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亚太地区的临床流行病学 (CE) 和循证医学 (EBM)(圆桌论坛)。

Clinical Epidemiology (CE) and Evidence-Based Medicine (EBM) in the Asia Pacific region (Round Table Forum).

机构信息

Centre for Population Health (CePH), Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

出版信息

Prev Med. 2013;57 Suppl:S5-7. doi: 10.1016/j.ypmed.2013.04.009. Epub 2013 Apr 24.

Abstract

Clinical Epidemiology (CE) and Evidence-Based Medicine (EBM) have become increasingly important in an era of rising costs, patient safety concerns and evidence-based health care. CE and EBM research in the Asia Pacific region have grown significantly. However, there are three main challenges such as linking evidence to practice and policy; developing a strong collaborative network; and a need for resources and technical expertise to produce evidence. The Cochrane Collaboration is a possible solution to resolve above challenges identified, particularly the challenge of transforming evidence to practice. In addition, training can be carried out to enhance technical expertise in the region and there is also the promising potential that collaborations could extend beyond systematic reviews. To improve the adoption of evidence-based health policy, selection of the best evidence for the right audience and focusing on the relevant issues through appropriate methodology are essential. Information on effectiveness and cost effectiveness needs to be highlighted for policy makers. The way forward to strengthen research and capacity building is to establish the Asia Pacific Consortium for CE and EBM. The consortium would help to create mutually rewarding scientific research and collaborations that will augur well for advances in CE and EBM.

摘要

临床流行病学(CE)和循证医学(EBM)在成本上升、患者安全问题和循证医疗的时代变得越来越重要。亚太地区的 CE 和 EBM 研究有了显著的增长。然而,有三个主要挑战,如将证据与实践和政策联系起来;发展强大的合作网络;以及需要资源和技术专长来产生证据。 Cochrane 协作组织是解决上述挑战的一个可能的解决方案,特别是将证据转化为实践的挑战。此外,可以进行培训以提高该地区的技术专长,并且通过适当的方法,合作也有可能超越系统评价。为了提高循证卫生政策的采用,需要选择针对正确受众的最佳证据,并通过适当的方法关注相关问题。决策者需要强调有关有效性和成本效益的信息。加强研究和能力建设的未来方向是建立亚太临床流行病学和循证医学联盟。该联盟将有助于创造互惠互利的科研合作,这将为 CE 和 EBM 的发展带来良好的前景。

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