Resumen

CANELO AYBAR, Carlos Gilberto, ALARCON SANTOS, AMAO RUIZ, Elvis Junior et al. Conocimientos, actitudes y prácticas de la medicina basada en evidencias en médicos asistentes y residentes en dos hospitales de Lima-Perú. Rev Med Hered, abr./jun. 2007, vol.18, no.2, p.76-84. ISSN 1018-130X.

The incorporation of Medicine Based Evidence in developing countries implies new difficulties. Enough information about this process does not exist In Peru. Objectives: To describe and determine whether differences in attitudes, knowledge and practice of Evidence Based medicine exist between internal physicians and residents. Material and methods: Design: Analytical - questionnaire study. Setting: Arzobispo Loayza and Guillermo Almenara Hospitals from Lima-Perú. Population: A total of 104 composed by internal physicians and residents of internal medicine from these places. Main outcomes measures: Respondents´ attitude towards evidence based medicine, ability to access and interpret evidence, perceived barriers to practicing evidence based medicine. Results: Of the population, 104 physicians were found and 62 answered the survey. From the respondents, 31 % of internal physicians and 19 % of residents defined the concept of EBM accurately. 92 % of physicians and 89 % of residents mainly have a good general opinion of Evidence based medicine. The second step involved in the practice of EBM- information searching- is the only accurately followed. The main difficulty in the incorporation of EBM was the lack of EBM promotion -37 % of respondents-. Conclusions: Physicians do not have enough knowledge of EBM definition; however, they have good attitudes towards it; physicians show an incomplete use of EBM in their clinical practice, the main barriers in the incorporation of MBE that physicians identified were the lack of EBM promotion and a inadequate logistic; differences statistically significative between physicians and resident were not found. (Rev Med Hered 2007;18:76-84).

Palabras llave: Evidence based medicine; attitudes; knowledge; barriers.