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. 2015 Dec;56(6):558-66.
doi: 10.3325/cmj.2015.56.558.

Awareness, knowledge, use, and attitudes toward evidence based medicine in a developing country: survey of physicians in a canton in Bosnia and Herzegovina

Mersiha Mahmić-Kaknjo  1 , Damira Kadić, Harun Hodžić, Selvedina Spahić-Sarajlić, Elida Hadžić, Enisa Ademović
Affiliations

Awareness, knowledge, use, and attitudes toward evidence based medicine in a developing country: survey of physicians in a canton in Bosnia and Herzegovina

Mersiha Mahmić-Kaknjo et al. Croat Med J. 2015 Dec.

Abstract

Aim: To assess awareness, knowledge, use, and attitudes toward evidence-based medicine (EBM) and The Cochrane Library (CL) among physicians from Zenica-Doboj Canton (ZDC), Bosnia and Herzegovina.

Methods: In this cross-sectional study, a self-administered anonymous questionnaire was sent by post to all state owned health institutions (2 hospitals and 11 Primary Health Care Institutions) in ZDC. The main outcome measures were physicians' awareness of the Cochrane, awareness and use of CL, access to EBM databases, and access to internet at work. 358 of 559 physicians responded (63.69%).

Results: 23.18% of respondents stated they had access to EBM databases, but only 3.91% named the actual EBM databases they used. The question on the highest level of evidence in EBM was correctly answered by 35.7% respondents, 34.64% heard about Cochrane and 32.68% heard about the CL. They obtained information about CL mostly on the internet and from colleagues, whereas the information about EBM was obtained mainly during continuous medical education.

Conclusion: Although the attitudes toward EBM are positive, there is a low awareness of EBM among physicians in ZDC. Open access to the CL should be used more. Educational interventions in popularizing EBM and Cochrane are needed to raise awareness both among students and practicing physicians, and finally among lay audience.

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Figure 1
Figure 1
Hospital and primary health care physicians’ age.
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References

    1. Seshia SS, Young GB. The evidence-based medicine paradigm: where are we 20 years later? Part 1. Can J Neurol Sci. 2013;40:465–74. doi: 10.1017/S0317167100014542. - DOI - PubMed
    1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996;312:71–2. doi: 10.1136/bmj.312.7023.71. - DOI - PMC - PubMed
    1. Albarrak AI, Ali Abbdulrahim SA, Mohammed R. Evaluating factors affecting the implementation of evidence based medicine in primary healthcare centers in Dubai. Saudi Pharm J. 2014;22:207–12. doi: 10.1016/j.jsps.2013.05.003. - DOI - PMC - PubMed
    1. Hannes K, Leys M, Vermeire E, Aertgeerts B, Buntinx F, Depoorter AM. Implementing evidence-based medicine in general practice: a focus group based study. BMC Fam Pract. 2005;6:37. doi: 10.1186/1471-2296-6-37. - DOI - PMC - PubMed
    1. Zwolsman SE, van Dijk N, Te Pas E, Wieringa-de Waard M. Barriers to the use of evidence-based medicine: knowledge and skills, attitude, and external factors. Perspect Med Educ. 2013;2:4–13. doi: 10.1007/s40037-013-0039-2. - DOI - PMC - PubMed