Jmelnitzky A C
Cátedra de Gastroenterología de Posgrado, Facultad de Ciencias Médicas, Universidad Nacional de la Plata (UNLP).
Acta Gastroenterol Latinoam. 2000;30(5):515-7.
Evidence Based Medicine (EBM) provide a new philosophy and useful tools to incorporate the scientific method to medical practice in Gastroenterology, Hepatology and Digestive Endoscopy. Large and well designed multicenter randomized clinical trials validated if necessary by metaanalysis, are the main support to the system; in spite of that individual decisions will owe to take into account interests and beliefs of patients and their relatives, doctors and society National or regional consensus and guide-lines elaborated by experts of scientific institutions are published in first line publications and easily available by computerized ways. Incorporation of econometric studies specially centered on quality of life quantification would be excellent weapons in the process of decision making Computers technology as a tool of fast access to scientific bases of medical problems and as a real participant of the process of health care, should owe to be inserted to educational programs at the universities and scientific institutions, at levels of specialization and continuing medical education.
循证医学（EBM）为将科学方法融入胃肠病学、肝病学和消化内镜学的医疗实践提供了一种新的理念和有用的工具。大型且设计良好的多中心随机临床试验（如有必要通过荟萃分析进行验证）是该体系的主要支撑；尽管如此，个体决策仍需考虑患者及其亲属、医生和社会的利益和信念。国家或地区的共识以及科学机构专家制定的指南会在一线出版物上发表，并且可以通过计算机化方式轻松获取。纳入特别关注生活质量量化的计量经济学研究将是决策过程中的有力武器。计算机技术作为快速获取医疗问题科学依据的工具以及医疗保健过程的实际参与者，应该在大学和科研机构的专业教育和继续医学教育层面被纳入教育项目。
