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What is evidence-based medicine and why should it be practiced?
1Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Respiratory Care
|October 27, 2001
Summary
Evidence-based medicine (EBM) shifts clinical practice by integrating research evidence with patient values. This approach enhances clinical problem-solving for better patient care, particularly for respiratory therapists.
Area of Science:
- Clinical Practice
- Medical Education
- Health Sciences
Background:
- Traditional expert recommendations have limitations in guiding clinical practice.
- Evidence-based medicine (EBM) offers a paradigm shift in medical learning and practice.
- EBM necessitates rigorous examination of evidence and explicit application of rules.
Purpose of the Study:
- To discuss evidence-based decision-making as a clinical problem-solving strategy.
- To highlight the basis of EBM on a hierarchy of evidence.
- To explore the influence of patient context, values, and clinician expertise on EBM application.
Main Methods:
- Discussion of evidence-based decision-making using examples for respiratory therapists.
- Explanation of the hierarchy of evidence.
- Exploration of factors influencing EBM application.
Main Results:
- Evidence-based decision-making is presented as a structured clinical problem-solving strategy.
- The hierarchy of evidence provides a framework for evaluating research.
- Patient values, preferences, expertise, and circumstances significantly impact EBM application.
Conclusions:
- Evidence-based medicine enhances clinical decision-making by integrating evidence with patient-specific factors.
- Resources for obtaining evidence reports and developing appraisal skills are briefly mentioned.
- EBM promotes a more judicious and patient-centered approach to healthcare.
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