Clinical research evidence and clinical practice

被引:14
作者
Collins, JA
机构
[1] MCMASTER UNIV,FAC HLTH SCI,DEPT OBSTET & GYNECOL,HAMILTON,ON L8N 3Z5,CANADA
[2] MCMASTER UNIV,FAC HLTH SCI,DEPT CLIN EPIDEMIOL & BIOSTAT,HAMILTON,ON L8N 3Z5,CANADA
关键词
D O I
10.1093/humrep/12.9.1847
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
An informal survey among colleagues turns up the far-from surprising information that the average patient contact involves at least three or four judgements and decisions: judgements about aetiology and prognosis, decisions about diagnosis acid therapy, and sometimes discussions about costs and side-effects, And so it goes: 20 patients a day, 60 decisions; 100 patients a week, 300 decisions, Who makes these decisions, the doctor or the patient? What factors govern the final choice in each case? Evidence-based medicine (EBM) is the factor getting a lot of attention these days, but clinical decisions depend on many different elements, Good doctors have always made use of experience and judgement as well as the best available evidence.
引用
收藏
页码:1847 / 1850
页数:4
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