TY - JOUR
T1 - Evaluation of a workshop on evidence-based medicine for social insurance physicians
AU - Kok, Rob
AU - Hoving, Jan L.
AU - Verbeek, Jos H.
AU - Schaafsma, Frederieke G.
AU - Smits, Paul B. A.
AU - van Dijk, Frank J. H.
PY - 2008
Y1 - 2008
N2 - Background: Evidence-based medicine (EBM), a comprehensive method to support clinical decision making by using evidence, has been instrumental in clinical specialties but not yet in insurance medicine. Aims: We developed and evaluated a workshop on EBM for Dutch social insurance physicians who perform disability evaluations. Methods: Sixty-six social insurance physicians followed a 1-day introductory workshop that focused on teaching two EBM core skills: to ask answerable questions and to search for the best evidence. All outcomes were measured before, immediately after and 3 months after the workshop by means of self-assessment. The primary outcomes were knowledge, skills, attitude and intention to apply EBM in practice. The secondary outcomes were social influence, self-efficacy and behaviour. Results: Immediately after the workshop, a marked and significant improvement was seen in self-assessed skills (mean difference 4.2, 95% CI 3.7-4.6) and in self-efficacy to apply EBM (mean difference 0.7, 95% CI 0.6-0.8). For attitude, knowledge and intention, the improvements were small. Three months after the workshop, the improvements in skills (mean difference 2.3, 95% CI 1.8-2.9) and self-efficacy (mean difference 0.5, 95% CI 0.3-0.6) remained significant. Conclusions: The workshop improved self-assessed EBM skills and self-efficacy both in the short and long term. The workshop also resulted in limited short-term improvements in self-assessed knowledge and in the intention to apply EBM in practice. The EBM approach can be successfully taught to social insurance physicians working in the field of disability evaluation. © 2008 The Author(s).
AB - Background: Evidence-based medicine (EBM), a comprehensive method to support clinical decision making by using evidence, has been instrumental in clinical specialties but not yet in insurance medicine. Aims: We developed and evaluated a workshop on EBM for Dutch social insurance physicians who perform disability evaluations. Methods: Sixty-six social insurance physicians followed a 1-day introductory workshop that focused on teaching two EBM core skills: to ask answerable questions and to search for the best evidence. All outcomes were measured before, immediately after and 3 months after the workshop by means of self-assessment. The primary outcomes were knowledge, skills, attitude and intention to apply EBM in practice. The secondary outcomes were social influence, self-efficacy and behaviour. Results: Immediately after the workshop, a marked and significant improvement was seen in self-assessed skills (mean difference 4.2, 95% CI 3.7-4.6) and in self-efficacy to apply EBM (mean difference 0.7, 95% CI 0.6-0.8). For attitude, knowledge and intention, the improvements were small. Three months after the workshop, the improvements in skills (mean difference 2.3, 95% CI 1.8-2.9) and self-efficacy (mean difference 0.5, 95% CI 0.3-0.6) remained significant. Conclusions: The workshop improved self-assessed EBM skills and self-efficacy both in the short and long term. The workshop also resulted in limited short-term improvements in self-assessed knowledge and in the intention to apply EBM in practice. The EBM approach can be successfully taught to social insurance physicians working in the field of disability evaluation. © 2008 The Author(s).
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=40349102101&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/18204004
U2 - https://doi.org/10.1093/occmed/kqm151
DO - https://doi.org/10.1093/occmed/kqm151
M3 - Article
C2 - 18204004
SN - 0962-7480
VL - 58
SP - 83
EP - 87
JO - Occupational Medicine
JF - Occupational Medicine
IS - 2
ER -