Grimes D A
Family Health International, Research Triangle Park, North Carolina 27709, USA.
Eur J Contracept Reprod Health Care. 2000 Dec;5(4):287-94. doi: 10.1080/13625180008500412.
Evidence-based medicine applies clinical epidemiology to the care of the individual patient. In contrast, autocratic or authoritarian medicine rests largely on expert opinion and clinical tradition. The need for evidence-based medicine in family planning practice is acute, as counselling for intrauterine devices and tubal sterilization attests. Two international evidence-based guidelines in family planning, both published in 1996, represent a major advance in clinical practice. In addition, the Cochrane Collaboration, a global effort to identify and synthesize randomized controlled trials in medicine, now includes topics on fertility regulation. Evidence-based clinical guidelines and Cochrane systematic reviews are valuable tools for family planning practice. The use of evidence-based medicine will improve clinical care today, and, more importantly, in the millennium which is just beginning.
循证医学将临床流行病学应用于个体患者的护理。相比之下，专制或权威医学很大程度上基于专家意见和临床传统。计划生育实践中对循证医学的需求十分迫切，宫内节育器和输卵管绝育的咨询就证明了这一点。1996年发表的两项国际计划生育循证指南代表了临床实践的一大进步。此外，Cochrane协作网是一项在全球范围内识别和综合医学随机对照试验的工作，目前已涵盖生育调节主题。循证临床指南和Cochrane系统评价是计划生育实践的宝贵工具。循证医学的应用将改善当下的临床护理，更重要的是，在刚刚开始的这个千年里也会如此。
