Department of Rehabilitation Medicine, Mount Sinai School of Medicine, New York, NY 10029-6574, USA.
Arch Phys Med Rehabil. 2012 Aug;93(8 Suppl):S164-76. doi: 10.1016/j.apmr.2011.12.014. Epub 2012 Jun 7.
This article describes evidence-based practice (EBP) in the health professions and sciences in general and in the rehabilitation disciplines specifically. It discusses the following: what counts as evidence and how that has changed over the last 4 decades, trends in the short history of evidence-based medicine and EBP, the fallacious nature of most criticisms of EBP, (perceived) shortcomings of clinical research and the resulting evidence in rehabilitation, resources available to clinicians who want their practice to be evidence-based, and the barriers these clinicians face in keeping up with the evidence and applying it in practice. Lastly, it describes how the development of a new art and science, knowledge translation, may play a role in truly making EBP feasible in rehabilitation services.
本文介绍了健康专业和科学领域的循证实践（EBP），并特别讨论了康复学科。文中讨论了以下内容：什么是证据，以及在过去的 40 年里证据是如何变化的；循证医学和 EBP 的短暂历史中的趋势；对 EBP 的大多数批评的谬误性质；康复中临床研究和由此产生的证据的（感知）缺陷；希望其实践基于证据的临床医生可利用的资源；以及这些临床医生在跟上证据并将其应用于实践方面面临的障碍。最后，本文描述了新知识和技术，即知识转化的发展，如何在康复服务中真正实现 EBP 可行性。
