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[电子检索最佳生物医学证据:策略与战术]

[Electronic search for the best biomedical evidence: tactics and strategy].

作者信息

Conti Andrea A, Conti Antonio, Gensini Gian Franco

出版信息

Recenti Prog Med. 2007 Oct;98(10):495-500.

Abstract

The search for biomedical information arises largely from the need to find, on the part of health operators, reliable and updated answers to the questions elicited by their patients. Even if today technology makes available powerful electronic tools for health education and updating, the enormous quantity of health information remains a major issue for professionals looking for biomedical evidence. Health operators, wishing to quickly assess and effectively extract the pertinent and relevant evidence they are looking for, have, contemporaneously, limited time to dedicate to evidence searching and enormous amounts of non-homogeneous information to scan. Research tactics and strategies emerge from the correct formulation of health queries. Posing the appropriate questions is therefore the first step of the process of retrieving clear and exhaustive answers, derived from guaranteed sources of biomedical information. The process continues with the complete identification and application of the correct method of research and economic retrieval of evidence, as also with its critical evaluation, synthesis and implementation. Knowing where and how to look for biomedical evidence in electronic databases is consequently a fundamental step in tracking the solution of a clinical problem in the perspective of Evidence Based Medicine and of any other evidence based health discipline, including what we have called "Evidence Based History of Medicine".

摘要

对生物医学信息的搜索很大程度上源于健康从业者的需求,即要为患者提出的问题找到可靠且最新的答案。即便如今技术提供了强大的健康教育和知识更新电子工具,但海量的健康信息对于寻求生物医学证据的专业人员而言仍是一个重大问题。健康从业者希望快速评估并有效提取他们所寻找的相关且切题的证据,然而,他们用于证据搜索的时间有限,同时要浏览大量非同质化的信息。研究策略源自对健康问题的正确表述。因此,提出恰当的问题是从可靠的生物医学信息源获取清晰详尽答案这一过程的第一步。该过程还包括完整识别并应用正确的研究方法以及对证据进行经济有效的检索,同时进行批判性评估、综合和实施。因此,了解在电子数据库中何处以及如何查找生物医学证据,是从循证医学以及任何其他循证健康学科(包括我们所称的“循证医学史”)的角度追踪临床问题解决方案的基本步骤。

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