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by Somrux Sahapong lissh@mahidol.ac.th

Information U se B ehavior of C linicians in Evidence-Based Medicine (EBM) P rocess in Thailand. by Somrux Sahapong lissh@mahidol.ac.th. Sawasdee Kha. Background. “Evidence-based medicine (EBM) ...... the conscious, explicit and judicious use of current best evidence

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by Somrux Sahapong lissh@mahidol.ac.th

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  1. Information Use Behavior of Clinicians in Evidence-Based Medicine (EBM) Process in Thailand by Somrux Sahapong lissh@mahidol.ac.th Sawasdee Kha

  2. Background “Evidence-based medicine (EBM) ...... the conscious, explicit and judicious use of current best evidence in making decisions about the care of individual patients” (Sackett et al., 1996)

  3. Background • EBM is involved in : • The use of the best current available evidence • Life-long learning • Medical education • Modern clinical practice

  4. Methodology • Survey research • Closed-end questionnaires in EBM process and information usage • 198 questionnaires were sent to Thai clinicians using EBM process (University and Non-university hospitals) • The data were analyzed : • Mean • Standard deviation • Percentage • Factor analysis

  5. Results • 157 questionnaires (79.3 %) were returned • Demographic characteristics • The use of EBM process in clinical practice • The use of information in EBM process : • Frequency • Purposes • How information obtained • Type • Resources • Tools • Strategy • The factors affecting the use of EBM process

  6. Demographic Characteristics • General profile • Computer and Internet literacy • Online database literacy

  7. General Profile • Sex • Male 66.2 % • Female 33.8 % • Duration of EBM experience • MEAN 8.1 SD 5.2 (1-30) years • Hospital • University 57.3 % • Non-university 42.7 %

  8. Computer and Internet Literacy

  9. Online Database Literacy

  10. The clinicians use EBM process in clinical practice

  11. Level of EBM usage of Thai clinicians

  12. The use of information in EBM process • Frequency • Purposes • How information obtained • The types of information used in clinical practice • Resources for information searching • Tools for information searching • Strategy in searching

  13. Frequency

  14. Purposes

  15. How information obtained MIPs= medical informational professionals

  16. The types of information used in clinical practice

  17. Resources for information searching

  18. Tools for information searching

  19. Strategy in searching

  20. Factors affecting the use of EBM process

  21. Factors affecting the use of EBM process • Six variables were correlated with information use in EBM process • Information usage • EBM usage • Experience • Organization • Competency • Educational background

  22. Conclusion • Most Thai clinicians in this study use the EBM process in their daily practice. • Thai clinicians have goodcomputer / Internet literacy and online databaseliteracy. • Thai clinicianscan search information by themselves. • Six variables were correlated with information use in EBM process.

  23. Suggestions • More studies on the knowledge, attitude and practice of clinicians on information behaviors are needed. • EBM training is necessary for MIPs in Thailand. • MIPs should be trained to assist or facilitate clinicians in information searching and use. • Collaboration between clinicians and MIPs should be much more closer. • MIPs should make clinicians accept their competency in EBM information service. MIPs= medical informational professionals

  24. Thank You Very MuchMerci Beaucoup Sawasdee Kha

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