Objective To investigate the decision-making situation of doctors in the township hospitals in Gaolan, Gansu province, and to discuss its scientificity and rationality.
Methods Self-designed questionnaire was adopted to investigate the clinical decision-making situation of 108 doctors from 7 township hospitals in Gaolan county. The investigation contained three parts as follows: basic information of respondents, general information of clinical decision-making evidence, and comparison between respondents’ decision-making situation and current best clinical evidence.
Results Among the total 108 questionnaires distributed, 89 valid were retrieved. The feedback showed that 79% of the doctors diagnosed and treated patients in accordance with medical textbooks; 53% took curative effect into consideration in the first place; 33% failed to consider patients’ willingness properly when making clinical decisions; and 52% made clinical therapy regimen for common diseases based on the evidence which was different from that in BMJ published Clinical Evidence.
Conclusion While making clinical decisions, doctors in the township hospitals do not adequately refer to the best clinical evidence as their decision-making basis, and fail to take patients’ value and willingness into consideration properly. It is necessary to promote the concept of evidence-based medicine and spread the best evidence in the township health departments.
Citation：
WANG Zehao,FENG Linlin,ZHAO Yangyang,XIAO Xiaojuan,YAO Liang,WANG Qi,YANG Kehu,GUO Yimin,CHEN Yaolong. Clinical Decision-Making by Doctors in Township Hospitals in Gaolan: A Questionnaire Survey. Chinese Journal of Evidence-Based Medicine, 2012, 12(6): 740-742. doi: 10.7507/1672-2531.20120120
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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- 1. 袁玉荣, 曹艳. 乡镇卫生院在“新农合”中的作用.中国民康医学, 2008, 20(12): 1388-1388, 1379.
- 2. [2010-6-10]. http://www.gsws.gov.cn/html/3/33/15737.htm.
- 3. 耿召华, 刘春燕. 循证医学与临床医学教育模式. 中华现代临床医学杂志, 2003, 8: 700-702.
- 4. 胡川, 笱晓葵. 循证医学环境下基层医院临床医生信息能力现状分析. 卫生职业教育, 2010(2): 87-88.
- 5. 唐金陵, 王杉, 主译. 临床证据. 精华版. 北京: 北京大学医学出版社, 2007.
- 6. Sackett DL, Straus SE, Richardson WS. Evidence based medicine. How to practice and teach. New York: EBM Churchill Livingstone, 2000, 1-2.
- 7. 王晓波, 马金昌, 译. 跨越医疗质量的裂痕: 21世纪新医疗保健系统. 北京: 中国医药科技出版社, 2005: 14.
- 8. 魏招秀, 赵林彤. 临床医生对循证医学应用的调查分析. 医学信息, 2006, 19(1): 78-79.
- 9. 张超杰, 贺达仁. 当前临床决策的问题及对策. 医学与哲学, 2005, 26(10): 3-5.
- 10. 王曾礼. 经验医学向循证医学转变的必然. 华西医学, 2000, 15(1): 10-11.
- 11. Sackett DL. Evidence based medicine. Semin Perinatol, 1997, 21(1): 35.
- 12. Sackett DL, Straus SE, Richardson WS, et al. Evidence-based Medicine:how to practice and teach evidence-based medicine (2 edition). London: Churchill Livingstone. 2000: 1-10.
- 13. 黄进, 赵雨亮. 医学教育改革中的循证医学, 中国循证医学杂志, 2010, 10(4): 437-440.
- 14. 韦景法. 临床决策与循证医学. 中国处方药, 2007, 11(68): 46-47.
- 15. 耿劲松, 董建成. 医务人员循证医学相关知识与技能的现状分析. 中国医院管理, 2010, 30(4): 36-37.
