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Information Technology for Evidence Based Medicine: Status and Future Direction

机译:循证医学信息技术:现状与未来方向

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Evidence based medicine (EBM) refers to the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. This article presents systematic review of the use of information technology (IT) to support EBM with a particular emphasis on status and opportunities. Out of 2,490 papers initially scanned, 585 articles were included at the title level review. This was followed by an abstract review, which resulted in 196 articles. On full text scanning of the 196 articles, 69 articles met the inclusion criteria and were included in the final analyses. The key issues and potential for IT support for the practice of EBM are insufficient techniques to produce evidence in a computer interpretable format, insufficient research to combine the evidence from the multiple sources, inadequate techniques that automatically rate the literature and practice-based evidence, and integration of evidence at the clinician's workflow.
机译:循证医学(EBM)是指在做出有关个别患者护理决策时认真,明确和明智地使用当前的最佳证据。本文介绍了对信息技术(IT)的使用的系统评价,以支持EBM,特别强调了地位和机会。在最初扫描的2,490篇论文中,有585篇文章包含在标题级别的审阅中。随后进行了摘要审查,共发表了196篇文章。在对196篇文章进行全文扫描时,有69篇文章符合纳入标准,并被纳入最终分析。 IT支持EBM实施的关键问题和潜力包括:技术不足,无法以计算机可解释的格式生成证据;研究不足,无法结合来自多个来源的证据;对文献和基于实践的证据进行自动评级的技术不足;以及在临床医生的工作流程中整合证据。

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