ArticlePerspectives on medical education2013
Barriers to the use of evidence-based medicine: knowledge and skills, attitude, and external factors.
Article in Perspectives on medical education, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of training in evidence-based medicine skills for healthcare professionals: a systematic review.BMC medical education · 2016Pooled it
- Use of point-of-care resources for management of paediatric asthma: frequency, types and temporal trends in early-career general practitioners.Family medicine and community health · 2026Article
- Teaching evidence-based medicine in medical education: data on barriers and requirements in non-university and university hospitals.BMC medical education · 2025Article
- Evidence-Based Medicine:Sultan Qaboos University medical journal · 2025Article
- Cross-cultural adaptation and validation of the Chinese version of the modified Fresno test for physical therapists.BMC medical education · 2025Article
- Assessment of knowledge, attitudes, practices, and self-efficacy toward evidence-based medicine among resident physicians: a cross-sectional study from Qatar.Frontiers in medicine · 2025Article
- Integrating training in evidence-based medicine and shared decision-making: a qualitative study of junior doctors and consultants.BMC medical education · 2024Article
- Evaluation of evidence-based medicine adoption among Nigerian surgeons: competence, knowledge, attitudes, practices, and barriers.Croatian medical journal · 2024Article
- Librarian-Led Assessment of Medical Students' Evidence-Based Medicine Competency: Facilitators and Barriers.Perspectives on medical education · 2024Article
- Article
- Adherence to evidence-based practice across healthcare professionals in Germany: results from a cross-sectional, nationwide survey.BMC health services research · 2022Article
- Validity and reliability of the Noor Evidence-Based Medicine Questionnaire: A cross-sectional study.PloS one · 2021Article
- Article
- Awareness, attitudes, barriers, and knowledge about evidence-based medicine among family physicians in Croatia: a cross-sectional study.BMC family practice · 2020Article
- Learning to Critically Appraise Rheumatic Disease Literature: Educational Opportunities During Training and into Practice.Rheumatic diseases clinics of North America · 2020Review
- Article
- Development and pilot testing of a tool to assess evidence-based practice skills among French general practitioners.BMC medical education · 2018Article
- The Quality of EBM Sources Perceived By Belgian Family Physicians.Open access Macedonian journal of medical sciences · 2018Article
- Treatment recommendations within the leeway of clinical guidelines: A qualitative interview study on oncologists' clinical deliberation.BMC cancer · 2017Article
- Athletic Trainers' Perceptions of and Barriers to Patient Care Documentation: A Report From the Athletic Training Practice-Based Research Network.Journal of athletic training · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although efforts are made to integrate evidence-based medicine (EBM) into clinical practice, physicians experience significant barriers to its implementation. The aim of this study is to quantify the barriers that general practice (GP) trainees experience when using EBM in practice. In September 2008, a questionnaire was administered to 140 GP trainees from three Dutch GP Speciality Training Institutes. The questionnaire focused on barriers that GP trainees meet when using EBM in practice. Factor analysis identified components in which barriers exist, and the validity and reliability of the questionnaire were established. After removing four items that did not fit the questionnaire structure, factor analysis identified three relevant components. All three components had similar mean scores, indicating a similar negative influence of these components on the practice of EBM: knowledge/skills (α = 0.72, mean score 2.9 ± 0.8), attitude (α = 0.70, mean score 2.9 ± 0.6), and external factors (α = 0.66, mean score 3.0 ± 0.5). The barrier that trainees experienced most was lack of time to practise EBM. Barriers to the use of EBM were present in three components: knowledge/skills, attitude, and external factors.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.