norwegian physicians knowledge of and opinions about evidence-based medicine cross-sectional study挪威医生对循证医学的知识和观点的横断面研究.pdfVIP

Norwegian Physicians’ Knowledge of and Opinions about Evidence-Based Medicine: Cross-Sectional Study 1 2,3 4,5,6 3,7 Lidziya Vanahel Ulvenes *, Olaf Aasland , Magne Nylenna , Ivar Sønbø Kristiansen 1 Norwegian Directorate of Health, Oslo, Norway, 2 The Research Institute, The Norwegian Medical Association, Oslo, Norway, 3 Institute of Health Management and Health Economics, University of Oslo, Oslo, Norway, 4 The Norwegian Electronic Health Library, The Norwegian Knowledge Centre for the Health Services, Oslo, Norway, 5 Department of Public Health and Clinical Practice, Norwegian University of Science and Technology, Trondheim, Norway, 6 Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway, 7 Institute of Public Health, University of Southern Denmark at Odense, Odense, Denmark Abstract Objective: To answer five research questions: Do Norwegian physicians know about the three important aspects of EBM? Do they use EBM methods in their clinical practice? What are their attitudes towards EBM? Has EBM in their opinion changed medical practice during the last 10 years? Do they use EBM based information sources? Design: Cross sectional survey in 2006. Setting: Norway. Participants: 966 doctors who responded to a questionnaire (70% response rate). Results: In total 87% of the physicians mentioned the use of randomised clinical trials as a key aspect of EBM, while 53% of them mentioned use of clinical expertise and only 19% patients’ values. 40% of the respondents reported that their practice had always been evidence-based. Many respondents experienced difficulties in using EBM principles in their clinical practice because of lack of time and difficulties in