Perceptions and Practices of Evidence-Based Medicine among Medical Practitioners of Private Medical Colleges in Mangalore City of South India: A Cross-Sectional Study

Nelliyanil Maria, K Chethana, Madapaddy Sajjan, Anil Manjula

Abstract


 Background: Evidence Based Medicine (EBM) has become the latest focus among medical professionals for improved health care. However, the practice of EBM in routine health care and its true impact in day to day practice is uncertain. Aims: This study assessed the perceptions, practice and determined perceived barriers in implementation of EBM among practitioners of private medical colleges. Settings and Design: A cross-sectional study was conducted from January to March 2020, among medical practitioners in Dakshina Kannada district of Karnataka. Methods and Material: After sample size estimation, 160 practitioners were selected by simple random sampling. Informed consent and a self reporting validated questionnaire to asses various aspects of EBM were emailed of them, out of which, 132(82.5%) responded with completely filled in questionnaires. A visual analogue scale was used to determine the attitude of the participants towards EBM. Data obtained was analyzed and represented as proportions. For attitude scale, median and quartiles were obtained. Results: Among the participants 96.2% had heard of EBM, however only 42.5% were trained in EBM. Referring to medical textbooks (75.8%) and CME’s/conferences (72.7%) were most preferred in clinical decision making. Most of them had a welcoming attitude in current promotion of EBM and strongly agreed that practice of EBM improves patient care. Only 27.6% and 29.9% used EBM and Cochrane database of systematic reviews for decision making, respectively. Most perceived barriers in implementation of EBM included inaccessibility (51.2%) and lack of EBM skills (48.0%). Conclusion: The medical practitioners were generally positive towards EBM and had good understanding of the technical terms used as well, which makes it conducive.

Key words: Evidence Based Medicine, Medical Practitioners, Perceptions, Practice.


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