實證醫學.pptVIP

實證醫學 呂志成 高雄榮總新陳代謝科 九十四年七月 何謂實證醫學 ? Conscientious, explicit, and judicious use of current best evidence in making decisions about individual patients” Archie Cochrane 1972 Integration of clinical expertise, evidence and patient’s value. Changes in Knowledge over Time A significant inverse correlation (r = -0.3) between scores and years elapsed Knowledge declined sharply within 15 years of certification Procedure-oriented subspecialists had lower scores 為什麼要提倡實證醫學 ? 終生學習 臨床決策 (知識爆炸 即時學習) 臨床研究 同儕溝通 研究及醫療品質 成本效益 醫療糾紛 Oxford Center for Evidence-based Medicine Levels of Evidence (May 2001) 實