Thực trạng và các yếu tố rào cản liên quan đến ứng dụng y học chứng cứ của bác sĩ tại khoa khám bệnh Bệnh viện Lê Văn Thịnh

Evidence-Based Practice (EBP) is a cornerstone of modern healthcare, integrating the best available research evidence with clinical expertise and patient values to optimize care outcomes. Globally, EBP is recognized as crucial for enhancing service quality, resource utilization, and patient safety. However, its widespread implementation faces significant challenges, particularly in developing countries, often due to limited resources, inadequate training, and various personal and organizational barriers. In Vietnam, understanding the current status and specific impediments to EBP adoption among physicians is vital. This study therefore aims to assess the frequency of EBP utilization and identify associated factors among physicians in the Outpatient Department of Le Van Thinh Hospital, providing critical insights for targeted interventions.

Healthcare administrators, hospital management, medical educators, policymakers in public health, and physicians interested in improving clinical practice through evidence-based approaches, particularly in developing country contexts.

This cross-sectional study investigated the utilization of Evidence-Based Practice (EBP) and related factors among 160 physicians in the Outpatient Department of Le Van Thinh Hospital. Data were collected via a validated self-administered questionnaire, with EBP utilization assessed across its five core steps. Multivariable logistic regression was employed to identify significant predictors. The findings revealed that a substantial portion of physicians (54.38%) exhibited low EBP utilization, contrasting with 45.63% demonstrating high utilization. Specifically, part-time physicians were significantly less likely to practice EBP (Odds Ratio = 0.12, p = 0.022), and increased personal barriers—encompassing knowledge, search skills, and confidence—were inversely associated with higher EBP utilization (Odds Ratio = 0.32, p = 0.024). The study concludes that while EBP has been incorporated into clinical practice, its application remains inconsistent and is influenced more by individual obstacles and organizational integration rather than demographic traits. These results underscore the critical need for multifaceted interventions. Future efforts should simultaneously strengthen physicians' EBP competencies and foster a more supportive workplace environment, with particular strategic focus on addressing the challenges faced by part-time medical staff. This approach is essential for transforming EBP from an integrated concept into a routine and sustainable practice within healthcare settings.