BMC Med Inform Decis Mak - Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan.

Tópicos

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Resumo

CKGROUND: Since the beginning of 2007, the National Health Research Institutes has been promoting the dissemination of evidence-based medicine (EBM). The current study examined longitudinal trends of behaviors in how hospital-based physicians and nurses have searched for medical information during the spread of EBM.METHODS: Cross-sectional postal questionnaire surveys were conducted in nationally representative regional hospitals of Taiwan thrice in 2007, 2009, and 2011. Demographic data were gathered concerning gender, age, working experience, teaching appointment, academic degree, and administrative position. Linear and logistic regression models were used to examine predictors and changes over time.RESULTS: Data from physicians and nurses were collected in 2007 (n = 1156), 2009 (n = 2975), and 2011 (n = 3999). There were significant increases in the use of four Internet-based resources - Web portals, online databases, electronic journals, and electronic books - across the three survey years among physicians and nurses (p < 0.001). Access to textbooks and printed journals, however, did not change over the 4-year study period. In addition, there were significant relationships between the usage of Internet-based resources and users' characteristics. Age and faculty position were important predictors in relation to the usage among physicians and nurses, while academic degree served as a critical factor among nurses only.CONCLUSIONS: Physicians and nurses used a variety of sources to look for medical information. There was a steady increase in use of Internet-based resources during the diffusion period of EBM. The findings highlight the importance of the Internet as a prominent source of medical information for main healthcare professionals.

Resumo Limpo

ckground sinc begin nation health research institut promot dissemin evidencebas medicin ebm current studi examin longitudin trend behavior hospitalbas physician nurs search medic inform spread ebmmethod crosssect postal questionnair survey conduct nation repres region hospit taiwan thrice demograph data gather concern gender age work experi teach appoint academ degre administr posit linear logist regress model use examin predictor chang timeresult data physician nurs collect n n n signific increas use four internetbas resourc web portal onlin databas electron journal electron book across three survey year among physician nurs p access textbook print journal howev chang year studi period addit signific relationship usag internetbas resourc user characterist age faculti posit import predictor relat usag among physician nurs academ degre serv critic factor among nurs onlyconclus physician nurs use varieti sourc look medic inform steadi increas use internetbas resourc diffus period ebm find highlight import internet promin sourc medic inform main healthcar profession

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