Basic estimate of needs for training in evidence‐based medicine in Slovakia

Ljuba Bacharova (International Laser Centre, Bratislava, Slovak Republic)
Svatopluk Hlavacka (Slovak Postgraduate Academy of Medicine, Bratislava, Slovak Republic)
Viera Rusnakova (Health Management School, Bratislava, Slovak Republic)

Journal of Management in Medicine

ISSN: 0268-9235

Publication date: 1 December 2000


This study reports the findings of the first survey of the knowledge and needs for training in evidence based medicine (EBM) of health‐care workers in Slovakia. This study was primarily qualitative and based on a triangular approach, which included: analysis of the situation in pre‐ and postgraduate education in Slovakia aimed at estimating needs in EBM and critical appraisal skills (CAS) training; analysis of questionnaires distributed in a sample of medical doctors and university educated public health workers undergoing postgraduate training; and focus group discussions. The findings revealed a real gap in knowledge in EBM and CAS in Slovakia and identified several areas as the focus for intervention. The results showed also some important behavioural and cultural aspects, including low individual responsibility for education; tendency to delegate responsibility to authorities (experts, top management, Ministry of Health); and persistence of the state paternalistic type of education. Concludes that managers planning to implement EBM in Slovakia should therefore consider a broader behavioural and cultural context for change, not just introduction of a training EBM module.



Bacharova, L., Hlavacka, S. and Rusnakova, V. (2000), "Basic estimate of needs for training in evidence‐based medicine in Slovakia", Journal of Management in Medicine, Vol. 14 No. 5/6, pp. 362-382.

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Copyright © 2000, MCB UP Limited

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