Toklu Hale Zerrin
Department of Pharmacology and Therapeutics, College of Medicine, University of Florida, Gainesville, FL, USA.
Integr Pharm Res Pract. 2015 Sep 3;4:127-131. doi: 10.2147/IPRP.S70406. eCollection 2015.
Evidence-based medicine aims to optimize decision-making by using evidence from well-designed and conducted research. The concept of reliable evidence is essential, since the number of electronic information resources is increasing in parallel to the increasing number and type of drugs on the market. The decision-making process is a complex and requires an extensive evaluation as well as the interpretation of the data obtained. Different sources provide different levels of evidence for decision-making. Not all the data have the same value as the evidence. Rational use of medicine requires that the patients receive "medicines appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community." Pharmacists have a crucial role in the health system to maintain the rational use of medicine and provide pharmaceutical care to patients, because they are the drug experts who are academically trained for this purpose. The rational use of the pharmacist's workforce will improve the outcome of pharmacotherapy as well as decreasing the global health costs.
循证医学旨在通过运用精心设计和实施的研究所提供的证据来优化决策。可靠证据的概念至关重要,因为随着市场上药物数量和种类的增加,电子信息资源的数量也在同步增长。决策过程复杂,需要进行广泛评估以及对所获数据进行解读。不同来源为决策提供不同级别的证据。并非所有数据都具有与证据相同的价值。合理用药要求患者“接受适合其临床需求的药物,服用符合其个人需求的剂量,持续足够的时间,并以对其自身及其社区最低的成本”。药剂师在卫生系统中对于维持合理用药并为患者提供药学服务起着关键作用,因为他们是为此目的接受过专业学术培训的药物专家。合理利用药剂师人力将改善药物治疗效果并降低全球卫生成本。