Straus S E, McAlister F A
Division of General Internal Medicine, Mount Sinai Hospital, Toronto, Ont.
CMAJ. 2000 Oct 3;163(7):837-41.
Discussions about evidence-based medicine engender both negative and positive reactions from clinicians and academics. Ways to achieve evidence-based practice are reviewed here and the most common criticisms described. The latter can be classified as "limitations universal to the practice of medicine," "limitations unique to evidence-based medicine" and "misperceptions of evidence-based medicine." Potential solutions to the true limitations of evidence-based medicine are discussed and areas for future work highlighted.
关于循证医学的讨论在临床医生和学者中引发了负面和正面的反应。本文回顾了实现循证实践的方法，并描述了最常见的批评意见。后者可分为“医学实践普遍存在的局限性”、“循证医学特有的局限性”和“对循证医学的误解”。讨论了针对循证医学真正局限性的潜在解决方案，并强调了未来工作的领域。
