Prise de conscience, attitudes et connaissances des médecins dans la Bande de Gaza au sujet de la médecine factuelleRÉSUMÉ La médecine factuelle a émergé comme stratégie visant à intégrer les données issues de la recherche dans la prise de décision clinique. Nous avons étudié la prise de conscience, les attitudes et les connaissances des médecins dans la Bande de Gaza concernant la médecine factuelle. En 2014, nous avions conduit une enquête transversale auprès des médecins travaillant dans des centres de santé à Gaza, au moyen de questionnaires auto-administrés en ligne composés de 20 items. Près des deux tiers des répondants accueillaient, en principe, favorablement la médecine factuelle et pensaient qu'elle peut améliorer les soins dispensés aux patients. Toutefois, leurs connaissances concernant la médecine factuelle étaient faibles. Les principaux obstacles à la médecine factuelle mentionnés par les répondants étaient l'absence des connaissances concernant la pratique de la médecine factuelle ABSTRACT Evidence-based medicine (EBM) has emerged as a strategy to integrate research evidence within clinical decision-making. We have explored awareness, knowledge and attitudes about EBM among doctors in the Gaza Strip. In 2014, we conducted a cross-sectional survey among doctors working in health centres in Gaza, using a 20 item, web-based self-administered questionnaire. Approximately two thirds of the respondents welcomed EBM in principle, and believed that it could improve patient care. However, they had a relatively low level of knowledge about EBM. The main barriers to EBM mentioned by respondents were lack of knowledge needed to practise EBM [n = 47 (35%)]; negative attitude among senior colleagues [n = 34 (25%)]; lack of relevant resources [n = 31 (23%)]; work overload [n = 27 (20%)]; and lack of institutional support [n = 248 (18%)]. Thus, there are personal and organisational barriers to its practice that need to be addressed.

Objectives and Introduction: According to the most recent global burden diseases study (2017), Algeria and the Middle East countries are classified as high mortality countries of acute coronary syndrome, with a 26% increase in period from 1990 to 2017. The objectives of this article are first to detail the methodology and design of the Setif-AMI registry, 4-year registration criteria for patients with STEMI (ST Elevation Myocardial Infarction) and NSTEMI (Non-ST Elevation Myocardial Infarction), to explore the different socio-demographic, clinical, therapeutic and epidemiological variables used in our database and measure the prevalence of STEMI and NSTEMI as well as the prevalence of risk factors. Materials and Methods:The Setif-AMI registry was initiated in January 2015, it is located at the cardiology department of the University Hospital of Setif (UHS) with the initiative of the cardiovascular research laboratory under the supervision of the management of the health and the population of Setif. The establishment of the registry required the use of local hospitals and sources of information, the analysis of death records and records of autopsies listed. This is a prospective study over a 4-year period, 2015-2018.Results: 3420 patients with the inclusion criteria were registered. Prevalence of 28.54% for men and 11.65% for women, the hospital mortality rate of 5%. Conclusion:Based on data from the Setif-AMI registry, we have prevalence and a mortality rate in our population.This experience has allowed us to demonstrate the possibility of providing useful information and little available in our country despite difficulties in data sources that needs to be improved.

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