Bal Roland
Professor of Healthcare Governance, Erasmus Medical Centre - Health Policy and Management, Erasmus University Rotterdam, The Netherlands.
J Health Serv Res Policy. 2017 Apr;22(2):113-119. doi: 10.1177/1355819616670680. Epub 2016 Oct 15.
The call for evidence-based policy is often accompanied by rather uncritical references to the success of evidence-based medicine, leading to often unsuccessful translation attempts. In this paper, I reflect on the practice of evidence-based medicine in an attempt to sketch a more productive approach to translating evidence into the practice of policy making. Discussing three episodes in the history of evidence-based medicine - clinical trials, and the production and use of clinical guidelines - I conclude that the success of evidence-based medicine is based on the creation of reflexive practices in which evidence and practice can be combined productively. In the conclusion, I discuss the prospects of such a practice for evidence-based policy.
对循证政策的呼吁往往伴随着对循证医学成功的不加批判的提及，导致翻译尝试往往不成功。在本文中，我反思循证医学的实践，试图勾勒出一种更有效的方法，将证据转化为政策制定实践。通过讨论循证医学历史上的三个事件——临床试验以及临床指南的制定和使用——我得出结论，循证医学的成功基于创建反思性实践，在这种实践中，证据和实践能够有效地结合。在结论部分，我讨论了这种实践对于循证政策的前景。
