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Evidence-based psychiatry--do psychiatrists want it and can they do it?
S M Lawrie1, A I Scott, M C Sharpe
1Edinburgh Healthcare NHS Trust, Edinburgh.
Health Bulletin
|June 20, 2003
Summary
Psychiatrists desire evidence-based psychiatry but find it impractical due to time constraints. A need exists for accessible evidence-based summaries to support optimal psychiatric treatment.
Area of Science:
- Psychiatry
- Evidence-Based Medicine
Background:
- Psychiatrists' attitudes towards evidence-based psychiatry were assessed.
- The study investigated psychiatrists' clinical information needs and the feasibility of obtaining this information.
Purpose of the Study:
- To evaluate psychiatrists' attitudes toward evidence-based psychiatry.
- To identify psychiatrists' clinical information needs and assess the practicality of obtaining this information.
- To understand how psychiatrists utilize obtained information.
Main Methods:
- A survey was administered to senior psychiatrists in South-East Scotland.
- Researchers attempted to answer frequently asked clinical questions using evidence-based strategies.
- The time taken to answer questions and the usefulness of the answers were evaluated.
Main Results:
- 76% of surveyed psychiatrists returned usable questionnaires.
- Respondents believed only 40% of their practice was evidence-based, citing 'insufficient time' as a major barrier.
- Answering each question took 15-60 minutes, and most psychiatrists found a question-answering service valuable.
Conclusions:
- Evidence-based psychiatry is desirable and feasible but impractical for individual clinicians.
- There is a clear need for concise, accessible evidence-based summaries for optimal psychiatric treatment.
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