在澳大利亚的补充医学实践中,证据实施的障碍和促进因素:一个横截面研究
1Faculty of Health & Community Services, TAFE SA, Noarlunga Centre, SA, Australia.
Journal of complementary & integrative medicine
|July 29, 2025
概括
补充和整合性医学 (CIM) 实践者具有积极的态度,但在实践中使用研究证据时面临障碍. 缺乏临床证据和时间是CIM中证据实施的主要障碍.
科学领域:
- 综合医学是一个整体医学.
- 基于证据的实践.
- 医疗保健研究 医疗保健研究
背景情况:
- 鼓励补充和整合医学 (CIM) 临床医生使用研究证据.
- 了解CIM中证据实施的推动因素和障碍因素至关重要,但人们对其了解甚少.
- 这项研究解决了在CIM实践中研究证据吸收的决定因素的需要.
研究的目的:
- 检查九个澳大利亚CIM学科的证据实施的推动因素和障碍.
- 评估CIM从业人员当前的证据实施水平.
主要方法:
- 采用了横截面研究设计.
- 进行了基于证据的实践态度和利用调查 (EBASE),这是一份84项在线调查问卷.
- 203名CIM从业者完成了调查.
主要成果:
- 在证据实施中,CIM从业人员的参与度处于低至中等水平.
- 对证据实施的积极态度和中度高的自我报告技能是常见的.
- 缺乏CIM临床证据和时间不足被确定为主要障碍.
结论:
- CIM从业者通常对证据实施有积极的态度,但利用率仍然很低.
- 结构性挑战,特别是临床证据的可用性和时间限制,是重大障碍.
- 决策支持系统和有针对性的教育倡议可以增强基于证据的实践和CIM患者的结果.
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