LANCET：一分钟了解循证医学的进展

2017-02-23 MedSci MedSci原创

为了回应对公开证据的理解和使用的限制，循证医学（EBM）在20世纪90年代初开始成为了一项运动。 EBM的初始焦点是教育临床医生理解和使用已发表的文献以优化临床护理，包括系统评价的科学性。而后，EBM逐渐认识到证据的局限性，并越来越强调需要通过共同决策将证据的重要性评价与患者的价值观和偏好相结合。在另一个进展中，EBM结合并进一步开发了由研究者在20世纪80年代开创的可靠的临

为了回应对公开证据的理解和使用的限制，循证医学（EBM）在20世纪90年代初开始成为了一项运动。

EBM的初始焦点是教育临床医生理解和使用已发表的文献以优化临床护理，包括系统评价的科学性。

而后，EBM逐渐认识到证据的局限性，并越来越强调需要通过共同决策将证据的重要性评价与患者的价值观和偏好相结合。

在另一个进展中，EBM结合并进一步开发了由研究者在20世纪80年代开创的可靠的临床实践指南的科学。

EBM对临床医学的持续贡献包括将医学实践置于坚实的科学基础上，发展更复杂的证据层次，认识到患者价值和偏好在临床决策中的关键作用，以及开发方法论生成可信的建议。

原始出处：
Djulbegovic B, Guyatt GH. Progress in evidence-based medicine: a quarter century on. Lancet. 2017 Feb 16. pii: S0140-6736(16)31592-6. doi: 10.1016/S0140-6736(16)31592-6.

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2017-09-27 仁者大医

#Lancet#

18 0
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2017-02-25 xsm918

#循证医学#

29 0
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2017-02-25 xjy04

#循证#

25 0
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2017-02-25 myshanshan

1分钟没看到啥

71 0

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