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Birinci basamakta kanıta dayalı tıp: Temel kavramlar ve güçlükler

Evidence based medicine in primary care: basic concepts and challenges

Journal Name:

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DOI: 
doi:10.2399/tahd.08.149

Keywords (Original Language):

Abstract (2. Language): 
Evidence-based medicine (EBM) has been defined as 'the integration of the best research evidence with clinical expertise and patient values'. By enabling clinicians to directly appraise and apply current clinical research, EBM deals with the problems of deterioration in clinical performance, information overload, and lack of application of research findings to clinical practice. EBM is a useful tool to address the problems faced by clinicians attempting to provide optimum, current care for their patients. The rationale for EBM, the principles, application and limita¬tions are described here.
Abstract (Original Language): 
Bu Kanıta dayalı tıp (KDT), "hasta ile ilgili kararlarda eldeki en iyi araştırma kanıtının hekimin deneyimi ve hastanın değerleriyle birleştirilmesi" olarak tanımlanmaktadır. Hekimin direkt olarak klinik araştırmayı kullanması ve benimsemesi ile KDT, klinik uygulamadaki sorunların çözülmesini, bilgi yükünün takip edilmesini ve klinik uygulama ile araştırmalar arasındaki kopukluğun giderilmesini sağlamaktadır. KDT, hekimlerin hasta bakımında karşılaştıkları sorunların çözümünde kullanışlı bir araç olarak karşımıza çıkmaktadır. Bu yazıda, KDT'nin tanımı, temel ilkeleri, uygulamaları ve güçlükleri ele alınacaktır.

REFERENCES

References: 

1. Doherty S. History of evidence-based medicine. Oranges, chloride of lime and leeches: Barriers to teaching old dogs new tricks. Emerg Med Aus-tralas 2005; 17: 314-21.
2. Doherty S. Evidence-based medicine: Arguments for and against. Emerg MedAustralas 2005; 17: 307-13.
3. McAlister FA, Graham I, Karr GW, Laupacis A. Evidence-based medicine and the practicing clinician. J Gen Intern Med 1999; 14: 236-42.
Türkiye Aile Hekimliği Dergisi |
Turkish Journal of Family Practice | Cilt 12 | Sayı 3 | 2008
151
5.
7.
4. Young JM, Ward JE. Evidence-based medicine in general practice: beliefs and barriers among Australian GPs. J Eval Clin Pract 2001; 7: 201-10.
Welsby PD. Evidence-based medicine, guidelines, personality types, relatives and absolutes. J Eval Clin Pract 2002; 8: 163-6.
Gupta M. A critical appraisal of evidence-based medicine: some ethical considerations. J Eval Clin Pract 2003; 9: 111-21.
Oliveri RS, Gluud C, Wille-Jorgensen PA. Hospital doctors' self-rated skills in and use of evidence-based medicine- a questionnaire survey. J
Eval Clin Pract 2004; 10: 219-26.
8. Ross EG, Upshur BA. If not evidence, then what? Or does medicine really need a base? J Eval Clin Pract 2002; 8: 113-9.
9. Phillips PA, Kelly S, Best J. Implementing and sustaining evidence-based clinical practice in Australia: the Evidence Based Clinical Practice Rese¬arch Initiative. J Eval Clin Pract 1999; 5: 163-8.
10. Vozeh S. Is the increasing use of evidence-based pharmacotherapy cau¬sing the renaissance of complementary medicine? Br J Clin Pharmacol
2003; 56: 292-6.
11. Porta M. Is there life after evidence-based medicine? J Eval Clin Pract
2004; 10: 147-52.
12. Ghali WA, Saitz R, Eskew A, Gupta M, Quan H, Hershman WY. Success¬ful teaching in evidence-based medicine. J Med Educ 2000; 34: 18-22.
13. Michelson J. Critique of (im)pure reason: evidence-based medicine and common sense. J Eval Clin Pract 2004; 10: 157-61.
14. Pearson A, Wiechula R, Court A, Lockwood C. The JBI model of eviden¬ce-based healthcare. Int J Evid Based Healthcare 2005; 3: 207-16.
15. Wiebe S. The principles of evidence-based medicine. Cephalalgia2000; 20
(Suppl. 2): 10-3.
16. Rosen A, Teesson M. Does case management work? The evidence and the abuse of evidence-based medicine. Aust N Z J Psychiatry 2001; 35:
731-46.
17. Rosenfeld JA. The view of evidence-based medicine from the trenches: li¬berating or authoritarian? J Eval Clin Pract 2004; 10: 153-5.
18. Toulkidis V, Donnelly NJ, Ward JE. Engaging Australian physicians in evidence-based medicine: a representative national survey. Intern Med J
2005; 35: 9-17.
19. Buetow S. Beyond evidence-based medicine: bridge-building a medicine of meaning. J Eval Clin Pract 2002; 8: 103-8.

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