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

Translated title of the contribution: Survey of the Ability and Attitudes towards Evidence-Based Medicine among the Employees of the Hospitals Affiliated with the Ministry of Health and Welfare

Hui-Hsien Lai, Cheng-Ang Chang, Chi-Rong Li, Chieh-Feng Chen, Kuang-Hui Yu, Meng-Chih Lee

Research output: Contribution to journalArticle

Abstract

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.
Original languageTraditional Chinese
Pages (from-to)45-56
Number of pages12
Journal醫學與健康期刊
Volume4
Issue number1
Publication statusPublished - 2015

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Aptitude
Evidence-Based Medicine
Health
Databases
Taiwan
Patient Care
Surveys and Questionnaires
Quality of Health Care
Public Hospitals
Community Hospital
Postal Service
Medical Education
Administrative Personnel
Libraries
Delivery of Health Care
Education

Cite this

Lai, H-H., Chang, C-A., Li, C-R., Chen, C-F., Yu, K-H., & Lee, M-C. (2015). 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. 醫學與健康期刊, 4(1), 45-56.

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. / Lai, Hui-Hsien; Chang, Cheng-Ang; Li, Chi-Rong; Chen, Chieh-Feng; Yu, Kuang-Hui; Lee, Meng-Chih.

In: 醫學與健康期刊, Vol. 4, No. 1, 2015, p. 45-56.

Research output: Contribution to journalArticle

Lai, H-H, Chang, C-A, Li, C-R, Chen, C-F, Yu, K-H & Lee, M-C 2015, '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', 醫學與健康期刊, vol. 4, no. 1, pp. 45-56.
Lai, Hui-Hsien ; Chang, Cheng-Ang ; Li, Chi-Rong ; Chen, Chieh-Feng ; Yu, Kuang-Hui ; Lee, Meng-Chih. / 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. In: 醫學與健康期刊. 2015 ; Vol. 4, No. 1. pp. 45-56.
@article{e97e93bbf80b433fb8ac21d5607e46be,
title = "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",
abstract = "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。",
keywords = "實證醫學, 能力, 態度, 調查, Evidence-based medicine(EBM), Ability, Attitudes, Survey",
author = "Hui-Hsien Lai and Cheng-Ang Chang and Chi-Rong Li and Chieh-Feng Chen and Kuang-Hui Yu and Meng-Chih Lee",
year = "2015",
language = "繁體中文",
volume = "4",
pages = "45--56",
journal = "醫學與健康期刊",
issn = "2304-6856",
publisher = "行政院衛生署台中醫院",
number = "1",

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TY - JOUR

T1 - 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

AU - Lai, Hui-Hsien

AU - Chang, Cheng-Ang

AU - Li, Chi-Rong

AU - Chen, Chieh-Feng

AU - Yu, Kuang-Hui

AU - Lee, Meng-Chih

PY - 2015

Y1 - 2015

N2 - 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。

AB - 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。

KW - 實證醫學

KW - 能力

KW - 態度

KW - 調查

KW - Evidence-based medicine(EBM)

KW - Ability

KW - Attitudes

KW - Survey

M3 - 文章

VL - 4

SP - 45

EP - 56

JO - 醫學與健康期刊

JF - 醫學與健康期刊

SN - 2304-6856

IS - 1

ER -