Evidence-Based Medical Practice in Developing Countries: A Case Study of Pakistan
Attitude towards and knowledge of health professionals regarding evidence-based medicine (EBM) have been
assessed worldwide. However, barriers to practicing evidence-based medicine arefound diverse in different countries.
Though, little supportis there, on the place of evidence-based medicine among some developing countries, like Pakistan. The
aim of this studyis to determine the attitudes and beliefs of Pakistani physicians towardspracticing evidence-based medicine.
This study investigates barriers faced by the physicians while practicingevidence based medicine.This is a cross sectional
quantitative study. Self-administered questionnaire is used to collect the data from 352 physicians. Data is analyzed by using
SPSS. A declined trend is observed between the physicians’ awareness of evidence-based medicine and their clinical
experiences. Understanding of technical terms to practice evidence-based medicine is found poor among the participants.
Journal papers are the most common source used by 69% physicians to access the research information followed by the
conferences and organizational guidelines. Most of the participants (347) assess the reliability and quality of information by
exploring credibility of the information source and author’s affiliation. 40.2% physicians responded that they are good in
adapting and modifying the relevant research information according to patient need while 34.6% were graded better and only
9.1% graded them asbest. Itcan be explored that linking research with the clinical practice is the most significant barrier in
applying research information into practice. Clinical training must go beyond searching and critical appraisal toreachan
expert judgment and shared decision making skillsare vital for evidence-based medicine practice.
Index Terms - Evidence based medicine, physician’s knowledge, and EBM skills.