Smyth R L
Brough Professor of Paediatric Medicine, University Institute of Child Health, Alder Hey Children's Hospital, Eaton Road, Liverpool, L12 2AP, UK.
Paediatr Respir Rev. 2000 Sep;1(3):287-93. doi: 10.1053/prrv.2000.0061.
Evidence-based medicine aims to identify, critically appraise and apply the best available evidence in making decisions about the care of patients. These aims are similar to those which conscientious clinicians have always tried to achieve. An evidence-based approach applies a systematic and rigorous methodology to this process to ensure that the evidence which is applied is relevant and of high quality. The use of this methodology limits bias (systematic errors) and reduces random errors (simple mistakes), thus providing reliable results on which to draw conclusions and make decisions. Meta-analysis, when used appropriately, can provide more precise estimates of the effects of healthcare than those derived from the individual studies included in a review. Systematic reviews also provide summaries of the results of evidence-based healthcare. These are available to all interested individuals, including clinicians, healthcare administrators and patients.
循证医学旨在识别、严格评估并应用最佳可得证据,以做出有关患者护理的决策。这些目标与尽责的临床医生一直努力实现的目标相似。循证方法将系统且严谨的方法应用于这一过程,以确保所应用的证据具有相关性且质量高。这种方法的使用限制了偏倚(系统误差)并减少了随机误差(简单错误),从而提供可靠的结果以供得出结论和做出决策。若使用得当,荟萃分析能够比综述中所纳入的单个研究更精确地估计医疗保健的效果。系统评价还提供循证医疗保健结果的总结。所有感兴趣的人,包括临床医生、医疗保健管理人员和患者,均可获取这些总结。