Evidence map›Paper›PMID 31159784›Full record

ArticleBMC medical informatics and decision making2019

Evidence-based medicine among physicians working in selected public hospitals in eastern Ethiopia: a cross-sectional study.

Teshager Worku, Meron Yeshitila, Tilaye Feto, Shiferaw Leta, Frehiwot Mesfin, Haymanot Mezmur

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Teshager WorkuCollege of Health and Medical Sciences, Haramaya University, PO. Box 235, Harar, Ethiopia. teshager.kassie@gmail.com.ORCID 0000-0002-6153-7819
Meron YeshitilaCollege of Health and Medical Sciences, Haramaya University, PO. Box 235, Harar, Ethiopia.
Tilaye FetoCollege of Health and Medical Sciences, Haramaya University, PO. Box 235, Harar, Ethiopia.
Shiferaw LetaCollege of Health and Medical Sciences, Haramaya University, PO. Box 235, Harar, Ethiopia.
Frehiwot MesfinCollege of Health and Medical Sciences, Haramaya University, PO. Box 235, Harar, Ethiopia.
Haymanot MezmurCollege of Health and Medical Sciences, Haramaya University, PO. Box 235, Harar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-Based Medicine (EBM) is the process of systematically locating, searching, evaluating, and using contemporaneous research findings as the basis for clinical decision making. The systematic review showed that there is a considerable gap between what is known in the systematic research evidence and what happens in practice. Thus, the purpose of this study is to assess knowledge, attitude, practice and perceived barriers to EBM among physicians working in public hospitals in eastern Ethiopia.

methodsAn institutional-based cross-sectional survey was conducted from April 1-June 8, 2017. Simple random sampling with proportional allocation was used. A total of 137 physicians was included in the survey. The data were collected by interview. Data were coded and entered to EpiData 3.1 then exported to and analyzed by using IBM SPSS statistics 21.0.

resultsPhysicians were aware of and used HINARI (22.6%), Cochrane (29.8%) and PubMed/Medline (37.9%) EBM electronic databases. The majority, (88.7%) physicians have a good attitude to EBM but only (32.3%) integrate it into clinical practice. Ability to retrieving evidence, evaluating the outcomes of the EBM practice implemented and difficulty in understanding research reports were significantly associated factors.

conclusionsThe attitude of the physicians towards EBM was virtuous, but knowledge of EBM and practice of integrating new evidence in healthcare service were really insufficient. Relatively, the EBM implementation is low when compared with many studies. To obviate this, the stakeholders need to have a strong commitment to design a strategy for promoting physicians in implementing EBM to their day to day clinical decision-making process.

Indexed as

Attitude of Health PersonnelEvidence-Based MedicineHealth Knowledge, Attitudes, PracticeHospitals, PublicMedical Staff, HospitalAdultCross-Sectional StudiesEthiopiaFemaleHealth Care SurveysHumansMaleMiddle AgedYoung AdultBarriersEastern EthiopiaEvidence-based medicinePhysiciansPublic hospitals

Identifiers

PMID31159784
PMCPMC6547595

What OpenQuestion holds

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Registered trials

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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.