摘要
目的 调查少数民族医药循证能力现状及发展需求,探讨提升少数民族医药循证能力的有效策略.方法 在少数民族医药医疗单位及研究机构进行问卷调查.问卷内容包括3个维度:对循证医学的认知和态度、少数民族医药发展的优势及推进循证医学面临的困难、少数民族医药循证能力提升的需求及建议.结果 共回收有效问卷501份,其中针对参与数量不足的少数民族医药地区补发问卷回收103份.问卷中少数民族医药从业者354份(70.66％),包括藏医、蒙医、维吾尔医、壮医、朝鲜医等少数民族医药.146例(29.14％)表示了解循证医学,70.86％(355例)的被调查者对循证医学"一般了解"或"不太了解,没听说过",93.61％(469例)的被调查者认为引入循证医学能推动少数民族医药的发展.少数民族医药领域内推进循证医学面临的最大困难是缺乏循证医学专业人才,不知道如何运用循证医学推动临床实践(442例,88.22％).关于循证能力提升的9分制重要性评分中,临床实践指南的规范制订得分(7.50±1.90)和常见临床研究的样本量估算方法得分(7.45±1.90)较高.临床科研素养提升的需求方面,选择最多的是专家学术讲座与经验分享(404例,80.64％)和相关循证方法学专著(401例,80.04％).结论 少数民族医药从业者对引入循证医学持积极态度,循证医学的教育与普及尚有较大发展空间.循证能力的提升主要可从培养或引进循证医学人才、建设临床研究循证支持平台、定期开展学术讲座及交流、加强少数民族医药理论和评价体系建设等措施具体落实,走符合少数民族医药特色的循证之路.
Abstract
Objective To investigate the current status and development needs of evidence-based medicine(EBM)capability in ethnic minority medicine,and explore effective strategies to enhance EBM capability in this field.Methods The questionnaire survey was conducted in various ethnic minority medical institutions and re-search organisations.The questionnaire covered three dimensions,firstly,perceptions and attitudes towards evidence-based medicine;secondly,advantages and challenges in the development of ethnic minority medicine;thirdly,demands and recommendations for enhancing evidence-based medicine capability in ethnic minority medicine.Results A total of 501 valid questionnaires were collected,of which 103 questionnaires were collected by re-sending to minority medicine regions with insufficient participation.The questionnaires included 354 responses(70.66％)from practitioners of minority medicine,including Tibetan medicine,Mongolian medicine,Uyghur medicine,Zhuang medicine,and Korean medicine.Among the 501 questionnaires,146 respondents(29.14％)indicated that they knew about EBM,355 respondents(70.86％)had either a"general understanding"or had"not heard about"EBM before,and 469 respondents(93.61％)believed that introducing ECM could promote the development of ethnic minority medicine.The primary challenge in promoting EBM in the field of ethnic minority medicine is the lack of professionals in EBM and a lack of understanding of how to apply it into clinical practice(442 respondents,88.22％).In the 9-point importance rating for enhancing evidence-based abilities,high scores were achieved in standardization of clini-cal practice guidelines(7.50±1.90)and methods for sample sizes in clinical research(7.45±1.90).Regarding the demand for improving clinical research literacy,expert academic lectures,and experience sharing(404 respondents,80.64％)and evidence-based methodology monographs on ethnic minority medicine(401 respondents,80.04％)were emphasized.Conclusions Practitioners in ethnic minority medicine hold a positive attitude towards integrat-ing EBM.However,there remains substantial room for the education and dissemination of EBM.Enhancing evidence-based capabilities can be achieved through specific measures such as cultivating or recruiting talents in EBM,estab-lishing evidence-based support platforms for clinical research,organizing regular academic lectures and exchanges,and strengthening the construction of theoretical frameworks and evaluation systems tailored to ethnic minority medi-cine,thereby following a path of evidence-based practices aligned with the unique characteristics of ethnic minority medicine.
维普
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