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[循证医学与最佳传统医学之间的差异]

[Differences between evidence based-medicine and best conventional medicine].

作者信息

Porzsolt F, Kunz R

机构信息

AG Klinische Okonomik, Abteilung Psychotherapie und Psychosomatische Medizin, Klinikum der Universität Ulm.

出版信息

Med Klin (Munich). 1997 Sep 15;92(9):567-9. doi: 10.1007/BF03044934.

DOI:10.1007/BF03044934
PMID:9411207
Abstract

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.

摘要

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。

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本文引用的文献

1
Evidence-based medicine: an incomplete method for informing treatment choices.循证医学:一种用于指导治疗选择的不完整方法。
Lancet. 1997 Jan 11;349(9045):126-8. doi: 10.1016/S0140-6736(96)05153-7.
2
[Clinical economics--a guideline for economic management in the clinic and general practice].[临床经济学——临床与全科医疗中的经济管理指南]
Med Klin (Munich). 1996 Aug 15;91(8):531-5.
3
The inhumanity of medicine.医学的不人道之处。
BMJ. 1994;309(6970):1671-2. doi: 10.1136/bmj.309.6970.1671.
4
Evidence based medicine.循证医学
BMJ. 1995 Apr 29;310(6987):1085-6. doi: 10.1136/bmj.310.6987.1085.