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摘要


實證醫學的精神是提供臨床醫療人員一個有效率的終身學習,藉由醫護人員的專業與合併最新的科學證據、臨床狀況與病患價值觀,提供最合適的醫療服務。我們可以藉由實證醫學的五大步驟:提出問題、尋找證據、嚴格評價、臨床應用、反省評估等篩選有興趣的證據。其中,又可依照資料證據等級由高而低的項序:系統、多篇系統性文獻回顧的精要、單篇系統性回顧的統整、原始性研究來做有效率的搜尋。除了培養搜尋實證的能力,如何合併病患的生理與心理於實證的應用也是重要的一環,將證據運用臨床並評估其效果與精進自己的技巧,運用實證醫學可以用科學的方式累積經驗和提高專業素養。

並列摘要


Evidence-based medicine (EBM) is the conscientious and explicit use of current best evidence in making decisions for the care of individual patients. EBM is the integration of the available research evidence with clinical expertise and patient values. The application of evidence-based medicine includes 5 steps: (1) asking a clear question; (2) searching for the information; (3) appraising the evidence; (4) apply to the patient, and (5) assessing the performance. EBM also develops 4 ”S” principles in the order of evidence level-system, synopses, syntheses, studies, which help practitioners to find the best information efficiently. Keeping pace with the fast advanced dentistry and being able to manage patients who have complex needs is a challenge for dentists. EBM provides a way to teach the practice of medicine and to improve the skills of the clinicians efficiently, which is a new paradigm for medical practice.

被引用紀錄


張雅嵐(2014)。以統合分析比較新一代口服抗凝血藥物與warfarin於併有慢性腎臟疾病之心房顫動患者預防腦中風之療效性與安全性 (實證醫學)〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2014.00159
張益通(2012)。鈣離子阻斷劑Nifedipine與Amlodipine降血壓效果比較之統合分析(實證醫學)〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2012.00101
巫櫻桃(2012)。Statin併用fenofibric acid在混合型高血脂病人之安全性探討---統合分析(實證醫學)〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2012.00034
蕭如君(2011)。胰島素控制腦損傷患者血糖之統合分析(實證醫學)〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2011.00097
羅羚蓁(2011)。醫學生對實證醫學應用之探討〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2011.00033

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