循证医学的必要性。
The need for evidence-based medicine.
作者信息
Sackett D L, Rosenberg W M
机构信息
Nuffield Department of Clinical Medicine, University of Oxford & The Oxford Institute for Health Sciences, England.
出版信息
J R Soc Med. 1995 Nov;88(11):620-4. doi: 10.1177/014107689508801105.
Abstract
As physicians, whether serving individual patients or populations, we always have sought to base our decisions and actions on the best possible evidence. The ascendancy of the randomized trial heralded a fundamental shift in the way that we establish the clinical bases for diagnosis, prognosis, and therapeutics. The ability to track down, critically appraise (for its validity and usefulness), and incorporate this rapidly growing body of evidence into one's clinical practice has been named 'evidence-based medicine' (EBM).
摘要
作为医生，无论服务的是个体患者还是全体人群，我们一直都力图依据尽可能最佳的证据来做出决策并采取行动。随机试验的兴起预示着我们确立诊断、预后及治疗临床依据的方式发生了根本性转变。追寻、严谨评估（评估其有效性和实用性）并将这一迅速增长的证据体系纳入个人临床实践的能力已被称作“循证医学”（EBM）。
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本文引用的文献
1
Effect of problem-based, self-directed undergraduate education on life-long learning.基于问题的自主本科教育对终身学习的影响。
CMAJ. 1993 Mar 15;148(6):969-76.
2
Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research.基于计算机的临床决策支持系统对临床医生表现及患者预后的影响。一项研究的批判性评价。
Ann Intern Med. 1994 Jan 15;120(2):135-42. doi: 10.7326/0003-4819-120-2-199401150-00007.
3
The science of reviewing research.研究综述科学
Ann N Y Acad Sci. 1993 Dec 31;703:125-33; discussion 133-4. doi: 10.1111/j.1749-6632.1993.tb26342.x.
4
Identifying relevant studies for systematic reviews.为系统评价识别相关研究。
BMJ. 1994 Nov 12;309(6964):1286-91. doi: 10.1136/bmj.309.6964.1286.
5
A randomized trial of continuing medical education.继续医学教育的一项随机试验。
N Engl J Med. 1982 Mar 4;306(9):511-5. doi: 10.1056/NEJM198203043060904.
6
Information needs in office practice: are they being met?门诊医疗实践中的信息需求：是否得到满足？
Ann Intern Med. 1985 Oct;103(4):596-9. doi: 10.7326/0003-4819-103-4-596.
7
8
A controlled trial of teaching critical appraisal of the clinical literature to medical students.一项针对医学生进行临床文献批判性评价教学的对照试验。
JAMA. 1987 May 8;257(18):2451-4.
9
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10
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