O'Sullivan Dympna, Wilk Szymon, Michalowski Wojtek, Farion Ken
Center for Health Informatics, Center for Human Computer Interaction Design, City University London, London, UK.
Stud Health Technol Inform. 2013;192:1057.
Modern medicine is characterized by an "explosion" in clinical research information making practical application of Evidence-Based Medicine (EBM), problematic for many clinicians. We have developed a PICO-(evidence based search strategy focusing on Patient/Population, Intervention, Comparison and Outcome)-based framework for (indexing and retrieving medical evidence and we posit that the use of PICO allows for organizing evidence that is aligned with an MD's decision making model. We describe a study where medical students evaluated our PICO-based approach and results show that students are eager to apply EBM but are hindered by a lack of specialist skills. Students reported that the PICO-based framework for organizing evidence provided an intuitive way of accessing and evaluating evidence and would be useful for their clinical tasks.
现代医学的特点是临床研究信息“爆炸式增长”，这使得循证医学（EBM）在实际应用中对许多临床医生来说颇具问题。我们开发了一种基于PICO（一种聚焦于患者/人群、干预措施、对照和结果的循证搜索策略）的框架用于索引和检索医学证据，并且我们认为使用PICO能够整理与医生决策模型相一致的证据。我们描述了一项研究，在该研究中，医学生对我们基于PICO的方法进行了评估，结果显示学生们渴望应用循证医学，但却因缺乏专业技能而受到阻碍。学生们报告称，基于PICO的证据整理框架提供了一种直观的获取和评估证据的方式，并且对他们的临床任务会很有用。
