循证医学-如何提出问题？-黄鹏(研)[精选].pptVIP

循证医学-如何提出问题？ -如何查找证据？ 南昌大学公共卫生学院 黄 鹏 临床问题的种类和结构 优先回答的问题和确定问题的范围 优先回答的问题和确定问题的范围 回答不同类型问题的研究设计 举例-病因 举例-诊断 举例-治疗 举例-预后 如何查找证据？ 循证医学证据资源分类 循证医学信息资源检索 PubMed EMBASE / 临床实例 循证医学数据库 Cochrane Library 证据检索和收集的基本步骤 确定临床问题类型和构建临床问题 选择合适数据库 制订检索词和检索策略 判断检索结果（评价、总结、应用） 证据检索和收集的基本步骤 确定临床问题类型和构建临床问题 PICO原则 背景问题和前景问题 证据检索和收集的基本步骤 确定临床问题类型和构建临床问题 选择合适数据库 选择计算机或网络数据库 尽可能选择专业数据库 尽可能选择最佳文献数据库 证据检索和收集的基本步骤 确定临床问题类型和构建临床问题 选择合适数据库 制订检索词和检索策略 检索词 ---PICO （PI为主，CO为辅） 检索策略 ---查全：提高灵敏度 ---查准：提高特异度 证据检索和收集的基本步骤 确定临床问题类型和构建临床问题 选择合适数据库 制订检索词和检索策略 判断检索结果（评价、总结、应用） 能否回答你的问题？ 是否经过评价？---真实性、重要性、适用性 From: peng huang [mail to:officerhp@] To: Jan Barendregt Subject: request for your help Dear Mr Jan?J?Barendregt I am a graduate student of Central South University in China. I major in burden of ?disease. Recently, I found one of your articles, titled Consistency of Epidemiologic Estimates in SpringerLink. I found it may help me achieve my goals in this research field. This would make a really positive contribution to my work. I would like to be able to read the full text of this article. I know there is usually a fee required to obtain the full article, however, as a student, my only income is a small scholarship which is about $40.00 per month. I wonder if you would consider sending me the full text by Email. Thank you for your kind consideration of this request. Sincerely: Peng Huang Dear?Huang, ? Thank you for your interest. The charge by Springer would indeed wipe out most of your monthly income. Please find the article attached. I wish you success in your studies, Jan Barendregt? -----------------------------------------------Jan J Barendregt, MA, PhD Assoc Prof of Epidemiology School of Population Health, University of Queensland Email: j.barendregt@.au Skype: janbarendregt Office: +61 7 3365 5584 Home: +61 7 3102 3093 由BMJ出版，最具权威性的数据库之一。 以治疗为主，涉及200多种疾病的2500多种治疗方法，每年更新一次。 提供不同疗法的疗效和安全性。 有益---可能有