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題名：衛生福利部所屬醫院醫事人員實證醫學的能力與態度調查
書刊名：醫學與健康期刊
作者：賴慧仙／張正昂／李其融 引用關係／陳杰峰 引用關係／余光輝／李孟智
作者(外文)：Lai, Hui-hsien／Chang, Cheng-ang／Li, Chi-rong／Chen, Chieh-feng／Yu, Kuang-hui／Lee, Meng-chih
出版日期：2015
卷期：4:1
頁次：頁45-56
主題關鍵詞：實證醫學；能力；態度；調查；Evidence-based medicine；EBM；Ability；Attitudes；Survey
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:3
  • 點閱點閱:109
目的:台灣於2000年代起將實證醫學（Evidence-based medicine; EBM）納為醫學教育的必要研習項目及能力之，以提升照護病人的品質，但台灣某些醫療院所缺乏EBM的資源可供應用，故如何提供EBM資源及教育訓練成為成功關鍵。本研究之目的在於探討衛生福利部所屬醫院同仁之EBM能力與態度，以供未來改善參考。方法:本研究與台北醫學大學EBM中心共同完成EBM認知、態度和能力評值工具的建置、完成評值問卷工具，並以衛生福利部所屬醫院醫師、護理及其它醫事人員為研究對象，採網路公告及電子郵件調查。結果:計有421位部屬醫院同仁回覆本調查。結果顯示，各級醫事人員EBM能力以實證照護態度最佳，最差的為文獻評讀能力。受訪者有主管職者、有教學職務者、學歷較高者其EBM五大能力均較高。專業別、是否用過資料庫及是否知道Cochrane Library中有中文資料庫這三項乃為EBM五項個別能力最佳預測因子。專業別（p ＜0.001）、年資（p＜0.005）、是否用過資料庫（p＜0.005）及是否知道Cochrane Library中有中文資料庫（p＜0.001）這四項為EBM總體能力之最佳預測因子。結論:本研究顯示如何提升實證資料庫，尤其是中文資料庫的利用度為提高部屬醫院同仁EBM能力之最可行策略，進而可提升照護病人的能力與品質。
Objectives. Evidence-Based Medicine (EBM) has been included into all levels of medical education since the 2000s in Taiwan. However, there is still a lack of EBM resources in some hospitals in Taiwan, especially public hospitals and community hospitals. The purpose of this study was to assess the ability and attitudes towards EBM among the employees of hospitals affiliated with Ministry of Health and Welfare, and to be a reference for further improvement. Methods. From August through December, 2013, all employees of hospitals affiliated with the Ministry of Health and Welfare were invited by e-mail to participate in the selfadministered structured questionnaire survey on the ability and attitudes towards EBM. Results. A total of 421 hospital workers completed the questionnaire. The results showed that their score on attitude towards evidence-based care was the best, followed by the ability to form an answerable question and the ability to apply evidences for patient care, while the worse was with regard to the ability to critically appraise evidence. Administrators, faculty, and people who received higher education were found to have higher scores on each of the five EBM competencies. Expertise (p＜0.001), years of working experience (p＜0.005), whether database was used or not (p＜0.005), and whether or not one knows there is a Chinese database in the Cochrane Library were the four significant predictive factors of the overall EBM ability. Conclusion. Promoting the utilization of EBM database, especially the Chinese database may increase health care workers' ability to utilize data and findings reported by EBM which will also lead to improvements in the quality of patient care.
