Volume : 08, Issue : 11, November – 2021

Title:

30.THE PRACTICE OF EVIDENCE BASED MEDICINE AND ITS BARRIERS AMONG PHYSICIANS IN THE GOVERNMENTAL GENERAL HOSPITALS IN MINISTRY OF HEALTH, JEDDAH, SAUDI ARABIA, 2019

Authors :

Hanaa Alaslani , Wejdan Alharbi , Rajaa Al-Raddadi

Abstract :

Background: In today’s healthcare, evidence based medicine is considered crucial for providing high quality medical services, improving patient satisfaction and reducing costs. In this respect, physicians are expected to play the chief role. The current study aims at assessment of physicians’ practices of EBM in general hospital in Jeddah, SA and explore barriers of practice. Subjects and methods: Through a cross sectional study design, 386 physicians working in two general hospitals responded to a predesigned self-administered questionnaire reflecting their practice of EMB and barriers of practicing it. SPSS ver.21 was used for statistical analysis including Independent sample t test and ANOVA for significant differences and linear regression for determining predictors. Results: The overwhelming majorities of the physicians are Saudis [95.6%], with dominance of young aged <40 years [78.8%], having experience for <10 years [76%] and mainly working as residents [45.3%].
The significantly highest EBM practicing score was recorded for male physicians [mean ± SD; 26.1 ± 7.71], non-Saudis [mean ± SD; 29.5 ± 5.57], aged 40-<50 years [mean ± SD; 28.0 ± 7.41], who are Board certified [mean ± SD; 27.4±7.07] and those who are working as consultants [mean ± SD; 28.6 ± 6.71] with a consistent increase in the overall mean score with increasing years of experience, it ranged between 23.0 ± 7.50 in physicians who had experience for less than three years up to 27.6 ± 7.65 in those who had experience for more than 20 years. The main reported barriers were lack of training, understanding statistical analysis, ability to critically appraise the literature and insufficient time.
Conclusion: Physicians’ practicing of EBM is still below optimal in general hospitals due to lack of training.

Cite This Article:

Please cite this article in press Hanaa Al-Aslani et al, The Practice Of Evidence Based Medicine And Its Barriers Among Physicians In The Governmental General Hospitals In Ministry Of Health, Jeddah, Saudi Arabia, 2019., Indo Am. J. P. Sci, 2021; 08[11]. .

Number of Downloads : 10

References:

1. Horwitz RI, Hayes-Conroy A, Caricchio R, Singer BH. From evidence based medicine to medicine based evidence. The American journal of medicine 2017;130[11]:1246-50.
2. Rao G. Physician numeracy: Essential skills for practicing evidence-based medicine. Family medicine 2008;40[5]:354.
3. Castelino RL, Bereznicki L. The basics of evidence-based medicine. Australian Pharmacist 2013;32[2]:72.
4. Al-Motairy KA, Al-Musa HM. Primary Health Care Physicians’ Perceptions, Attitude and Educational Needs Towards? Evidence Based Medicine. Biomedical research 2013;24[2].
5. Al-Omari FK, Al-Asmary SM. Attitude, awareness and practice of evidence based medicine among consultant physicians in Western region of Saudi Arabia. Saudi medical journal 2006;27[12]:1887-93.
6. Aljohani N.A., Dashash N.A. Perceptions Towards Evidence Based Medicine and Implementation Obstacles at Primary Care Clinics, King Fahd Armed Forces Hospital, Jeddah City, Saudi Arabia. Medicine 2013;2:3-5.
7. Bindawas SM. Evidence-based health care continuing education seminars improve academic staff knowledge and attitudes in Saudi Arabia. Pakistan journal of medical sciences 2013;29[3]:703.
8. Barghouti F, Halaseh L, Said T, Mousa A, Dabdoub A. Evidence-based medicine among Jordanian family physicians: awareness, attitude, and knowledge. Canadian Family Physician 2009;55[7]:e6-e13.
9. Upton D, Upton P. Development of an evidence based practice questionnaire for nurses. Journal of advanced nursing 2006;53[4]:454-8.
10. Baig M, Sayedalamin Z, Almouteri O, Algarni M, Allam H. Perceptions, perceived barriers, and practices of physicians towards evidence-based medicine. Pakistan journal of medical sciences 2016;32[1]:49.
11. Attar AA, Khereldeen MM, Refaat B, Saleh HA. Knowledge and Attitude of Physicians toward Evidence-Based Medicine.
12. International Journal of Pure and Applied Sciences and Technology 2014;21[2]:17.
13. Khoja TA, Al Ansary LA. Attitudes to evidence-based medicine of primary care physicians in Asir region, Saudi Arabia. Eastern Mediterranean Health Journal, 2007;13[2]:408-19.
14. Sackett DL, Rosenberg WM, Gray JM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. 455, 3- 5. 1996. British Medical Journal Publishing Group.
15. Horwitz RI, Singer BH, Makuch RW, Viscoli CM. Can treatment that is helpful on average be harmful to some patients? A study of the conflicting information needs of clinical inquiry and drug regulation. Journal of clinical epidemiology 1996;49[4]:395-400.
16. Al Almaie SM, Al Baghli N. Barriers facing physicians practicing evidence based medicine in Saudi Arabia. Journal of Continuing Education in the Health Professions 2004;24[3]:163-70.
17. Nasr JA, Falatko J, Halalau A. The impact of critical appraisal workshops on residentsG_آ evidence based medicine skills and knowledge. Advances in medical education and practice 2018;9:267.
18. Silverman S, Manson M. Research on teaching in physical education doctoral dissertations: a detailed investigation of focus, method, and analysis. Journal of teaching in physical education 2003;22[3]:280-97.
19. Gheorghe A, Roberts TE, Ives JC, Fletcher BR, Calvert M. Centre selection for clinical trials and the generalisability of results: a mixed methods study. PLoS One 2013;8[2]:e56560.
20. Rycroft Malone J, Seers K, Titchen A, Harvey G, Kitson A, et al. What counts as evidence in evidence based practice? Journal of advanced nursing 2004;47[1]:81-90.
21. Hamdan A. Medical students still lack skills needed to practise evidence-based medicine. Journal of the Royal Society of Medicine 2012;105[8]:324.