Narrative evidence-based medicine:a strategy for evaluation of clinical efficacy of Chinese medicine.
10.19540/j.cnki.cjcmm.20210902.501
- Author:
Qiu-Ping CHEN
1
;
Ming-Yi SHAO
2
;
Qian BI
3
;
Rui-Xia ZHAO
2
;
Lan-Qing LYU
1
;
Hong-Yan CUI
1
Author Information
1. Henan University of Chinese Medicine Zhengzhou 450000, China.
2. the First Affiliated Hospital of Henan University of Chinese Medicine Zhengzhou 450000, China Henan Evidence-based Medicine Center of Chinese Medicine Zhengzhou 450000, China.
3. the First Affiliated Hospital of Henan University of Chinese Medicine Zhengzhou 450000, China.
- Publication Type:Journal Article
- Keywords:
efficacy evaluation of Chinese medicine;
evidence-based medicine;
joint decision-making by both doctors and patients;
narrative medicine;
real world research
- MeSH:
Evidence-Based Medicine;
Humans;
Medicine, Chinese Traditional;
Narrative Medicine;
Physicians;
Treatment Outcome
- From:
China Journal of Chinese Materia Medica
2022;47(2):557-561
- CountryChina
- Language:Chinese
-
Abstract:
Rich experience of clinical diagnosis and treatment has been accumulated in the developmental history of Chinese medicine, and the efficacy has been increasingly accepted by the public. However, the evaluation of clinical efficacy is currently based more on scientific evidence instead of merely the changes of patient symptoms. In Chinese medicine, the changes of major disease indicators, patient symptoms, and pathogenesis are the major criteria for the evaluation of clinical efficacy. The lack of well-accepted and uniform criteria and the uncertainty of subjective evaluation limit the development of clinical Chinese medicine. Evidence-based medicine combines clinical skills with the current best evidence. Narrative medicine, utilizing people's narratives in clinical practice, emphasizes patient feelings, willingness, and value orientation. The introduction of both evidence-based medicine and narrative medicine into the evaluation of clinical efficacy refers to the construction of the clinical efficacy evaluation system in a paradigm of participatory diagnosis and treatment. It can fully reflect the characteristics of Chinese medicine, respect the values of patients, and achieve universal clinical evidence. Therefore, it helps to improve the diagnosis and treatment, the relationship between doctors and patients, patients' life quality and decision-making awareness, and finally the new evaluation model of clinical efficacy of Chinese medicine.
