ArticlePloS one2016
Rural Doctors' Views on and Experiences with Evidence-Based Medicine: The FrEEDoM Qualitative Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Integrating patient values and preferences in healthcare: a systematic review of qualitative evidence.BMJ open · 2022Pooled it
- Addressing challenges and barriers to rural Veteran participation in clinical research within the Veterans Affairs healthcare system.Contemporary clinical trials communications · 2025Article
- Knowledge, practice, and facilitating factors of evidence-based medicine among Malaysian doctors: a cross-sectional study.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
- Nurses' experiences and perspectives regarding evidence-based practice implementation in healthcare context: A qualitative study.Nursing open · 2024Article
- Knowledge, attitude, and practice of evidence-based medicine among resident physicians in hospitals of Syria: a cross-sectional study.BMC medical education · 2022Article
- A pragmatic evaluation of a public health knowledge broker mentoring education program: a convergent mixed methods study.Implementation science communications · 2022Article
- Early ABI Testing May Decrease Risk of Amputation for Patients With Lower Extremity Ulcers.Annals of vascular surgery · 2022Article
- Knowledge, Attitude, and Practice of Evidence-Based Medicine among Emergency Doctors in Kelantan, Malaysia.International journal of environmental research and public health · 2021Article
- Successes, lessons and opportunities: 15-year follow-up of an integrated evidence-based medicine curriculum.BMJ evidence-based medicine · 2021Review
- Knowledge, attitude and practice of evidence-based medicine among primary care practitioners in Malaysia: a cross-sectional study.BMJ open · 2021Article
- Validity and reliability of the Noor Evidence-Based Medicine Questionnaire: A cross-sectional study.PloS one · 2021Article
- Evidence-Based Practice and Associated Factors Among Health Care Providers Working in Public Hospitals in Northwest Ethiopia During 2017.Current therapeutic research, clinical and experimental · 2020Article
- Article
- Development and validation of the Evidence Based Medicine Questionnaire (EBMQ) to assess doctors' knowledge, practice and barriers regarding the implementation of evidence-based medicine in primary care.BMC family practice · 2018Article
- Reducing inappropriate antibiotic prescribing in upper respiratory tract infection in a primary care setting in Kolkata, India.BMJ open quality · 2018Article
- The Awareness of the International Veterinary Profession of Evidence-Based Veterinary Medicine and Preferred Methods of Training.Veterinary sciences · 2017Article
- Why research in primary care is important.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2017Article
- Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence-based medicine is the integration of individual clinical expertise, best external evidence and patient values which was introduced more than two decades ago. Yet, primary care physicians in Malaysia face unique barriers in accessing scientific literature and applying it to their clinical practice.
aimThis study aimed to explore the views and experiences of rural doctors' about evidence-based medicine in their daily clinical practice in a rural primary care setting.
methodsQualitative methodology was used. The interviews were conducted in June 2013 in two rural health clinics in Malaysia. The participants were recruited using purposive sampling. Four focus group discussions with 15 medical officers and three individual in-depth interviews with family medicine specialists were carried out. All interviews were conducted using a topic guide and were audio-recorded, transcribed verbatim, checked and analyzed using a thematic approach.
resultsKey themes identified were: (1) doctors viewed evidence-based medicine mainly as statistics, research and guidelines, (2) reactions to evidence-based medicine were largely negative, (3) doctors relied on specialists, peers, guidelines and non-evidence based internet sources for information, (4) information sources were accessed using novel methods such as mobile applications and (5) there are several barriers to evidence-based practice, including doctor-, evidence-based medicine-, patient- and system-related factors. These included inadequacies in knowledge, attitude, management support, time and access to evidence-based information sources. Participants recommended the use of online services to support evidence-based practice in the rural settings.
conclusionThe level of evidence-based practice is low in the rural setting due to poor awareness, knowledge, attitude and resources. Doctors use non-evidence based sources and access them through new methods such as messaging applications. Further research is recommended to develop and evaluate interventions to overcome the identified barriers.
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Registered trials
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