Section of Plastic Surgery, Department of Surgery, The University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5340, USA.
Clin Plast Surg. 2013 Apr;40(2):271-9. doi: 10.1016/j.cps.2012.10.003. Epub 2012 Dec 6.
In recent decades, the expansion of health services research has created an opportunity to crate salient, evidence-based guidelines for diagnosis, treatment, and prognosis. However, for many aspects of care, incorporation of new scientific knowledge into clinical practice often lags, particularly among the surgical subspecialties. This article highlights the development of evidence-based medicine, the principles of innovation diffusion, and successes and challenges in developing plastic surgery quality initiatives.
近几十年来,卫生服务研究的扩展为创建有意义的、基于证据的诊断、治疗和预后指南提供了机会。然而,在许多护理方面,新的科学知识纳入临床实践往往滞后,特别是在外科亚专业中。本文重点介绍了循证医学的发展、创新传播的原则,以及在制定整形外科学质量计划方面的成功和挑战。