基于证据的医学:过去,现在,未来
Filippos Triposkiadis1,2, Dirk L Brutsaert3
1Department of Cardiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Biopolis, 41500 Larissa, Greece.
Journal of clinical medicine
|July 29, 2025
概括
基于证据的医学 (EBM) 必须发展为精准医学,整合人工智能,医生专业知识和患者偏好,以加强医疗保健决策.
科学领域:
- 医学史 医学史 医学史
- 医疗信息学 医疗信息学
- 生物伦理学生物伦理学
背景情况:
- 现代西方医学是从古老的传统发展起来的,随着19世纪的发现和基于证据的医学 (EBM) 的发展而加速发展.
- EBM最初优先考虑临床研究证据,而不是直觉和经验.
- 在EBM模型的演变中,包括临床专业知识和患者的偏好.
研究的目的:
- 在精准医学时代,提出一个基于证据的医学 (EBM) 框架.
- 通过纳入先进技术和以患者为中心的方法,重新定义EBM原则.
主要方法:
- 医学实践和基于证据的医学历史发展的回顾.
- 在EBM中分析人工智能 (AI),大数据和医生与患者互动的整合.
- 检查患者偏好和共享决策在精准医学中的作用.
主要成果:
- 精准医学需要修订EBM方法.
- 关键组件包括人工智能驱动的大数据分析,增强的医生与患者的互动,以及以患者为中心的决策.
- 医生的专业知识,直觉和哲学信仰仍然至关重要.
结论:
- 基于证据的医学 (EBM) 必须适应精准医学.
- 未来的EBM将利用人工智能,大数据,医生专业知识和积极的患者参与.
- 这种综合方法确保了以患者为中心的护理和优化的医疗干预.
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