THE INFORMATION MANAGEMENT                 OFMEDICAL INFORMATION PROFESSIONALS    IN EVIDENCE-BASED MEDICINE            IN...
THAILAND
Background    gDefinition of Evidence-Based Medicine“EBM is the conscientious, explicit and                               ...
Background … (Con.)    g        (    )
Background ..(Con.)    g        (    )
Background ..(Con.)    g        (    )▪I f Information use b h i of clinicians practicing         ti       behavior f li i...
Background ..(Con.)    g        (    )▪ The EBM clinicians’ obstacle     Time constraint     Ti        t i t     Insuffici...
Background ..(Con.)    g        (    )▪ Medical Information Professionals (MIPs):  information management    f
Conceptual framework         pInformationuse behavior       Role                             Informationof clinicians     ...
Objective To study the current information management of MIPs serving       g                      g clinicians in the pra...
Methodology▪ Survey research▪ Questionnaires distributed to 54 MIPs  ▪ Demographic characteristics       - General profile...
Results:Demographic     characteristics▪ Completely replied respondents 100 %▪ Female                       94.4 %▪ Mean a...
Results:Competencies           p                of MIPs▪ Use of in Internet               59.3%                           ...
Result:Organization EBM                    support policy                                             pp    p    y       L...
Results:           Organization t h l                   O     i ti technology                     infrastructure          ...
Results:Databases     provisionDatabases provision    Percentage (N=54)                       Yes           NoPubMed      ...
Results:Information                services for                        EBM clinicians                             li i iIn...
Results:Th        The      cooperation between MIPs                         ti b t      MIP            and cliniciansThe t...
Results:Ob t l        Obstacles  of i f                    f information                             ti          managemen...
Discussion▪ There is a need of MIPs
Who will take this job?                   j
The required competencies of MIPs      q         p▪ IT▪ Information and database▪ EBM concepts and practice
Technology Infrastructure        gy
Obstacles issues▪ Low number of MIP▪ Lack of knowledge on EBM                 g   ▪ Training  ▪ Att di     Attending   ▪ O...
Conclusion▪ The roles▪ The cooperation
Thank you for       your attentionTake care your health !
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THE INFORMATION MANAGEMENT OFMEDICAL INFORMATION PROFESSIONALS IN EVIDENCE-BASED MEDICINE IN THAILAND Somrux Sahapong lissh@mahidol.ac.th Chief Learning Resource Center g Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand The inf

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THE INFORMATION MANAGEMENT OFMEDICAL INFORMATION PROFESSIONALS IN EVIDENCE-BASED MEDICINE IN THAILAND Somrux Sahapong lissh@mahidol.ac.th Chief Learning Resource Center g Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand The inf