期刊論文
1.Chiu, Y. W.、Weng, Y. H.、Lo, H. L.、Shih, Y. H.、Hsu, C. C.、Kuo, K. N.(2010)。Impact of a nationwide outreach program on the diffusion of evidence-based practice in Taiwan。International Journal for Quality in Health Care，22(5)，430-436。  new window
2.Volmink, J.、Siegfried, N.、Robertson, K.、Gulmezoglu, A. M.(2004)。Research synthesis and dissemination as a bridge to knowledge management: the Cochrane Collaboration。Bulletin of the World Health Organization，82，778-783。  new window
3.陳杰峰、羅恒亷、郭耿南、譚家偉(20111100)。實證醫學於臨床之發展與應用。醫療品質雜誌，5(6)，24-29。new window  延伸查詢new window
4.陳杰峰、羅恒廉、譚家偉、侯文萱、郭耿南(20130900)。臺灣實證醫學教學之推廣策略與執行成效。醫學與健康期刊，2(附冊1)，1-11。new window  延伸查詢new window
5.Dickersin, K.、Straus, S. E.、Bero, L. A.(2007)。Evidence based medicine: increasing, not dictating, choice。BMJ，334(suppl1)，s10。  new window
6.林玟娟、黃志富、盧相如、張家禎(20120900)。基層醫師對實證醫學的態度與應用之初探分析。醫療品質雜誌，6(5)，59-65。new window  延伸查詢new window
7.張慧瑾、吳志隆、趙佩君、林隆堯、余祐慈、林珊如(20131200)。實證醫學教育之文獻搜尋焦慮：中部某醫學大學醫學研究所學生之實證研究。教育資料與圖書館學，51(2)，225-266。new window  延伸查詢new window
8.周怡君、郭斐然(20120300)。實證醫學之臨床應用--利尿劑可否預防骨折發生。臺灣家庭醫學雜誌，22(1)，52-58。  延伸查詢new window
9.葉淑媛(20111100)。從醫療品質獎實證醫學類競賽活動之推行談學習型組織。醫療品質雜誌，5(6)，38-41。new window  延伸查詢new window
10.蕭如君、蔡崇弘(20110900)。統合分析於實證醫學所扮演的角色與藥事服務應用的方法。藥學雜誌，27(3)=108，12-17。  延伸查詢new window
11.鄭浩民(20130600)。轉譯科學--一個未來實證照護及醫學研究的重要趨勢。榮總護理，30(2)，111-120。new window  延伸查詢new window
12.譚著文、李妙紋、洪紹寧(20130900)。以實證醫學方法探討葡萄糖胺類製劑治療膝關節炎之效果。醫學與健康期刊，2(附冊1)，31-39。new window  延伸查詢new window
13.Evidence-Based Medicine Working Group(1992)。Evidence-based medicine: A new approach to teaching the practice of medicine。The Journal of the American Medical Association，268(17)，2420-2425。  new window
會議論文
1.Lee, M. C.(2014)。PBL and EBM。2014 AMEE Conference，(會議日期: 2014/08/31-09/03)。Milan。  new window
圖書
1.Institute of Medicine(2003)。Health professions education: A bridge to quality。Washington, DC：National Academies Press。  new window
2.Institute of Medicine、Olsen, L.、Aisner, D.、McGinnis, J. M.(2007)。The learning healthcare system: Workshop summary。Washington, DC：The National Academies Press。  new window
3.Cochrane, A. L.(1999)。Effectiveness and Efficiency: Random Reflections on Health Services。London：Royal Society of Medicine Press。  new window
4.Institute of Medicine(2011)。Learning What Works: Infrastructure Required for Comparative Effectiveness Research: Workshop Summary。Washington, DC：The National Academies Press。  new window
5.Institute of Medicine(2008)。Knowing What Works in Health Care: A Roadmap for the Nation。Washington, DC：The National Academies Press。  new window
6.Higgins, J. P. T.、Greens, S.(2008)。Cochrane handbook for systematic reviews of interventions。Hoboken, NJ。  new window
7.Institute of Medicine (US) Committee on Quality of Health Care in America、Kohn, Linda T.、Corrigan, Janet M.、Donaldson, Molla S.(1999)。To err is human: building a safer health system。Washington D.C.：National Academy Press。  new window
8.Sackett, D. L.、Richardson, W. S.、Rosenberg, W.、Haynes, R. B.(1997)。Evidence-based medicine: How to practice and teach evidence based medicine。New York, NY：Churchill Livingstone。  new window
9.Institute of Medicine(2001)。Crossing the quality chasm: A new health system for the 21st century。Washington, DC：National Academy Press。  new window
其他
1.(2012)。實證醫學知識網，http://imohw.tmu.edu.tw， 2012/07/30。  new window
 
 
 
 
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