循证临床决策支持的网络资源研究

Research on the Internet Resources for Evidence-based Clinical Decision-making

目的:通过探讨循证临床决策支持网络资源,为我国研发循证临床决策支持数据库提供理论依据。方法:系统分析循证临床决策支持的网络资源,包括BMJ Best Practice、Dyna Med Plus和Essential Evidence Plus,探讨其信息模块、提供的循证临床决策支持功能以及链接的证据资源等。结果:循证临床决策支持网络资源的主要特点是多维度的决策支持信息、一站式的证据检索平台、结构式的证据摘要、证据分级与循证临床推荐意见、同行专家参与证据分析、数据库的APP访问和远程访问。结论:建议循证临床决策支持数据库整合经过同行评审的当前最新、最佳临床研究证据,易于使用且提供解决常见临床问题的循证信息。

Objective： To investigate the internet resources for evidence-based clinical decision-making, thus providing theoretical basis for the development of evidence-based clinical decision-making resources in China. Methods： To systematically analyze the resources including BMJ Best Practice, Dyna Med Plus and Essential Evidence Plus. The information module, the evidence-based clinical decision-making support functions and the linked evidence resources were investigated. Results： The main characteristics of the evidence-based clinical decision-making resources included multi-dimension decision support information, the integrated evidence retrieving platform, the structured evidence synopsis, consideration of level of evidence and the recommendation for practice, peer-reviewed evidence, and APP as well as remote access of the database. Conclusions： The peer-reviewed, latest, and best clinical evidence are needed for the evidence-based clinical decision-making resources, and the resources should be easily access and should be able to resolve the common clinical questions.