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The future of evidence-based medicine.

机译:循证医学的未来。

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摘要

Evidence-based medicine (EBM) stresses the examination of evidence from clinical research as an important basis for the practice of medicine. EBM is an approach that is intuitively reasonable, and is increasingly taught in medical schools and incorporated into practice. Although it is often not feasible for busy clinicians to find and appraise original research themselves, EBM is now frequently used to develop clinical practice guidelines. However, there are often 'grey areas' in the interpretation of the evidence, some of which are discussed in this paper. Clinical medicine can be complex, and EBM will never provide easy answers to difficult problems, which means that there will always be an art to clinical medicine. As well, EBM is practised in complex, semirational, constantly changing health care systems, which sometimes actually establish barriers to the incorporation of evidence into practice.
机译:循证医学(EBM)强调对临床研究中的证据进行检查是医学实践的重要基础。循证医学是一种直观上合理的方法,在医学院校中越来越多地被采用并被应用到实践中。尽管繁忙的临床医生通常无法亲自找到和评估原始研究,但现在经常将EBM用于制定临床实践指南。但是,对证据的解释通常存在“灰色地带”,本文中对其中一些进行了讨论。临床医学可能很复杂,而EBM永远无法为难题提供简单的答案,这意味着临床医学永远都是一门艺术。同样,循证医学在复杂,半理性,不断变化的医疗保健体系中实践,有时有时会为将证据纳入实践造成障碍。

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