摘要
循证医学(evidence-based medicine,EBM)是科学做出临床决策的方法学,要求医生以遵循证据为基础,同时结合临床状态和环境以及病人的意愿和行动做出合理医疗.目前出现了被滥用的情况.本文结合EBM概念的演变、与转化医学和精准医学的关系、以及关于EBM的争论展开讨论,期望能帮助临床医生合理认识EBM,正确应用EBM方法做出合理医疗决策.
Evidence-based medicine(EBM) is a scientific approach to help doctors to make right care decisions based on research evidence integrating clinical state andcircumstance as well as patient's preference and actions. At present, EBM has been abused and misunderstood in some cases. In this paper, I discuss the evolution of the concept of EBM, the relationship between translational medicine and precision medicine, and the debate on EBM, with an aim to help doctors correctly understand EBM and use EBM methods to make right care decisions.
作者
陈凤媛
Feng-Yuan Chen(Department of Gastroenterology,Shanghai Fifth People's Hospital,Fudan University,Shanghai 200240,China;Evidence-based medicine center of Fudan University,Shanghai 200032,China)
出处
《世界华人消化杂志》
CAS
2018年第20期1225-1228,共4页
World Chinese Journal of Digestology
关键词
循证医学
研究证据
临床决策
合理医疗
Evidence-based medicine
Research evidence
Clinical decision
Right care