzaman & Mohd Noor Norhayati, 2021. "Knowledge, Attitude, and Practice of Evidence-Based Medicine among Emergency Doctors in Kelantan, Malaysia," IJERPH, MDPI, vol. 18(21), pages 1-14, October.

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