从循证医学到基于医学的循证（From evidence-based medicine to evidence-based medicine）.docVIP

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从循证医学到基于医学的循证（From evidence-based medicine to evidence-based medicine）.doc

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从循证医学到基于医学的循证（From evidence-based medicine to evidence-based medicine）

从循证医学到基于医学的循证（From evidence-based medicine to evidence-based medicine） From evidence-based medicine to evidence-based medicine 2012, 06 th I. evolution and definition of evidence based medicine The history of medical development shows that medical research itself is a gradually perfected science. Every revolutionary progress is marked by major inventions and improvements in research methods. With the method of medical knowledge gradually from observation, scientific experiments to the evolution of the evidence-based medicine today (evidence-based medicine, EBM), medicine from witchcraft medicine, increasing medical experience for a more scientific and rational EBM. In a sense, the history of medical development, that is, the medical methods continue to break through history. The idea of EBM dates back to 1980s. In 1992, Professor David Sackett, founder of EBM, first proposed the concept of EBM. EBM is essentially a methodology, a new paradigm for clinical practice. Professor Sackett has defined EBM two times. One is put forward in 1996: Evidence based medicine is the conscientious, explicit and, judicious use of current best evidence in making decisions about the care of individual patients; the two was proposed in 2000: Evidence based medicine is the integration of best research evidence with clinical expertise and patient values. From the literal sense, it is not difficult to understand the early EBM refers to clinicians as the best research evidence carefully and accurately and wisely used currently can obtain the method of seeking, for each individual patient evaluation and follow the best evidence; and the EBM is the best research evidence that clinicians should be based on the current available the diagnosis and treatment of patients with clinical expertise, combined with the doctor, and consider the value of the patient, so that patients get the best treatment effect and quality of life. Both are individualized therapies that focus on a more scientific, safer