Negrini S
Clinical and Experimental Sciences Department University of Brescia, Brescia, Italy -
Eur J Phys Rehabil Med. 2014 Oct;50(5):585-91. Epub 2014 Sep 9.
According to a good definition, evidence-based medicine (EBM) is: "The explicit, conscientious, and judicious use of the current best evidence in making decisions about the care of individual patients (and populations)". More appropriate in a clinical context like that of physical and rehabilitation medicine (PRM) is looking at evidence based clinical practice (EBCP), whose definition is: "The integration of best research evidence with clinical expertise and patient values". In the past the term evidence-based physical and rehabilitation medicine (EBPRM) was also proposed. In this thesis, after some historical notes on EBM and on PRM, we will discuss why in our view EBPRM must be the real foundation of our everyday PRM clinical practice.
根据一个恰当的定义,循证医学(EBM)是:“在对个体患者(及人群)的护理决策中明确、审慎且明智地运用当前最佳证据”。在物理医学与康复医学(PRM)这样的临床背景下,更合适的是关注循证临床实践(EBCP),其定义为:“将最佳研究证据与临床专业知识及患者价值观相结合”。过去也曾有人提出循证物理医学与康复医学(EBPRM)这一术语。在本论文中,在对循证医学和物理医学与康复医学进行一些历史回顾之后,我们将讨论为何在我们看来,循证物理医学与康复医学必定是我们日常物理医学与康复临床实践的真正基础。