Li-Tsang Cecilia W P, Chu Mary M L
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, HKSAR, Hong Kong.
Hand Surg. 2002 Dec;7(2):215-8. doi: 10.1142/s0218810402001266.
Evidence-based medicine has been practised in the early 1990s in the Western countries and its model has aroused interests in the Asian countries including Hong Kong in the late 1990s. The need for evidence-based practice was called upon by Sackett and his colleagues 14-16 mainly because of the exponential growth of new evidence of treatment effectiveness. There is a great demand for clinicians to search for the best evidence and to incorporate into the daily practice so as to ensure the best quality and standard of treatment. This paper is to review the development and process of evidence-based practice in the area of hand splinting for our local clinicians. Some major problems were identified in the delivery of clinical evidence-based practice, and suggestions have been made to overcome these problems with a view in supporting its model in the local clinical field.
循证医学于20世纪90年代初在西方国家开始实践,其模式在20世纪90年代末引起了包括香港在内的亚洲国家的关注。14 - 16岁的萨科特及其同事呼吁采用循证实践,主要是因为治疗效果新证据呈指数级增长。临床医生迫切需要寻找最佳证据并将其纳入日常实践,以确保最佳的治疗质量和标准。本文旨在为本地临床医生回顾手部夹板固定领域循证实践的发展和过程。在提供临床循证实践过程中发现了一些主要问题,并提出了克服这些问题的建议,以期在本地临床领域支持其模式。