Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

KNOWLEDGE AND ATTITUDES OF PRIMARY HEALTH CARE PHYSICIANS TOWARDS EVIDENCE BASED CLINICAL PRACTICE IN TAJIKISTAN

Author

Pochodzhanova Sh.Sh, Khamraev D.R.

Institution

Resource Evidence-Based Medicine Center of Avicenna Tajik State Medical University

Abstract

Objectives: A survey was organized to determine the knowledge and attitudes towards EBCP among primary health care physicians in Tajikistan. Received results can be used for the subsequent planning of effective EBM implementation in clinical practice.

Methods: A cross-sectional questionnaire study was carried out in five primary health centers of the Sogd region of Tajikistan during November to December 2011. The study enrolled 125 primary care physicians. A self-administered anonymous questionnaire was used to collect the data.

Results: Most of the respondents had a positive attitude toward EBM: 71.2% welcomed the concept of EBM; the level of EBM understanding 49.6% of respondents appreciated as "medium" and 20% as "good". Although about half of the physicians self reported that they know and understand EBM principles, further analysis revealed that only about 13% of this group use Internet weekly or more frequent and 80% of respondents don’t know about Cochrane library or never search information to it. The majority of respondents (55.2%) supposed the best way to introduce EBM in clinical practice is design and use of CPG’s. The major perceived barriers for applying evidence to practice were limited resources and facilities (26.4%), the difficulty of change current practice (11.2%) and lack of new knowledge. Most of respondents (88.8%) felt they need more training workshops and EBM courses.

Conclusion: This study showed the most primary care physicians interested in applying EBM in clinical practice and they need of additional trainings.