指南应遵循到什么程度？
How far should guidelines be followed?
作者信息
Rapezzi Claudio, Lorenzini Massimiliano
机构信息
University Cardiological Center, University of Ferrara, Ferrara, Italy.
Maria Cecilia Hospital, GVM Care & Research, Cotignola, Ravenna, Italy.
出版信息
Eur Heart J Suppl. 2020 Nov 18;22(Suppl L):L121-L123. doi: 10.1093/eurheartj/suaa150. eCollection 2020 Nov.
Abstract
Clinical guidelines irreparably characterize contemporary medicine. Referring to guidelines has become routine in both medical literature and daily clinical activity, with the risk of becoming the only-or at least the main-inspiring element of the physician's behaviour. This would lead to the mortification of clinical reasoning, a term that is synonymous with an individualized approach, focused on the single patient, and not on a population.
摘要
临床指南无可挽回地塑造了当代医学。在医学文献和日常临床活动中，参考指南已成为常规操作，这有可能成为医生行为的唯一——或者至少是主要的——启发因素。这将导致临床推理的消亡，临床推理是个性化方法的同义词，专注于个体患者，而非人群。
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