Its core idea is medical decision-making (that is, the treatment of patients, the formulation of treatment guidelines and medical policies, etc.). ) should be based on the best clinical research available, and attach importance to combining personal clinical experience.
Professor David Sacktor, one of the founders of evidence-based medicine, once again defined evidence-based medicine as "cautiously, accurately and wisely applying the best research foundation available at present" in the new edition of How to Practice and Teach Evidence-based Medicine in 2000.
At the same time, combined with the doctor's personal professional skills and years of clinical experience, considering the patient's value and desire, the three are perfectly combined to formulate the patient's treatment measures. "
Evidence-based medicine is different from traditional medicine. Traditional medicine is based on empirical medicine, that is, treating patients according to non-experimental clinical experience, clinical data and basic knowledge of diseases.
Evidence-based medicine does not want to replace clinical skills, clinical experience, clinical data and medical expertise, but only emphasizes that any medical decision should be based on the best scientific evidence.
Extended data:
Purpose:
The purpose of evidence-based medicine is to solve clinical problems, including pathogenesis and risk factors → understanding and preventing diseases; Early diagnosis of diseases → improving the diagnostic accuracy; Correctly and reasonably treat diseases → apply effective measures; Judging the prognosis of the disease → improving the prognosis and improving the quality of life. Rational use of drugs to promote scientific health management and decision-making.
Core:
The core idea of evidence-based medicine is to combine clinical evidence and personal experience with the actual situation and wishes of patients in medical decision-making. Clinical evidence mainly comes from randomized controlled trials (RCT) and systematic review or meta-analysis.
Implementation conditions:
The best scientific evidence, high-quality clinicians, clinical epidemiology and the basis of modern medical measures.
References:
Baidu encyclopedia-evidence-based medicine