[基于证据的医学和临床伦理:朝着共同的决策]
1Department of Health Informatics, School of Public Health, Kyoto University.
[Rinsho ketsueki] The Japanese journal of clinical hematology
|October 2, 2024
概括
基于证据的医学 (EBM) 整合了证据,专业知识和患者价值观,以获得最佳的护理. 共享决策 (SDM) 是一个合作过程,对于有效实施EBM至关重要.
科学领域:
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于证据的医学 (EBM) 被定义为整合当前证据,临床专业知识和患者偏好,以改善患者护理.
- 将研究证据与EBM区分开来至关重要,因为EBM包括考虑个体患者情况的全面决策.
- 来自系统审查的临床实践指南通过提供最佳建议来支持EBM.
研究的目的:
- 澄清基于证据的医学 (EBM) 的定义和范围.
- 突出临床实践指南在EBM中的作用.
- 在EBM和临床伦理学中定义和语境化共享决策 (SDM).
主要方法:
- 对EBM,研究证据,临床实践指南和SDM之间的定义和关系的概念分析.
- 对关键术语的既定定义的审查.
- 在患者和医疗服务提供者的决策中考虑道德问题.
主要成果:
- EBM是对患者护理的整体方法,不仅仅依赖于研究证据.
- 临床实践指南是EBM实施的宝贵工具.
- 共享决策 (SDM) 是一种以患者为中心的过程,是EBM不可或缺的组成部分.
结论:
- EBM需要一个细微的理解,超越研究证据,结合临床专业知识和患者价值观.
- SDM是道德和有效的EBM的重要组成部分,强调患者的自主权和协作决策.
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