The use of evidence-based medicine in pediatrics: past, present and future
被引:7
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作者:
Kersten, Hans B.
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机构:
Drexel Univ, St Christophers Hosp Children, Coll Med, Dept Pediat,Sect Gen Pediat, Philadelphia, PA 19134 USADrexel Univ, St Christophers Hosp Children, Coll Med, Dept Pediat,Sect Gen Pediat, Philadelphia, PA 19134 USA
Kersten, Hans B.
[1
]
Thompson, E. Douglas
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机构:
Drexel Univ, St Christophers Hosp Children, Coll Med, Dept Pediat,Sect Gen Pediat, Philadelphia, PA 19134 USADrexel Univ, St Christophers Hosp Children, Coll Med, Dept Pediat,Sect Gen Pediat, Philadelphia, PA 19134 USA
Thompson, E. Douglas
[1
]
Frohna, John G.
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机构:
Univ Wisconsin, Sch Med & Publ Hlth, Dept Pediat, Div Gen Pediat, Madison, WI USADrexel Univ, St Christophers Hosp Children, Coll Med, Dept Pediat,Sect Gen Pediat, Philadelphia, PA 19134 USA
Frohna, John G.
[2
]
机构:
[1] Drexel Univ, St Christophers Hosp Children, Coll Med, Dept Pediat,Sect Gen Pediat, Philadelphia, PA 19134 USA
[2] Univ Wisconsin, Sch Med & Publ Hlth, Dept Pediat, Div Gen Pediat, Madison, WI USA
best evidence;
best practice;
critical appraisal;
evidence-based medicine;
D O I:
10.1097/MOP.0b013e3283005843
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
Purpose of review Evidence-based medicine is a process that seeks to integrate the best research evidence with clinical expertise and patient values in order to optimize clinical outcomes for our patients. This article will review the benefits of and barriers to the use of evidence-based medicine in pediatrics in the twenty-first century, discuss various implementation strategies and outline the resources that pediatricians could use to increase their knowledge and skills and apply them to their clinical practice. Recent findings Although physicians have generally welcomed evidence-based medicine, the benefits and limitations are often debated, and studies reveal that physicians feel that practicing evidence-based medicine could be difficult in a busy clinical practice because they lack the time, knowledge and resources. There have been many recent developments to help pediatricians overcome these barriers and to use best evidence in their practice. Summary Pediatricians must be able to use the evidence-based medicine process to identify, access, apply and integrate new knowledge into their practice to provide high-quality care for their patients. The resources discussed in this review will help pediatricians make clinical decisions about patient care that are based on the best, most current, valid, and relevant evidence available.
机构:
Univ Queensland, Parenting & Family Support Ctr, Brisbane, Qld 4072, AustraliaUniv Queensland, Parenting & Family Support Ctr, Brisbane, Qld 4072, Australia
机构:
George Washington Univ, Sch Med & Hlth Sci, Washington, DC 20037 USAGeorge Washington Univ, Sch Med & Hlth Sci, Washington, DC 20037 USA
Shu, Li-Qi
Sun, Yi-Kan
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机构:
Univ New South Wales, Fac Med, Sydney, NSW 2052, AustraliaGeorge Washington Univ, Sch Med & Hlth Sci, Washington, DC 20037 USA
Sun, Yi-Kan
Tan, Lin-Hua
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机构:
Zhejiang Univ, Sch Med, Childrens Hosp, Hangzhou 310052, Zhejiang, Peoples R ChinaGeorge Washington Univ, Sch Med & Hlth Sci, Washington, DC 20037 USA
Tan, Lin-Hua
Shu, Qiang
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机构:
Zhejiang Univ, Sch Med, Childrens Hosp, Hangzhou 310052, Zhejiang, Peoples R ChinaGeorge Washington Univ, Sch Med & Hlth Sci, Washington, DC 20037 USA
Shu, Qiang
Chang, Anthony C.
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机构:
Childrens Hosp Orange Cty, Sharon Disney Lund Med Intelligence & Innovat Ins, Orange, CA 92868 USAGeorge Washington Univ, Sch Med & Hlth Sci, Washington, DC 20037 USA