Ownby Raymond L
Department of Psychiatry, University of Miami, Mount Sinai Medical Center, MRI Building 2nd Floor, 4300 Alton Road, Miami Beach, FL 33140, USA.
Curr Psychiatry Rep. 2004 Feb;6(1):14-9. doi: 10.1007/s11920-004-0032-x.
The vast amount of clinical information available today and the difficulties that clinicians have in applying this information have given rise to interest in evidence-based medicine. An additional impetus for the development of the evidence-based medicine movement has been the increasing recognition that much of medical practice is not evidence-based. This article presents a brief overview of the principles of evidence-based medicine and its historical development, discusses some common criticisms of evidence-based practice, and illustrates its application to address a clinical problem. Suggestions are also provided for clinicians interested in developing evidence-based medicine skills.
如今可获取的大量临床信息以及临床医生在应用这些信息时所面临的困难引发了人们对循证医学的兴趣。循证医学运动发展的另一个推动因素是,人们越来越认识到许多医疗实践并非基于证据。本文简要概述了循证医学的原则及其历史发展,讨论了对循证实践的一些常见批评,并举例说明了其在解决临床问题中的应用。还为有兴趣培养循证医学技能的临床医生提供了建议。