General practitioners’ perceptions of their practice of evidence-based chronic disease prevention interventions: a quantitative study in Shanghai, China

Abstract

Background: Epidemic chronic diseases pose significant challenges to the improvement of healthcare in China and worldwide. Despite increasing international calls for the inclusion of evidence-based decision-making (EBDM) processes in chronic disease prevention and control programming as well as policymaking, there is relatively little research that assesses the current capacity of physicians and the factors that influence that capacity in China. Method: This cross-sectional study was conducted in community health centres (CHCs) in Shanghai, China, using multistage cluster sampling. An evidence-based chronic disease prevention (EBCDP) evaluation tool was employed to assess physician EBCDP awareness, adoption, implementation and maintenance based on the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework and using a 7-point Likert scale. Linear regression analysis was used to assess associations between each EBCDP aspect and overall EBCDP status with participant characteristics or organizational factors.

Needs assessment and expectations regarding evidence-based practice knowledge acquisition and training activities: A cross-sectional study of healthcare personnel in China

“…However, they did not appear to be confident in their abilities to implement them in practice ( Table 1 ). This may be linked to their perceived difficulty in locating appropriate resources, including Cochrane resources ( Table 2 ) and a lack of experience, which aligns with previous studies [ 7 , 8 , 10 , [12] , [13] , [14] ]. The findings suggest that healthcare providers and scholars require more support regarding the availability of evidence resources, including Cochrane resources, and in improving the competency of finding and using evidence resources.…”

“…Moreover, many frontline clinicians have exhibited a positive attitude towards evidence-based healthcare and agree that its implementation is necessary in clinical environments [ [7] , [8] , [9] ]. However, previous studies have also suggested that clinicians in China possess a low to moderate level of evidence-based practice competency [ 7 , [10] , [11] , [12] ], as well as limited experience in applying new knowledge and practicing knowledge translation [ 8 , 13 , 14 ].…”

Impact of Contextual Factors on the Attendance and Role in the Evidence-Based Chronic Disease Prevention Programs Among Primary Care Practitioners in Shanghai, China

“…The questionnaire was adapted from a study comparing the use of EBCDP processes ( 17 , 18 ). At the beginning of the questionnaire, we explained the purpose of the questionnaire and relevant concepts to the respondents (EBCDP, evidence-based programs, etc.).…”

The Application of Knowledge-Based Clinical Decision Support Systems to Enhance Adherence to Evidence-Based Medicine in Chronic Disease

“…Thus, controlling and preventing chronic diseases have become the main focus of health systems [ 10 ]. To achieve the best possible outcomes, evidence-based chronic disease prevention (EBCDP) emerged as a new approach to developing evidence-based programs to ensure that healthcare providers have access to up-to-date scientific evidence regarding chronic diseases [ 11 ]. Despite all efforts, there is a gap between knowledge generation and evidence implementation due to the inability of clinicians to search for and evaluate evidence [ 12 ].…”