1. THE INFORMATION MANAGEMENT
OF
MEDICAL INFORMATION PROFESSIONALS
IN EVIDENCE-BASED MEDICINE
IN THAILAND
Somrux Sahapong
lissh@mahidol.ac.th
Chief Learning Resource Center
g
Faculty of Medicine Ramathibodi Hospital
Mahidol University
Bangkok Thailand

2. THAILAND

3. Background
g
Definition of Evidence-Based Medicine
“EBM is the conscientious, explicit and
p
judicious use of current best evidence in
j di i f b id i
making decisions about the care of the
individual patient It means integrating
patient.
individual clinical expertise with the best
available external clinical evidence from
systematic research"
(Sackett, 1996)

4. Background … (Con.)
g ( )

5. Background ..(Con.)
g ( )

6. Background ..(Con.)
g ( )
▪I f
Information use b h i of clinicians practicing
ti behavior f li i i ti i
EBM in Thailand
Competency in information use
Knowledge of EBM
Experience in EBM
Organization support
Competency on IT
Educational background
(Sahapong, Manmart, Ayuvat, & Potisat, 2009 )

7. Background ..(Con.)
g ( )
▪ The EBM clinicians’ obstacle
Time constraint
Ti t i t
Insufficient competency in information searching
(Sahapong, Manmart, Ayuvat, & Potisat, 2009 )

8. Background ..(Con.)
g ( )
▪ Medical Information Professionals (MIPs):
information management
f

9. Conceptual framework
p
Information
use behavior Role
Information
of clinicians &
Competency
management
practicing Of MIPs
EBM,Obstacles
EBM Ob t l

10. Objective
To study the current information
management of MIPs serving
g g
clinicians in the practice of EBM
in Thailand

11. Methodology
▪ Survey research
▪ Questionnaires distributed to 54 MIPs
▪ Demographic characteristics
- General profile
p
- Competency
▪ Computers and Internet literacy
▪ The basic knowledge of EBM
▪O
Organization support
ni ti n pp t
- EBM support policy
- Technology infrastructure
▪ Current information management
- Databases provision
- Information service for EBM clinicians
- The cooperation between MIPs and clinicians
▪ Obstacles of information management
- EBM clinicians and organization
li i i d i ti
- Library and MIPs

12. Results:Demographic characteristics
▪ Completely replied respondents 100 %
▪ Female 94.4 %
▪ Mean age 41.5 years (28-59 years)
▪ University public hospitals 72.2 %
▪ Non university public hospitals 27 8 %
Non-university 27.8

13. Results:Competencies
p of MIPs
▪ Use of in Internet 59.3%
59 3%
▪ Medical information searching
- PubMed (Clinical Queries) 42.6 %
- Cochrane Library 40.7
40 7 %
▪ The lack of Basic knowledge
about EBM 82.2 %

14. Result:Organization EBM support policy
pp p y
Level of EBM support policy Percentage
(N=54)
Low level of EBM support policy (11-14)
(11 14) 24.0
24 0
Moderate level of EBM support policy (15-18) 28.0
High level of EBM support policy (19-21) 48.0
100.0
Mean = 17.2 S.D. = 3.4 Min = 11.0 Max = 21.0

15. Results: Organization t h l
O i ti technology
infrastructure
f
Level of technology infrastructure Percentage
g
(N=54)
Low level of technology infrastructure (10-11) 3.7
Moderate level of technology infrastructure (12-13) 3.7
High level of technology infrastructure (14 16)
(14-16) 92.6
92 6
100.0
Mean = 15.2 S.D. = 1.3 Min = 10.0 Max = 16.0

16. Results:Databases provision
Databases provision Percentage (N=54)
Yes No
PubMed 98.2 1.8
y
Cochrane Library 74.1 25.9
UpToDate 55.6 44.4
ACP J
Journal Club
l Cl b 31.5
31 5 68.5
68 5

17. Results:Information services for
EBM clinicians
li i i
Information services for EBM clinicians Percentage (N=54)
Yes No
Subscribe the database 83.3 16.7
Training for information searching 75.9
75 9 24.1
24 1
Searching Systematic Reviews 68.5 31.5
Menu for EBM in Website 50.0 50.0
Filter service for EBM information 42.6 57.4
Critical
C iti l appraisal with clinicians
i l ith li i i 24.1
24 1 75.9
75 9
Consultation service from MIPs expert in EBM
p 20.8 79.2
Attending patient ward round 5.6 94.4

18. Results:Th
The cooperation between MIPs
ti b t MIP
and clinicians
The t i
Th topic consultation b t
lt ti between MIPs
MIP Percentage
P t
and clinicians (N=54)
Yes
Y No
N
Resources and databases evaluation 57.4 42.6
Searching the Systematic Reviews 40.7 59.3

19. Results:Ob t l
Obstacles of i f
f information
ti
management by MIPs
▪ Insufficient M
uff MIPs ( . %)
(48.2 )
▪ Knowledge in searching (35.8 %)
medical information
l
▪ Lacked of basic knowledge of EBM (33.4 %)

20. Discussion
▪ There is a need of MIPs

21. Who will take this job?
j

22. The required competencies of MIPs
q p
▪ IT
▪ Information and database
▪ EBM concepts and practice

23. Technology Infrastructure
gy

24. Obstacles issues
▪ Low number of MIP
▪ Lack of knowledge on EBM
g
▪ Training
▪ Att di
Attending
▪ Online learning
g
▪ Joining web blog or CoPs

25. Conclusion
▪ The roles
▪ The cooperation

26. Thank you for
your attention
Take care your health !