循证医学发展与思考

The study of evidence based medicine

循证医学自上世纪90年代以来一直成为医学界最炙手可热的语题，循证医学的诞生改变了几千年沿袭的医学实践模式。医学工作者通过应用循证医学的思路和方法指导医学研究和临床实践工作，必将有助于提高他们的专业素质，并能促进卫生决策和医疗决策的更加科学化，提高医疗质量。但是，循证医学与临床流行病学、社会医学、信息技术、数据库理论等有着密不可分的关系。这对医学工作者的知识结构和研究方法、卫生相关机构的基础设施建设和组织架构及医学教学模式等提出了新的要求。

Since 1990s, the Evidence Based Medicine （EBM） has become a burning topic in medical circles, and its idea is changing the traditional clinical practice paradigm. Medical professionals will improve their knowledge and skills by applying EBM to their research and practice. The idea of EBM will also influence the thinking of policymakers, health care providers. EBM is a cross science based on Clinical epidemiology, Social medicine, Information technology, Database theory and etc. Therefore, medical professionals need new knowledge and research methods in their practice of EBM, and the framework of institutions related to health and medical education paradigm need changes in their approach to EBM.