J Anal Res Clin Med. 2015;3(1): 1-11.
doi: 10.15171/jarcm.2015.001
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A systematic review on barriers, facilities, knowledge and attitude toward evidence-based medicine in Iran

Morteza Ghojazadeh 1, Saber Azami-Aghdash 2*, Fatemeh Pournaghi Azar 3, Mozhgan Fardid 4, Mohammad Mohseni 5, Taraneh Tahamtani 6

1 Associate Professor, Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 PhD Student, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran
3 Assistant Professor, Department of Operative Dentistry, School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
4 PhD Student, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
5 PhD Student, Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
6 Manager of Continuing Education, Alborz University of Medical Sciences, Karaj, Iran


Introduction: Evidence-based medicine (EBM) is the ability and skill in using and integration of the best up-to-date evidences. The aim of this study was a systematic review of barriers, facilities, knowledge and attitude of EBM in Iran. Methods: In this study, database and manual search was used with keywords such as, “evidence-based, EBM, evidence-based nursing, evidence-based practice, evidence-based care, evidence-based activities, evidence-based education” and their combination with the keywords of the barrier, facilitator, attitude, awareness, prospective, knowledge, practice and Iran. The databases of SID (Scientific information database), Magiran, MEDLIB, PubMed, Google scholar, IranMedex and CINAHL (Cumulative index to nursing and allied health literature) were used for data collection. Results: Finally, 28 papers were included in this study. The lack of facilities, time and skill in research methodology were the most important barriers to EBM. The most and least important factors were orderly creating ample opportunity and detecting needs and problems. The degree of familiarity with the terminology of evidence-based performance was low (44.2%). The textbooks have been considered as the most significant source of obtaining information. The level of awareness, knowledge, and evidence-based performance was less than 50.0%. Conclusion: There are many various barriers in use of EBM and healthcare providers despite the positive attitude toward EBM had a low level knowledge in EBM setting. Consideration of the importance of EBM proper planning and effective intervention are necessary to removing the barriers and increase the knowledge of healthcare providers.
Keywords: Evidence-Based Medicine, Medical Sciences, Systematic Review, Iran
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Submitted: 17 Sep 2014
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