留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

临床流行病学和循证医学的学科建设

刘晓清 吴东

刘晓清, 吴东. 临床流行病学和循证医学的学科建设[J]. 协和医学杂志, 2019, 10(4): 398-402. doi: 10.3969/j.issn.1674-9081.2019.04.017
引用本文: 刘晓清, 吴东. 临床流行病学和循证医学的学科建设[J]. 协和医学杂志, 2019, 10(4): 398-402. doi: 10.3969/j.issn.1674-9081.2019.04.017
Xiao-qing LIU, Dong WU. Discipline Construction of Clinical Epidemiology and Evidence-based Medicine:What, Who, Where, and Whither?[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(4): 398-402. doi: 10.3969/j.issn.1674-9081.2019.04.017
Citation: Xiao-qing LIU, Dong WU. Discipline Construction of Clinical Epidemiology and Evidence-based Medicine:What, Who, Where, and Whither?[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(4): 398-402. doi: 10.3969/j.issn.1674-9081.2019.04.017

临床流行病学和循证医学的学科建设

doi: 10.3969/j.issn.1674-9081.2019.04.017
基金项目: 

北京协和医学院教育教学改革立项项目 2013zlgc0115

北京协和医学院研究生教育教学改革项目 10023201600109

详细信息
    通讯作者:

    刘晓清电话:010-69155087,E-mail:liuxqpumch@126.com/liuxqpumch@126.com

  • 中图分类号: R-1

Discipline Construction of Clinical Epidemiology and Evidence-based Medicine:What, Who, Where, and Whither?

More Information
  • 摘要: 临床流行病学是在临床医学领域内引入现代流行病学和统计学方法,从患病个体诊治扩大到患病群体研究,以探讨疾病病因、预防、诊断、治疗、预后等规律的临床基础学科。循证医学的核心思想是通过检索、评价和应用证据,结合医生技术经验和患者的具体情况,经医患共同决策作出符合患者需求的利大于弊的诊疗决定。加拿大McMaster大学的David Sackett及其学生Gorden Guyatt先后对临床流行病学这门学科的建立、完善和传播,对循证医学概念的提出、发展和推动,起到了里程碑式的作用。20世纪80年代初,我国第一批追随David Sackett的医生方法学家引入了临床流行病学的核心思想,即临床研究的设计、测量和评价,90年代又引入了循证医学的理念。30年来,临床流行病学和循证医学在我国生根、发芽、开花、结果,对我国现代医学的发展起到了巨大推动作用。在全面建设“健康中国”的新时代,加强临床流行病学和循证医学的学科建设刻不容缓。
    利益冲突  无
  • [1] 陈志潜.定县社会改造事业中之乡村卫生实验[J].卫生月刊, 1934, 4.
    [2] Sidney DG. Ting Hsien: A North China Rural Community[M]. Stanford: Stanford University Press, 1968. https://www.worldcat.org/title/ting-hsien-a-north-china-rural-community/oclc/260097
    [3] Paul JR. President address clinical epidemiology[J]. J Clin Invest, 1938, 17: 539-541. doi:  10.1172/JCI100978
    [4] Feinstein AR, Spitzer WO. The Journal of Clinical Epidemiology: same wine, new label for the Journal of Chronic Diseases[J]. J Clin Epidemiol, 1988, 41:1-7. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=10.1177/096032719701600706
    [5] Tugwell P. David Lawrence Sackett (DLS) 1934—2015[J]. J Clin Epidemiol, 2016, 69: 1-4.
    [6] Sackett DL. Clinical epidemiology: what, who, and whither[J]. J Clin Epidemiol, 2002, 55:1161-1166. doi:  10.1016/S0895-4356(02)00521-8
    [7] Guyatt GH. Evidence-based medicine[J]. ACP J Club, 1991, 114: A16.
    [8] Evidence-Based Medicine Working Group. Evidence-based medicine: a new approach to teaching the practice of medicine[J]. JAMA, 1992, 268: 2420-2425. doi:  10.1001/jama.1992.03490170092032
    [9] Sackett D, Rosenberg WM, Gray JA, et al. Evidence based medicine: what it is and what it isn't[J]. BMJ, 1996, 312: 71-72. doi:  10.1136/bmj.312.7023.71
    [10] Guyatt G, Voelker R. Everything you ever wanted to know about evidence-based medicine[J]. JAMA, 2015, 313: 1783-1785. doi:  10.1001/jama.2015.2845
    [11] Albarqouni L, Hoffmann T, Straus S, et al. Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi Survey[J]. JAMA Netw Open, 2018, 1: e180281. doi:  10.1001/jamanetworkopen.2018.0281
    [12] Glasziou PP, Sawicki PT, Prasad K, et al. Not a medical course, but a life course[J]. Acad Med, 2011, 86: e4. doi:  10.1097/ACM.0b013e3182320ec9
    [13] Wang JY, Jin XJ. Evidence-based medicine in China[J]. Chronic Dis Transl Med, 2019, 5: 1-5. https://www.ncbi.nlm.nih.gov/pubmed/20159275
    [14] 王吉耀.循证医学的临床实践[J].临床, 1996, 3: 63-65. doi:  10.3321/j.issn:1001-764X.1996.02.024
    [15] 吴东, 沈悌.实践循证医学不应绝对化[J].中华内科杂志, 2009, 48: 447-448. doi:  10.3760/cma.j.issn.0578-1426.2009.06.005
    [16] Greenhalgh T, Howick J, Maskrey N. Evidence based medicine: a movement in crisis? [J].BMJ, 2014, 348: g3725. doi:  10.1136/bmj.g3725
    [17] 彭晓霞. Meta-分析的方法学局限性及其适用领域[J].协和医学杂志, 2017, 8: 381-386. doi:  10.3969/j.issn.1674-9081.2017.06.012
    [18] Hoffmann TC, Montori VM, Del Mar C. The connection between evidence-based medicine and shared decision making[J]. JAMA, 2014, 312: 1295-126. doi:  10.1001/jama.2014.10186
    [19] 唐金陵, 李立明.关于循证医学、精准医学和大数据研究的几点看法[J].中华流行病学杂志, 2018, 39: 1-7. doi:  10.3760/cma.j.issn.0254-6450.2018.01.001
    [20] Ehrenstein V, Nielsen H, Pedersen AB, et al. Clinical epidemiology in the era of big data: new opportunities, familiar challenges[J]. Clin Epidemiol, 2017, 9: 245-250. doi:  10.2147/CLEP.S129779
    [21] 刘晓清, 孙晓川.真实世界证据[J].协和医学杂志, 2017, 8: 305-310. doi:  10.3969/j.issn.1674-9081.2017.05.021
    [22] Heneghan C, Mahtani KR, Goldacre B, et al. Evidence based medicine manifesto for better healthcare[J]. BMJ, 2017, 357: j2973. https://www.bmj.com/content/357/bmj.j2973
  • 加载中
计量
  • 文章访问数:  755
  • HTML全文浏览量:  106
  • PDF下载量:  320
  • 被引次数: 0
出版历程
  • 收稿日期:  2019-06-13
  • 刊出日期:  2019-07-30

目录

    /

    返回文章
    返回

    【温馨提醒】近日,《协和医学杂志》编辑部接到作者反映,有多名不法人员冒充期刊编辑发送见刊通知,鼓动作者添加微信,从而骗取版面费的行为。特提醒您,本刊与作者联系的方式均为邮件通知或电话,稿件进度通知邮箱为:mjpumch@126.com,编辑部电话为:010-69154261,请提高警惕,谨防上当受骗!如有任何疑问,请致电编辑部核实。谢谢!