Thomas Mark V, Robinson Fonda G, Nihill Patricia
Department of Oral Health Practice, Division of Periodontology, University of Kentucky College of Dentistry, 800 Rose Street, Room M-122, Lexington, KY 40536-0297, USA.
Dent Clin North Am. 2009 Jan;53(1):1-13, vii. doi: 10.1016/j.cden.2008.10.002.
Evidence-based health care seeks to base clinical practice and decision-making on best evidence, while allowing for modifications because of patient preferences and individual clinical situations. Dentistry has been slow to embrace this discipline, but this is changing. In the Graduate Periodontology Program (GPP) of the University of Kentucky, an evidence-based clinical curriculum was implemented in 2004. The tools of evidence-based health care (EBHC) were used to create evidence-based protocols to guide clinical decision-making by faculty and residents. The program was largely successful, although certain challenges were encountered. As a result of the positive experience with the GPP, the college is implementing a wider program in which evidence-based protocols will form the basis for all patient care and clinical education in the predoctoral clinics. A primary component of this is a computerized risk assessment tool that will aid in clinical decision-making. Surveys of alumni of the periodontal graduate program show that the EBHC program has been effective in changing practice patterns, and similar follow-up studies are planned to assess the effectiveness of the predoctoral EBHC program.
循证医疗旨在将临床实践和决策建立在最佳证据的基础上，同时允许根据患者偏好和个体临床情况进行调整。牙科领域在接受这一学科方面进展缓慢，但这种情况正在改变。肯塔基大学的研究生牙周病学项目（GPP）于2004年实施了循证临床课程。循证医疗（EBHC）工具被用于创建循证方案，以指导教员和住院医师的临床决策。该项目在很大程度上取得了成功，尽管也遇到了一些挑战。由于GPP项目的积极经验，该学院正在实施一个更广泛的项目，其中循证方案将成为博士前诊所所有患者护理和临床教育的基础。其主要组成部分是一个计算机化风险评估工具，该工具将有助于临床决策。对牙周病研究生项目校友的调查表明，EBHC项目在改变实践模式方面很有效，并且计划开展类似的后续研究来评估博士前EBHC项目的效果。
