Actitudes, uso, barreras y conocimientos sobre la medicina basada en la evidencia según el nivel de atención

Introduction: Despite the importance of evidence-based medicine, a better understanding of the situation is necessary for developing educational and practical efforts to implement evidence-based medicine in the health system. Objective: To determine the attitude, use, barriers and knowledge of evidence-based medicine in Peruvian doctors according to the level of care. Methods: A cross-sectional analytical study was carried out through a survey that was applied to Peruvian doctors who work at different levels of health care. Results: A total of 1396 physicians were surveyed. 64.35% indicated positive attitude towards the application of evidence-based medicine. In the case of barriers, 51.01% did not have enough relevant evidence; 49.35% did not have time; 47.20% did not have sufficient skills to find it; while 44.40% could not critically read them. Regarding information access, almost 80% of the participants reported that they do not have access to any of the aforementioned databases. Taking into account the understanding of statistical terms, more than two-thirds of the participants had high level of understanding. Conclusions: Although the majority of physicians surveyed have good knowledge and positive attitude towards evidence-based medicine, there are still barriers and use of information that need to be improved.