36 KB81 KB34 KB192920262003Čuk, Angelaštevilka:12letnik:72str. 695-699ISSN:1318-0347COBISSID:17390809URN:URN:NBN:SI:doc-YPKMZNOWslSlovensko zdravniško društvoZdravniški vestnikClinical MedicineComputer Communication NetworksDecision Support TechniquesEvidence-Based MedicineizsledkiKlinična medicinamedicinamedicinemetodeodločanjeOdločanje, podporni sistem, tehnikepresojaRačunalniške mrežeZnanstveno utemeljena medicinaNa izsledkih temelječa medicina| Evidence-based medicine - 1. general principles| Splošna načela|Background. Evidence-based medicine is a method that helps physicians find andcritically evaluate evidences from the medical literature, and apply the evidences in clinical decision-making. In clinical practice the method supplements core medical skills, clinical experience and emphasizes the importance of clinical research evidence. Evidence based medicine is characterised by two fundamental principles: first, the scientific evidences alone do not suffice for clinical decision-making second, clinical decision-making is being guided by scientific evidence placed in appropriate hierarchy. For practicing evidence-based medicine additional skills are neededwhich are generally not part of medical curricula. Physician should be able to formulate a clear clinical question from a patient's problem and determine what information is required. He should be able to search the literature efficiently, critically appraise the evidence from the literature and properly implement the findings in clinical problem-solving. Conclusions. Evidence-based medicine has been widely accepted in academic medical circles as well as in clinical practice. It is being introduced in curricula of several medical schools, especially as a supplement to clinical skills on different levels of medical studies. Introduction of evidence-based medicine into clinical practice increased the possibility to critically introduce current research findings from medical literature to everyday work of physicians in their care for patientsIzhodišča. Na izsledkih temelječa medicina je metoda, ki zdravnikom pomaga poiskati izsledke iz medicinske literature, jih kritično ovrednotiti in uporabiti pri kliničnem odločanju. Metoda v praksi dopolnjuje temeljna medicinska znanja, klinične izkušnje in poudarja pomen izsledkov iz kliničnih raziskav. Zanjo sta značilni dve osnovni načeli, in sicer, da znanstveni izsledki sami še ne zadoščajo za klinično odločanje ter da klinično odločanje vodijo znanstveni izsledki, ki so postavljeni v ustrezno hierarhijo. Za izvajanje metode na izsledkih temelječe medicine so potrebna dodatna znanja, ki se jih praviloma zdravniki ne naučijo v času študija. Tako mora zdravnik znati jasno opredeliti klinično vprašanje, izhajajoče iz bolnikovega problema,in ugotoviti, katere informacije potrebuje, znati mora učinkovito poiskati literaturo, znati izsledke iz literature kritično ovrednotiti ter izluščeno bistvo ustrezno uporabiti pri reševanju kliničnega primera. Zaključki. Metoda je doživela velik odmev v akademskih medicinskih krogih pa tudi v klinični praksi. Uvaja se že v študijske programe mnogih medicinskih fakultet, predvsem kot dopolnitev kliničnih znanj v različnih fazah študija. Zuvajanjem na izsledkih temelječe medicine v klinično prakso pa se je povečalamožnost sprotnega kritičnega uvajanja novih dognanj iz medicinske strokovne literature v vsakdanje delo zdravnikov pri obravnavi bolnikovTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo