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Evidence-based medical practice in developing countries: the case study of Iran
Sarah Mozafarpour1, Atefeh Sadeghizadeh, Payam Kabiri
1School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. mozafarpoor@gmail.com
Journal of Evaluation in Clinical Practice
|February 1, 2011
Summary
Most Iranian doctors have a positive attitude towards evidence-based medicine (EBM) but lack sufficient knowledge and training. Integrating EBM into medical curricula is crucial for improving healthcare quality.
Area of Science:
- Medical Education
- Healthcare Quality Improvement
- Evidence-Based Practice
Background:
- Assessing healthcare providers' knowledge and practice of evidence-based medicine (EBM) is globally recognized.
- Barriers to EBM implementation vary significantly across different countries.
- Limited data exists on the status of EBM in developing nations, including Iran.
Purpose of the Study:
- To evaluate the current standing of evidence-based medicine (EBM) among various medical specialists in Iran.
- To identify the attitudes, knowledge, and barriers related to EBM practice in the Iranian context.
Main Methods:
- A cross-sectional study was conducted from August 2007 to March 2009.
- A sample of 181 practicing physicians (excluding faculty) in Isfahan, Iran, completed a self-administered questionnaire.
- The questionnaire assessed attitudes towards EBM, barriers to practice, and understanding of EBM terminology.
Main Results:
- Only 41% of physicians reported using EBM in their practice.
- A majority (70%) believed EBM enhances healthcare quality, yet understanding of EBM technical terms was poor.
- The primary barrier identified was the lack of EBM training in academic curricula (74.3%).
Conclusions:
- Iranian medical specialists generally hold a positive attitude towards EBM but demonstrate insufficient knowledge and application.
- There is a clear need for EBM training courses.
- Integrating EBM into medical education curricula is recommended for general practitioners and specialists.
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