Yamashiro S
Department of General Medicine, Saga Medical School, Saga 849-8501.
Rinsho Byori. 2000 Dec;48(12):1149-55.
Evidence-based medicine is an approach to clinical practice that aims to solve the patient's problems. EBM includes five steps: identifying patient's problems, searching medical literature efficiently, critically appraising the literature(evidence), applying it to patient care, and self-assessment of these steps. Since September 1999, we have practiced the EBM approach to patient care, in inpatient and outpatient settings at the department of General Medicine of Saga Medical School. We found ourselves more clearly differentiating between the EBM approach and past conventional practice. We found EBM to be more clinically useful and we have enjoyed reading medical literature because of the focus on patient's problems. To improve our use of the EBM approach, we need to study more about clinical epidemiology to evaluate and use medical literature in patient care.
循证医学是一种旨在解决患者问题的临床实践方法。循证医学包括五个步骤：识别患者问题、高效检索医学文献、严格评价文献（证据）、将其应用于患者护理以及对这些步骤进行自我评估。自1999年9月以来，我们在佐贺医科大学普通内科的住院和门诊环境中，对患者护理采用了循证医学方法。我们发现自己能更清晰地区分循证医学方法与过去的传统做法。我们发现循证医学在临床上更有用，而且由于关注患者问题，我们也更乐于阅读医学文献。为了更好地运用循证医学方法，我们需要更多地学习临床流行病学，以便在患者护理中评估和使用医学文献。