  1. 1. THE INFORMATION MANAGEMENT OFMEDICAL INFORMATION PROFESSIONALS IN EVIDENCE-BASED MEDICINE IN THAILAND Somrux Sahapong lissh@mahidol.ac.th Chief Learning Resource Center g Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand
  2. 2. THAILAND
  3. 3. Background gDefinition of Evidence-Based Medicine“EBM is the conscientious, explicit and p judicious use of current best evidence in j di i f b id i making decisions about the care of the individual patient It means integrating patient. individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett, 1996)
  4. 4. Background … (Con.) g ( )
  5. 5. Background ..(Con.) g ( )
  6. 6. Background ..(Con.) g ( )▪I f Information use b h i of clinicians practicing ti behavior f li i i ti i EBM in Thailand Competency in information use Knowledge of EBM Experience in EBM Organization support Competency on IT Educational background (Sahapong, Manmart, Ayuvat, & Potisat, 2009 )
  7. 7. Background ..(Con.) g ( )▪ The EBM clinicians’ obstacle Time constraint Ti t i t Insufficient competency in information searching (Sahapong, Manmart, Ayuvat, & Potisat, 2009 )
  8. 8. Background ..(Con.) g ( )▪ Medical Information Professionals (MIPs): information management f
  9. 9. Conceptual framework pInformationuse behavior Role Informationof clinicians & Competency managementpracticing Of MIPsEBM,ObstaclesEBM Ob t l
  10. 10. Objective To study the current information management of MIPs serving g g clinicians in the practice of EBM in Thailand
  11. 11. Methodology▪ Survey research▪ Questionnaires distributed to 54 MIPs ▪ Demographic characteristics - General profile p - Competency ▪ Computers and Internet literacy ▪ The basic knowledge of EBM ▪O Organization support ni ti n pp t - EBM support policy - Technology infrastructure ▪ Current information management - Databases provision - Information service for EBM clinicians - The cooperation between MIPs and clinicians ▪ Obstacles of information management - EBM clinicians and organization li i i d i ti - Library and MIPs
  12. 12. Results:Demographic characteristics▪ Completely replied respondents 100 %▪ Female 94.4 %▪ Mean age 41.5 years (28-59 years)▪ University public hospitals 72.2 %▪ Non university public hospitals 27 8 % Non-university 27.8
  13. 13. Results:Competencies p of MIPs▪ Use of in Internet 59.3% 59 3%▪ Medical information searching - PubMed (Clinical Queries) 42.6 % - Cochrane Library 40.7 40 7 %▪ The lack of Basic knowledge about EBM 82.2 %
  14. 14. Result:Organization EBM support policy pp p y Level of EBM support policy Percentage (N=54)Low level of EBM support policy (11-14) (11 14) 24.0 24 0Moderate level of EBM support policy (15-18) 28.0High level of EBM support policy (19-21) 48.0 100.0Mean = 17.2 S.D. = 3.4 Min = 11.0 Max = 21.0
  15. 15. Results: Organization t h l O i ti technology infrastructure f Level of technology infrastructure Percentage g (N=54)Low level of technology infrastructure (10-11) 3.7Moderate level of technology infrastructure (12-13) 3.7High level of technology infrastructure (14 16) (14-16) 92.6 92 6 100.0Mean = 15.2 S.D. = 1.3 Min = 10.0 Max = 16.0
  16. 16. Results:Databases provisionDatabases provision Percentage (N=54) Yes NoPubMed 98.2 1.8 yCochrane Library 74.1 25.9UpToDate 55.6 44.4ACP J Journal Club l Cl b 31.5 31 5 68.5 68 5
  17. 17. Results:Information services for EBM clinicians li i iInformation services for EBM clinicians Percentage (N=54) Yes NoSubscribe the database 83.3 16.7Training for information searching 75.9 75 9 24.1 24 1Searching Systematic Reviews 68.5 31.5Menu for EBM in Website 50.0 50.0Filter service for EBM information 42.6 57.4CriticalC iti l appraisal with clinicians i l ith li i i 24.1 24 1 75.9 75 9Consultation service from MIPs expert in EBM p 20.8 79.2Attending patient ward round 5.6 94.4
  18. 18. Results:Th The cooperation between MIPs ti b t MIP and cliniciansThe t iTh topic consultation b t lt ti between MIPs MIP Percentage P tand clinicians (N=54) Yes Y No NResources and databases evaluation 57.4 42.6Searching the Systematic Reviews 40.7 59.3
  19. 19. Results:Ob t l Obstacles of i f f information ti management by MIPs ▪ Insufficient M uff MIPs ( . %) (48.2 ) ▪ Knowledge in searching (35.8 %) medical information l ▪ Lacked of basic knowledge of EBM (33.4 %)
  20. 20. Discussion▪ There is a need of MIPs
  21. 21. Who will take this job? j
  22. 22. The required competencies of MIPs q p▪ IT▪ Information and database▪ EBM concepts and practice
  23. 23. Technology Infrastructure gy
  24. 24. Obstacles issues▪ Low number of MIP▪ Lack of knowledge on EBM g ▪ Training ▪ Att di Attending ▪ Online learning g ▪ Joining web blog or CoPs
  25. 25. Conclusion▪ The roles▪ The cooperation
  26. 26. Thank you for your attentionTake care your health !

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