The use of evidence-based medicine in pediatrics: past, present and future

被引:7
|
作者
Kersten, Hans B. [1 ]
Thompson, E. Douglas [1 ]
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
关键词
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.
引用
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页码:326 / 331
页数:6
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