PUBLIC HEALTH & EVIDENCE BASED MEDICINE AMONG JEDDAH PHYSICIANS

Public Health & Evidence Based Medicine Among Jeddah Physicians

Abstract

Although evidence-based medicine (EBM) is an important concept for promoting value in health care, meaningful application of EBM tools in commercial settings has proceeded slowly. Barriers to the use of EBM include patient preference, physician resistance, the lack of automated decision support systems, managed care failures, lack of research on which to base decisions, and the inherent subjectivity of interpretations of evidence. Political concern has mirrored these barriers; consequently, Medicare still lacks clear authority to apply many evidence-based decision tools. Dialogue and consensus will be critical in bridging public concern and the eagerness of researchers to apply EBM.

Acknowledgement

Writing this thesis has been very demanding, challenging and time-consuming, but also remarkable, informative and above all fun. Nevertheless, it feels great to have finally completed my bachelor's or master's thesis and I am now looking forward to a nice relaxing period for recovering. It has been both advantages and drawbacks with the limited amount of earlier research conducted within this area, even though I faced serious troubles but sometimes the advantages of this research luckily were in my favor and have made this research both challenging and interesting. I would like to thank my supervisor _____________, professor at _______________University, who has been great in guiding my through this thesis, helping me through the difficulties I faced during the entire process and motivated me to work hard. Furthermore, I would like to thank all my friends, for their contributions by sharing their perceptions and opinions with me. Above all I would like to thank my family and teachers that provided me with valuable and constructive criticism.

Declaration

I ______________, confirm that this work submitted for assessment is my own and is expressed in my own words. Any uses made within it of the works of other authors in any form (e.g. ideas, equations, figures, text, tables, programmes) are properly acknowledged at the point of their use. A full list of the references employed has been included.

Signed: ________________.

Date: __________________.

Copyright Statement

I hereby grant the University of _________________ or its agents the right to archive and to make available my thesis or dissertation in whole or part in the University libraries in all forms of media, now or here after known, subject to the provisions of the Copyright Act 2009. I retain all proprietary rights, such as patent rights. I also retain the right to use in future works (such as articles or books) all or part of this thesis or dissertation. I have either used no substantial portions of copyright material in my thesis or I have obtained permission to use copyright material; where permission has not been granted I have applied/will apply for a partial restriction of the digital copy of my thesis or dissertation.'

Table Of Content

ABSTRACTII

ACKNOWLEDGEMENTIII

DECLARATIONIV

COPYRIGHT STATEMENTV

INTRODUCTION1

Aim of study1

Objectives of study2

LITERATURE REVIEW2

Definitions7

Evidence-Based Medicine7

Evidence Based: Two Approaches7

Integrating Two Approaches13

Barriers to Practicing EBM17

1.Practice Related Barriers17

2.Patient Related Barriers18

3.Environmental Barriers18

4.Resource Related Barriers18

RESULTS19

DISCUSSION20

Summary29

Recommendations30

REFERENCES31

BIBLIOGRAPHY34

Public Health & Evidence Based Medicine Among Jeddah Physicians

Introduction ...