摘要
医学实践源自医学思维,正确的医学实践有赖于正确的医学思维。由于医学充满了不确定性,要求临床思维要有概然性、整体性、动态性、阶梯性、批判性和连贯性。现用的循证医学方法为临床医学提供了一种重要的思维模式,已成为里程碑式的决策工具。但随着时间推移和经验积累,特别是在慢性疾病诊治和防控中的具体应用,已经发现循证医学存在不少自身难以解决的问题,已在很大程度上影响到正确的医学实践,要尽快尽力对其进行深入分析,找到短板,特别是不要将其看成教条,要逐渐地对其进行完善。
Medical practice is derived from medical thinking,and correct medical practice depends on correct medical thinking.Because medicine is full of uncertainty,it requires clinical thinking to be general,holistic,dynamic,stepped,critical,and coherent.The current evidence-based medicine method provides an important mode of thinking for clinical medicine and has become a landmark decision-making tool.However,with the passage of time and accumulation of experience,especially in the specific application of chronic disease diagnosis,treatment and prevention,it has been found that there are many problems in evidence-based medicine that are difficult to solve by themselves,which have greatly affected the correct medical practice.We should try our best to conduct in-depth analysis as soon as possible to find the shortcomings,especially do not regard it as dogma,so as to gradually improve it.
作者
樊代明
FAN Daiming(Xijing Hospital of Digestive Diseases,Air Force Medical University,Xi’an 710032,China)
出处
《医学争鸣》
CAS
2020年第3期1-10,共10页
Negative
关键词
临床思维
循证医学
大数据
集体无意识和有组织的不负责行为
clinical thinking
evidence-based medicine
big data
collective unconscious and organized irresponsible behavior
