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实用与基于证据的医学-它不是一个或两个或两个
Piotr Szawarski1, David Hillebrandt2
1Consultant in Intensive Care Medicine, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, UK.
实用医学提供了一种灵活的临床问题解决方法,承认上下文的局限性. 这种方法补充了基于证据的实践,优先考虑患者和临床多样性的可用解决方案.
科学领域:
- 医疗实践和临床决策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医学中的实用主义往往被忽视,缺乏明确的定义.
- 现有的基于证据的方法在现实世界的临床环境中面临局限性.
研究的目的:
- 定义和描述实用主义在医学实践中的作用.
- 将实用医学定位为对基于证据的医学进行补充的方法.
- 突出实用性解决问题的优势,在不同的临床环境.
主要方法:
- 概念分析和论证.概念分析和论证.
- 实用和基于证据的方法的比较.
- 在异质患者群体中探索临床问题解决方法.
主要成果:
- 实用主义并不反对以证据为基础的医学,而是增强了它.
- 务实主义的固有不完美性促进了持续的重新评估.
- 易于获得的证据是有益的,但对务实的成功并不重要.
结论:
- 实用医学有效地解决了研究理想和临床现实之间的差距.
- 它提供了当前医疗实践中最容易获得和最有效的解决方案.
- 这种方法对于管理个体患者和临床环境的异质性至关重要.
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