Evidence-based medical practice in developing countries: the case study of Iran

Authors

  • Sarah Mozafarpour MD,

    Corresponding author
    1. Researcher, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
      Dr Sarah Mozafarpour, Isfahan University of Medical Sciences, Hezar Jerib Avenue, Isfahan 81745319, Iran. E-mail: mozafarpoor@gmail.com
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  • Atefeh Sadeghizadeh MD,

    1. Researcher, Resident of Pediatrics, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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  • Payam Kabiri MD PhD,

    1. Assistant Professor of Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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  • Hajar Taheri MD,

    1. Researcher, Medical Student Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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  • Manizheh Attaei MD,

    1. Researcher, Medical Student Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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  • Nima Khalighinezhad MD

    1. Researcher, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
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Dr Sarah Mozafarpour, Isfahan University of Medical Sciences, Hezar Jerib Avenue, Isfahan 81745319, Iran. E-mail: mozafarpoor@gmail.com

Abstract

Rationale, aims and objectives  Attitude towards and knowledge of various groups of health care providers regarding evidence-based medicine (EBM) have been assessed worldwide. Also, barriers to practising EBM have been found to be different in different countries. However, there is little evidence on the place of EBM among some developing countries, like Iran. The aim of this study was to explore the current status of EBM among different medical specialists in Iran.

Methods  This cross-sectional study was conducted from August 2007 until March 2009 on a sample of 181 doctors in different medical specialties practising in Isfahan, Iran, not including faculty members. Attitude towards EBM and the barriers in practice and awareness of technical terms were investigated through a self-administered questionnaire.

Results  Less than half (41%) of the doctors reported they use EBM in their practice. They believed EBM improves the quality of health care services (70%); however, their understanding of the technical terms used in EBM was poor. The barrier to practising EBM identified by most respondents (74.3%) was the lack of EBM training courses in their academic curriculum.

Conclusion  Despite the general welcoming attitude of all groups of specialists, they had insufficient knowledge and inadequate use of EBM in their practice. Designing and conducting EBM training courses and its integration into the general practitioners' training curriculum should be considered.

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