Carneiro A V
Serviço de Medicina IV, Hospital de Santa Maria, Lisboa.
Acta Med Port. 1998 Aug-Sep;11(8-9):745-8.
Evidence-based medicine is the conscientious, explicit, and judicious use of the best evidence available to make decisions about the care of individual patients. The practice of EBM means integrating individual clinical expertise with the best available external clinical evidence from systematic research. The good practice of EBM begins with a well formulated clinical question, meaning that it should be clear, directly relevant to the problem at hand and answerable by searching in medical literature. This paper begins by presenting the central tasks of clinical work from which clinical questions arise. The components of well formulated clinical questions are then presented. Finally, some of the steps for the correct formulation of questions are discussed.
循证医学是指审慎、明确、明智地运用现有最佳证据来为个体患者的医疗护理做出决策。循证医学的实践意味着将个体临床专业知识与系统研究中可得的最佳外部临床证据相结合。循证医学的良好实践始于精心构建的临床问题,这意味着该问题应清晰明了、与手头问题直接相关且通过检索医学文献能够得到答案。本文首先阐述引发临床问题的临床工作核心任务。接着介绍精心构建的临床问题的组成部分。最后讨论正确构建问题的一些步骤。