循证医学及其数据库
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张丹丹 [email protected]. 循证医学及其数据库. 循证医学概述 循证医学数据库 案例检索. 内容提纲. 循证医学（ Evidence based medicine ）对病人的诊治决策是建立在当前最新、最佳的证据基础之上，以追求最佳诊治效果。. 循证医学的概念. 经验医学的决策 零散的研究报告 病人不参与决策. 传统医学模式的缺陷. 20 世纪 80 年代，理论体系逐渐形成和完善 1982 年， Dr Sackett 等在 McMaster 大学率先对住院医师进行以 “ 病人问题为中心的学习 ” 课程培训 - PowerPoint PPT PresentationTRANSCRIPT
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Evidence based medicine
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20801982Dr SackettMcMaster1987Cochrane RCT1991ACPJC1992Journal of American Medical AssociationEBMEBMGordon GuyattMcMaster1992CochraneRCTmeta1993Cochrane Dr SackettACPJC2090EBM 2000British medical journalbest clinical evidenceBirtish Medical Journalevidence-based medicine
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19977Cochranehttp://www.ebm.org.cn/ cochrane
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http://www.jebm.cn/Cochrane library users group http://www.clug.iwh.on.ca/ NIH http://www.clinicaltrials.gov/http://www.ebm.org.cn/Cochrane http://www.cochrane.org/EBM online http://ebm.bmj.com/
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Cochranehttp://www.thecochranelibrary.com/view/0/index.htmlSumsearchhttp://sumsearch.org/TRIP Database http://www.tripdatabase.com/ MD consulthttp://www.mdconsult.com/php/405988083-2/home.htmlClinical evidencehttp://clinicalevidence.bmj.com/x/index.html
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CochraneDARE Database of Abstracts of Reviews of Effects http://www.crd.york.ac.uk/CRDWeb/AboutDare.aspclinical practice guidelinehttp://guideline.gov/
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Cochrane libraryBest Practice (Clinical evidence)clinical practice guidelineEBSCO-EBMR
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Cochrane
Cochrane
Cochrane
CochraneCochrane
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MeSH
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A-ZBy Topic By Review Group
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3033 41180/90mmHg202/PEECG1
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PCI
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eMedicine
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http://emedicine.medscape.com/
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eMedicine ( http//emedcine.medscape.com/ )
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National Guideline Clearinghouse
(Agency for Healthcare Research and Quality, AHRQ)(American Medical Association, AMA)(American Association of Health Plans, AAHP)
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http://guideline.gov/
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2010
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