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Can Fam Physician
Vol. 55, No. 7, July 2009, pp.e6 - e13
Copyright © 2009 by The College of Family Physicians of Canada
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Research

Evidence-based medicine among Jordanian family physicians

Awareness, attitude, and knowledge

Farihan Barghouti, MD MRCGP, Lana Halaseh, MD, Tania Said, MD, Abdel Halim Mousa, PhD and Adel Dabdoub, PhD
Dr Barghouti is an Assistant Professor in the Department of Family and Community Medicine at the University of Jordan in Amman, and Head of the Family Medicine Unit at Jordan University Hospital (JUH). Drs Halaseh and Said are family practitioners at JUH. Dr Mousa works at the United Nations Relief and Works Agency for Palestine Refugees. Dr Dabdoub is Director of Food Safety Division in Food and Drug Administration at the Ministry of Health in Amman

Correspondence: Dr Farihan Barghouti, University of Jordan, Department of Family and Community Medicine, Amman 11942, Jordan; telephone 962 6 5523447; fax 962 6 5521420; e-mailfarihan0{at}mailcity.com

OBJECTIVE To assess family practitioners’ attitudes toward and awareness of evidence-based medicine (EBM).

DESIGN A cross-sectional study from a questionnaire distributed between January and March 2007.

SETTING  Rural and urban family medicine centres throughout Jordan that are affiliated with the Ministry of Health, military centres, university medical centres, and the private sector.

PARTICIPANTS  Two hundred family physicians.

MAIN OUTCOME MEASURES  Family physicians’ attitudes toward EBM; training in EBM; barriers to practising EBM; level of awareness of and access to EBM journals and databases; and knowledge and understanding of related technical terms.

RESULTS The response rate was 70.5%. Among those who responded, 56.7% were women and 42.6% were between the ages of 40 and 49 years. More than 50% of the respondents were working in mixed urban and rural practice settings. Most of the respondents had a positive attitude toward EBM: 63.5% welcomed the concept of EBM; more than 40% used EBM in their daily practices; and 90% agreed that practising EBM improved patient care. Of the respondents, 42.6% thought that the best way to move from opinion-based medicine to EBM was through learning the skills of EBM. Fifty percent of the respondents had access to MEDLINE, while only 20.4% of them had received formal training in research and critical appraisal. Lack of personal time was the main perceived barrier to practising EBM. Participants reported a low level of awareness of some of the technical terms.

CONCLUSION Jordanian family physicians showed eagerness to learn and implement EBM in their daily practices. Nevertheless, they need more guidance and training to ensure the correct application of EBM ideals.






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