Zielinski W, Goldstein M, König U
DFG-Graduiertenkolleg, TU Berlin.
Z Arztl Fortbild Qualitatssich. 2001 Jul;95(6):413-7.
Evidence-based medicine (EbM) is despite its historical roots still a young concept that is quite relevant in everyday work, but yet little used. The first hospital specific approach to implement EbM into the health care system and daily clinical practice in Germany is recorded in the project of the Park-Klinik Weissensee (Berlin). Implementation and execution of EbM into daily routine should be reached through five steps which should result in better quality of treatment of the patients: 1. EbM-Training for hospital staff; 2. EbM-Search (= access to electronic databases and EbM-information); 3. Guideline-Committee (= hospital committee for the development of clinical practice guidelines); 4. EbM-Recommendation (= use of EbM-information in discharge letters) and, finally 5. EbM-Events (= vocational trainings for hospital physicians and general practitioners). Although project duration is yet quiet short, first results allow to look into the future with confidence. At the same time it can be recognized how long and difficult the way for all participants will be to reach evidence-based information and communication. The "Park-Klinik EbM-Project" can make an important contribution to health care services research in Germany.
循证医学（EbM）尽管有着历史根源，但仍是一个年轻的概念，在日常工作中颇具相关性，但应用却很少。德国首个将循证医学应用于医疗保健系统和日常临床实践的医院特定方法记录在柏林魏森湖公园诊所的项目中。循证医学在日常工作中的实施和执行应通过五个步骤来实现，这将带来更好的患者治疗质量：1. 对医院工作人员进行循证医学培训；2. 循证医学检索（即访问电子数据库和循证医学信息）；3. 指南委员会（即负责制定临床实践指南的医院委员会）；4. 循证医学推荐（即在出院小结中使用循证医学信息），最后5. 循证医学活动（即针对医院医生和全科医生的职业培训）。尽管项目持续时间还很短，但初步结果让人有信心展望未来。同时，可以认识到所有参与者获取循证信息和进行交流的道路将是多么漫长和艰难。“魏森湖公园诊所循证医学项目”可为德国的医疗服务研究做出重要贡献。
