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Comparison of factors associated with the evidence-practice gap as perceived by Japanese and Brazilian dentists. | LitMetric

Comparison of factors associated with the evidence-practice gap as perceived by Japanese and Brazilian dentists.

J Dent

Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Room SDB 109, 1720 Second Avenue South, Birmingham, AL 35294-0007, USA.

Published: October 2024

AI Article Synopsis

  • The study aimed to identify and compare factors contributing to the evidence-practice gap (EPG) in dentistry between Japan and Brazil as perceived by dentists and explore mechanisms to address the gap.
  • A web-based questionnaire was used to collect data from 136 Japanese and 110 Brazilian dentists, focusing on factors causing the EPG.
  • Results showed common issues in both countries, like prioritizing personal experiences over evidence, but also highlighted country-specific challenges, with recommendations for improving evidence-based dentistry (EBD) education and resources tailored to each country's context.

Article Abstract

Objectives: To identify 1) factors of the evidence-practice gap (EPG) in Japan and Brazil as perceived by dentists and compare these factors between two countries, and 2) mechanisms to close this EPG.

Methods: The study employed a cross-sectional design by administering a web-based questionnaire to 136 Japanese and 110 Brazilian dentists. The survey queried dentists' reports of which factors possibly cause an EPG, using a newly developed 20-item questionnaire.

Results: An international comparison of 20 items related to factors of the EPG between Japan and Brazil revealed that "Dentists' own experiences are sometimes given priority over evidence" and "Dentists' own thoughts are sometimes given priority over evidence" were common factors to both countries, with over 80 % agreement. In logistic regression, "Insufficient opportunity to learn about evidence in dental education at universities", "Evidence-based treatments are sometimes not covered by the dental insurance system", and "Insufficient evidence which helps dentists choose an appropriate treatment for a patient after careful consideration of his/her own background" were significantly associated with the EPG in Japan (p < 0.05). In Brazil, "Insufficient case reports in which evidence-based dentistry (EBD) is applied to clinical practice" and "Image-based information and devices used for diagnosis vary depending on individual dentists" were significantly associated with the EPG (p < 0.05).

Conclusions: This study suggests that EPG could be improved in Japan: by promoting EBD education at universities, improving the dental insurance system, and accumulating evidence according to patient background; and in Brazil: by promoting EBD case reports and standardizing diagnostic information and devices.

Clinical Significance: Two factors of EPG common to Japan and Brazil, namely the prioritization of dentists' own "experiences" and "thoughts" over evidence, are urgent issues for improving EPG. In addition, it will be necessary to address the country-specific factors of EPG that were identified in this study.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381139PMC
http://dx.doi.org/10.1016/j.jdent.2024.105255DOI Listing

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