• 1. First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China;2. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China;3. Health Bureau of Gaolan County, Gaolan 730200, China;
CHEN Yaolong, Email: chenyaolong@lzu.edu.cn
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Objective  To investigate the decision-making situation of doctors in the township hospitals in Gaolan, Gansu province, and to discuss its scientificity and rationality.
Methods  Self-designed questionnaire was adopted to investigate the clinical decision-making situation of 108 doctors from 7 township hospitals in Gaolan county. The investigation contained three parts as follows: basic information of respondents, general information of clinical decision-making evidence, and comparison between respondents’ decision-making situation and current best clinical evidence.
Results  Among the total 108 questionnaires distributed, 89 valid were retrieved. The feedback showed that 79% of the doctors diagnosed and treated patients in accordance with medical textbooks; 53% took curative effect into consideration in the first place; 33% failed to consider patients’ willingness properly when making clinical decisions; and 52% made clinical therapy regimen for common diseases based on the evidence which was different from that in BMJ published Clinical Evidence.
Conclusion  While making clinical decisions, doctors in the township hospitals do not adequately refer to the best clinical evidence as their decision-making basis, and fail to take patients’ value and willingness into consideration properly. It is necessary to promote the concept of evidence-based medicine and spread the best evidence in the township health departments.

Citation: WANG Zehao,FENG Linlin,ZHAO Yangyang,XIAO Xiaojuan,YAO Liang,WANG Qi,YANG Kehu,GUO Yimin,CHEN Yaolong. Clinical Decision-Making by Doctors in Township Hospitals in Gaolan: A Questionnaire Survey. Chinese Journal of Evidence-Based Medicine, 2012, 12(6): 740-742. doi: 10.7507/1672-2531.20120120 Copy

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