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The case against ‘the evidence’: a different perspective on evidence-based medicine

机译：反对“证据”的案例：对循证医学的不同看法

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Background An evidenced-based approach to psychiatry is playing an increasingly prominent role in treatment decision-making for individual patients and for populations. Many doctors are now critical of the emphasis being placed on a€?the evidencea€? and concerned that clinical practice will become more constrained. Aims To demonstrate that evidence-based medicine is not new, sources of evidence are limited and psychosocial aspects of medicine are neglected in this process. Method Some of the literature is reviewed. Ideas and arguments are synthesised into a critical commentary. Results These are considered under four headings: evidence-based medicine is not new; what evidence is acceptable; the doctor as therapist; and the emergence of a new utilitarian orthodoxy. Conclusions It is agreed that a degree of professional consensus is necessary. However, too great an emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.
机译：背景技术基于证据的精神病学方法在个体患者和人群的治疗决策中发挥着越来越重要的作用。现在，许多医生都批评强调证据的重要性。并担心临床实践会受到更多限制。目的为了证明循证医学不是新事物，在此过程中，证据来源有限并且医学的社会心理方面被忽略了。方法回顾一些文献。观点和论点综合成批判性评论。结果在以下四个标题下考虑：循证医学不是新事物;循证医学不是新事物。什么证据是可以接受的;医生为治疗师;并且出现了一种新的功利主义正统观念。结论同意一定程度的专业共识是必要的。但是，过分强调循证医学会简化临床护理的复杂性和人际关系。

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