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[医疗实践中的质量保证与质量改进 - 第2部分。循证医学]

[Quality assurance and quality improvement in medical practice - Part 2. Evidence-based medicine].

作者信息

Godény Sándor

机构信息

Debreceni Egyetem, Orvos- és Egészségtudományi Centrum, Népegészségügyi Kar Megelőző Orvostani Intézet Debrecen Kassai.

出版信息

Orv Hetil. 2012 Jan 29;153(4):137-43. doi: 10.1556/OH.2012.29292.

DOI:10.1556/OH.2012.29292
PMID:22257510
Abstract

For assuring and improving quality of healthcare, everyday medical practice should be based on appropriate scientific evidence and results of health technology assessment. Evidence-based medicine is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care, when health technologies are used. On one hand health technologies which proved to be effective should be available for all patients, on the other hand, because of the limited financial resources of the health care system, they should be cost-effective, not to spend on interventions proved to be ineffective or even harmful. For effective implementation of evidence-based practice, development of more clinical guidelines, that contain explicit recommendations, and improvement of quality approach are necessary in Hungary.

摘要

为确保和提高医疗保健质量,日常医疗实践应基于适当的科学证据和卫生技术评估结果。循证医学是将临床专业知识、患者价值观和最佳证据整合到使用卫生技术时的患者护理决策过程中。一方面,已证明有效的卫生技术应可供所有患者使用,另一方面,由于医疗保健系统财政资源有限,这些技术应具有成本效益,不应将资金花在已证明无效甚至有害的干预措施上。为有效实施循证实践,匈牙利有必要制定更多包含明确建议的临床指南,并改进质量方法。

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