Porzsolt F, Kunz R
AG Klinische Okonomik, Abteilung Psychotherapie und Psychosomatische Medizin, Klinikum der Universität Ulm.
Med Klin (Munich). 1997 Sep 15;92(9):567-9. doi: 10.1007/BF03044934.
The practical application of rational concepts will be possible in the health care system if two conditions will be met. The legal framework has to fit these goals and new strategies are to establish. The new strategies will be needed to identify from the huge amount of data "evidence" which will support the medical progress. Evidence-Based Medicine (EBM) offers these strategies. Modifications of our conventional procedures are necessary to establish EBM: the conditions of clinical actions, the definitions of goals of medical training, the rational of clinical decisions and the continued medical education.
如果满足两个条件,合理概念在医疗保健系统中的实际应用将成为可能。法律框架必须符合这些目标,并且要制定新的策略。需要新的策略从海量数据中识别出支持医学进步的“证据”。循证医学(EBM)提供了这些策略。为建立循证医学,我们有必要对传统程序进行修改:临床行动的条件、医学培训目标的定义、临床决策的原理以及继续医学教育。