Mosteller F
Harvard School of Public Health.
Milbank Q. 1993;71(3):523-32.
A new effort in medical information has gathered and organized data from randomized clinical trials and other sources in obstetrics and made them available in several forms. This accomplishment implies the possibility of data-based medical practice that depends on systematic organization of medical findings. Possible limitations in data-based medical practice are treated and the benefits of such an approach are discussed. Will it be possible and useful to generalize this obstetric effort to all of medicine, and, if so, how? With the establishment of the Cochrane Centre, the United Kingdom has launched a program directed toward this end. New ideas for disseminating the gathered information are needed. Funding for core support will be needed both to create the medicine-wide information and to maintain it.
医学信息领域的一项新举措收集并整理了来自产科随机临床试验及其他来源的数据，并以多种形式提供这些数据。这一成果意味着基于数据的医疗实践具有可能性，这种实践依赖于对医学发现的系统组织。文中探讨了基于数据的医疗实践可能存在的局限性以及这种方法的益处。将产科的这项工作推广至整个医学领域是否可行且有用？如果可行，该如何推广？随着考科蓝中心的设立，英国已启动了一项旨在实现这一目标的计划。需要有传播所收集信息的新思路。创建并维护涵盖整个医学领域的信息需要核心支持资金。
