To introduce the principles of evidence-based medicine
- VernacularTitle:Нотолгоонд тулгуурласан анагаах ухааны зарчмыг тууштай нэвтрүүлэх асуудалд
- Author:
Orgil B
1
Author Information
1. Ach Medical University
- Publication Type:Review
- Keywords:
Evidence-based medicine, Principles of evidence-based medicine;
Evidence-based practice;
using evidence-based medicine
- From:Mongolian Medical Sciences
2018;185(3):138-146
- CountryMongolia
- Language:Mongolian
-
Abstract:
Since 1990s years Evidence-Based Medicine (EBM) was very important in the world, especially in
developed countries, as well as, in UK, USA and others. The emergence of evidence-based practice
has to be one of the success stories of the 1990s. In the space of more twenty years the movement
has had a significant impact on health care and health policy. Especially, in the UK there are centres,
amongst others, for evidence-based medicine, evidence-based child services and mental health services. The depth of influence within UK evidence-based medicine has been paralleled by a breadth of expansion internationally. The movement has rapidly become a global phenomenon transcending national boundaries. An international network to support the development of EBM has developed swiftly in the form of the Cochrane Collaboration, which now has centres in the UK and continental Europe, North and South America, Africa, Asia and Australia.
Over the last few years evidence-based medicine’s approaches have been developed in most health
fields, including evidence-based therapy, surgery, gynecology, pediatry, dentistry, nursing, public
health, physiotherapy and mental health. Progress has not stopped there: uniquely it would appear
that an approach originating in medicine is being advocated and adopted in more distant fields of
professional activity, including social work, probation, education anf human resource management.
The development of EBM was thus based on three principles: 1) Doctors must be taught how interpret
and use research findings. 2) Doctors must be helped to use research to inform practice throughout
their careers. 3) Research findings must be disseminated to doctors in more efficient ways.
Evidence-based practice (EBP) is seen as consisting of five explicit steps:
1. First, the clinician, faced with a patient or group of patients, constructs a specific question concerning
their care. This could relate to the diagnosis of the problem, the prognosis or likely outcome of
the problem, the most effective treatments and their possible side-effects, or the best method of
delivering services to meet patients’ needs.
2. The second stage consists of finding, as efficiently as possible, the best evidence to answer the
clinical question.
3. Third, the clinician evaluates the evidence for its validity and usefulness.
4. Fourth, the results are applied to the specific parient or group of patients.
5. Finally, the outcome of the intervention is evaluated.
The aim of EBM is to bring into clinical practice and the fourth stage of the process involves applying
the research findings to the care and management of individual patients. The application of clinical research to the care of individual patients presents a core challenge for EBP. The process of evaluation
is central to evidence-based medicine. Clinicians using EBM are encouraged to evaluate continually
their own performance in relation to their use of EBM and are encouraged to evaluate the validity and
importance of clinically relevant research.
But introducing evidence-based medicine’s principles has been needed to very long time in the Mongolian health sector. Especially, we have been needed in a special policy for developing EBM. Also
we have need to knowledge and detailed informations about EBM and it’s principles. Because, in our
country should be stimulate this activity.
- Full text:2018-185(3)-138-146.pdf
