Physicians' Awareness Regarding Evidence-based Medicine, Practice Guidelines and Clinical Information Resources in Japan

  • Satoh Toshihiko
    Medical Information Service Center, Japan Council for Quality Health Care Department of Preventive Medicine and Public Health, School of Medicine, Kitasato University
  • Nakayama Takeo
    Department of Health Informatics, Kyoto University Graduate School of Public Health
  • Sato Yasuto
    Medical Information Service Center, Japan Council for Quality Health Care Department of Hygiene and Public Health ll, Tokyo Women's Medical University
  • Hoshi Keika
    Medical Information Service Center, Japan Council for Quality Health Care
  • Miyaki Koichi
    Medical Information Service Center, Japan Council for Quality Health Care Department of Preventive Medicine and Public Health, School of Medicine, Keio University
  • Kojimahara Noriko
    Medical Information Service Center, Japan Council for Quality Health Care Department of Hygiene and Public Health ll, Tokyo Women's Medical University
  • Eguchi Narumi
    Japan Medical Association Research Institute
  • Okamoto Takahiro
    Department of Endocrine Surgery, Tokyo Women's Medical University
  • Hayashi Yoko
    Medical Information Service Center, Japan Council for Quality Health Care
  • Yamaguchi Naohito
    Medical Information Service Center, Japan Council for Quality Health Care Department of Hygiene and Public Health ll, Tokyo Women's Medical University

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タイトル別名
  • Needs Assessment Prior to the Initiation of “Medical Information Network Distribution Service (Minds) ”

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BACKGROUND: physicians' awareness regarding evidence-based medicine (EBM), clinical practice guidelines, and clinical information resources were rarely examined in Japan. We need to know them prior to the initiation of the Medical Information Network Distribution Service (Minds) by the Japan Council for Quality Health Care (JCQHC) .<BR>METHODS: A total of 10, 000 directors/owners of private clinics (CDs: clinic physicians) affiliated with the Japan Medical Association (JMA) and 8682 physicians working for hospitals certified by the JCQHC (HDs: hospital physicians) were randomly selected and surveyed by a mailed questionnaire.<BR>RESULTS: The response rate to the questionnaire was 18.7% (n=1865) among CDs and 67.8% (n=5885) among HDs. The percentage of respondents who uses internet was 39.9% among CDs and 69.3% among HDs. The information resource most commonly used by all respondents was medical journals, followed by textbooks. The percentage of respondents who used medical literature database was 10.8% among CDs and 49.7% among HDs, respectively. Approximately 80% of all respondents approved implementing EBM in daily practice. Fifty percent of all respondents indicated to have used clinical practice guidelines, and 90% of all the guideline users replied that clinical practice guidelines are useful tools for clinical decision-making. Over half of HDs required to access to the abstracts of the literature cited in the guidelines.<BR>CONCLUSIONS: Many physicians who responded to the survey acknowledged that EBM will contribute to improving the quality of medical services. They are positive in using clinical practice guidelines that include a series of recommendations proposed by specialists in the relevant field (s) in accordance to the reviewed evidence.

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