Barzilai David A, Weinstock Martin A, Mostow Eliot N
Department of Dermatology, Brown University, 593 Eddy Street, Providence, RI 02903, USA.
Skinmed. 2007 May-Jun;6(3):122-7. doi: 10.1111/j.1540-9740.2007.05832.x.
Evidence-based medicine (EBM) is a paradigm for systematically collecting, evaluating, and applying the best information currently available to improve patient outcomes. Effective evidence-based practice requires defining an answerable, well-built question, systematically searching for the best current evidence, and appraising that evidence for validity. Essential components of EBM also require using our clinical expertise to integrate these data with our patients' characteristics, values, and circumstances; archiving the results of our EBM search; and evaluating the efficiency and effectiveness of the EBM process. Incorporating EBM to bring the best current evidence into our field can be mastered with practice and a commitment to apply the process daily.
循证医学(EBM)是一种系统地收集、评估和应用当前可得最佳信息以改善患者预后的范例。有效的循证实践要求定义一个可回答、构建良好的问题,系统地搜索当前最佳证据,并评估该证据的有效性。循证医学的基本要素还包括运用我们的临床专业知识,将这些数据与患者的特征、价值观和具体情况相结合;存档循证医学搜索的结果;以及评估循证医学过程的效率和效果。通过实践以及每天应用该过程的决心,可以掌握将循证医学引入我们领域并带来当前最佳证据的方法。