21世纪医生核心能力与循证医学文献检索

therapies, those offered after the EBM intervention were significantly more likely to be based on high-quality randomized controlled trials (95% vs 87%; P= .023).РA multifaceted intervention designed to teach and support EBM significantly improved evidence-based practice patterns in a district general hospital.Р一个多方面的教导和支持EBM的干预显著改善一个地区综合性医院以证据为基础的实践模式。Р二、循证医学(EBM)概述Р1. EBM的定义РPatient? Concerns?患者愿望РClinical ? Expertise?医生临床经验和技能РBest research ?Evidence?最好证据РEBMР-“Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values. ”- Sackett, D. L. (2000). Evidence-based medicine: How to practice and teach EBM (2nd ed.). Edinburgh; New York: Churchill LivingstoneР循证医学是指慎重、准确和明智地应用现有最好研究证据,同时结合临床医生的个人专业技能和多年临床经验,考虑患者的权利、价值和愿望,将三者完美地结合,对患者作出医疗决策。