实践与意图:如何教一个老教条新技巧
Matthew C Phillips1,2, Kusha Davar3, Sarah Freling3
1Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
概括
临床医生面临着一个挑战,即平衡新的数据与有限的临床证据来做出决策. 这项研究质疑改变既定做法所需的证据量,以及仅仅数据能否推动这些转变.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策 - 临床决策
- 基于证据的实践.
背景情况:
- 临床医生被新研究数据淹没.
- 临床决策往往发生在证据不足的情况下.
- 既定做法可能是基于传统,而不是证据.
研究的目的:
- 探索修订临床实践所需的证据值.
- 调查数据本身是否可以从根本上改变既定的医学传统.
主要方法:
- 本研究是一项概念探索和文献综述.
- 它分析了数据,证据和临床实践变化之间的动态.
- 没有产生新的临床数据.
主要成果:
- 修改惯例所需的证据数量仍未确定.
- 人们质疑仅仅数据的催化转变的能力.
- 根深蒂固的做法对基于证据的采用构成了重大障碍.
结论:
- 修改临床实践需要的不仅仅是数据;它涉及克服根深蒂固的传统.
- 对证据的批判性评估对于有效的临床决策至关重要.
- 需要进一步的研究,以了解如何有效地将新证据纳入实践.
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