實(shí)證醫(yī)學(xué)是針對(duì)個(gè)別病患做醫(yī)療決定時(shí)

1、Evidence-Based Medicine vs.Evidence Matters,Jan. 2008,Definition of Evidence-Based Medicine (EBM),『實(shí)證醫(yī)學(xué)是針對(duì)個(gè)別病患做醫(yī)療決定時(shí)，謹(jǐn)慎、準(zhǔn)確並明智的利用目前現(xiàn)存最有力的證據(jù)。實(shí)踐實(shí)證醫(yī)學(xué)是指將個(gè)人的臨床專業(yè)與有系統(tǒng)的臨床研究證據(jù)做結(jié)合?！弧癊vidence based medicine is the conscientious,

2、 explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best avail

3、able external clinical evidence from systematic research.”Sackett, D.L. et al. (1996) Evidence based medicine: what it is and what it isn't. BMJ 312 (7023), 13 January, 71-72).,Levels of Evidence,Current EBM Resourc

4、es,How Evidence Matters Fits in EBM Concept,由臨床醫(yī)師所建置之實(shí)證醫(yī)學(xué)檢索引擎由專科醫(yī)師針對(duì)已發(fā)表之研究報(bào)告做摘要所有類型之研究皆涵蓋在內(nèi)整合所有以英語發(fā)表，並經(jīng)同儕評(píng)鑑之研究以圖表具體呈現(xiàn)研究產(chǎn)生之證據(jù)所有證據(jù)皆經(jīng)過三階段審查，以避免錯(cuò)誤,EM Information Sources,資料來源：經(jīng)同儕評(píng)鑑之醫(yī)學(xué)保健相關(guān)期刊，包括– Medline, Cochrane Library

5、, CINAHL, British Medical Journal, Journal of Clinical Oncology, JAMA, the Lancet 及 New England Journal of Medicine 等等資料最早可回溯至1970年，大部分期刊回溯至少5年目前包含約1,400種療法，約150,000種治療結(jié)果 (內(nèi)容每週新增數(shù)次),Contents – 10 modules,Functionality

6、Overview,於EM首頁，直接利用以下三步驟，提出問題，包括：,疾病,,療法,,& 結(jié)果,Question asked,Total results found,檢索結(jié)果：依血糖值高低排序 / 按研究方法分類,研究類型,血糖值,以顏色代表統(tǒng)計(jì)數(shù)據(jù)多寡,可信度最高的研究列於右側(cè),,文章書目,使用療法,治療結(jié)果,往下見 Part 2 & 3,,研究特點(diǎn)描述,療法細(xì)節(jié),,點(diǎn)選 “VIEW PUBMED ABSTRACT”，