衛生福利部所屬醫院醫事人員實證醫學的能力與態度調查

Objectives. Evidence-Based Medicine (EBM) has been included into all levels of medical education since the 2000s in Taiwan. However, there is still a lack of EBM resources in some hospitals in Taiwan, especially public hospitals and community hospitals. The purpose of this study was to assess the ability and attitudes towards EBM among the employees of hospitals affiliated with Ministry of Health and Welfare, and to be a reference for further improvement. Methods. From August through December, 2013, all employees of hospitals affiliated with the Ministry of Health and Welfare were invited by e-mail to participate in the selfadministered structured questionnaire survey on the ability and attitudes towards EBM. Results. A total of 421 hospital workers completed the questionnaire. The results showed that their score on attitude towards evidence-based care was the best, followed by the ability to form an answerable question and the ability to apply evidences for patient care, while the worse was with regard to the ability to critically appraise evidence. Administrators, faculty, and people who received higher education were found to have higher scores on each of the five EBM competencies. Expertise (p＜0.001), years of working experience (p＜0.005), whether database was used or not (p＜0.005), and whether or not one knows there is a Chinese database in the Cochrane Library were the four significant predictive factors of the overall EBM ability. Conclusion. Promoting the utilization of EBM database, especially the Chinese database may increase health care workers' ability to utilize data and findings reported by EBM which will also lead to improvements in the quality of patient care.