Sutherland S E
Department of Dentistry, Sunnybrook and Women's College Health Sciences Centre, Toronto, ON.
J Can Dent Assoc. 2000 May;66(5):241-4.
The practice of dentistry is becoming more complex and challenging. Changing socio-demographic patterns, patients as knowledgeable health care consumers, rapid technical advances and the information "explosion" all place greater demands on clinical decision making. The need for reliable information and the electronic revolution have come together to allow the "paradigm shift" towards evidence-based health care to progress swiftly. Evidence-based dentistry closes the gap between clinical research and real world dental practice and provides dentists with powerful tools to interpret and apply research findings. Central to evidence-based practice is the systematic literature review, which synthesizes the best evidence and provides the basis for clinical practice guidelines.
牙科实践正变得越来越复杂且具有挑战性。不断变化的社会人口结构模式、作为知识丰富的医疗消费者的患者、快速的技术进步以及信息“爆炸”,都对临床决策提出了更高要求。对可靠信息的需求与电子革命相结合,使得向循证医疗的“范式转变”得以迅速推进。循证牙科弥合了临床研究与现实世界牙科实践之间的差距,并为牙医提供了强大的工具来解读和应用研究结果。循证实践的核心是系统的文献综述,它综合了最佳证据,并为临床实践指南提供了基础。