秃公
加入时间: 2006/09/12
文章: 1667
经验值: 1777
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作者：秃公 在 寒山小径 发贴, 来自 http://www.hjclub.org
尽管流行病学家Archie Cochrane 1972年在他书中提出 （Effectiveness and Efficiency: Random Reflections on Health Services，EBM （Evidence-based medicine）这词在1992年才第一次出现在文章里。
下面是EBM的综述。
Generally, there are three distinct, but interdependent, areas of EBM. The first is to treat individual patients with acute or chronic pathologies by treatments supported in the most scientifically valid medical literature. Thus, medical practitioners would select treatment options for specific cases based on the best research for each patient they treat. The second area is the systematic review of medical literature to evaluate the best studies on specific topics. This process can be very human-centered, as in a journal club, or highly technical, using computer programs and information techniques such as data mining. Increased use of information technology turns large volumes of information into practical guides. Finally, evidence-based medicine can be understood as a medical "movement" in which advocates work to popularize the method and usefulness of the practice in the public, patient communities, educational institutions, and continuing education of practicing professionals.http://en.wikipedia.org/wiki/Evidence-Based_Medicine
很可惜，除非你是名人有钱人，在现有的医疗制度下根本不可对老百姓有如此周到的医疗。再說了，一旦医生自几了开业，就不求进步，只吃老本了。不信，问问医生给你开的新药的原理机制，10有9說不出来。我就碰到过，說忘了，顺手拿了张說明要我自几去看。找对医生，对病人来說就好像是中六合彩。
作者：秃公 在 寒山小径 发贴, 来自 http://www.hjclub.org |
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EBM - 基于证据医学
