Eine kurze Geschichte der Evidenz-basierten Medizin in Deutschland
Eine kurze Geschichte der Evidenz-basierten Medizin in Deutschland
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德国医学证据的历史
DOI：
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发表时间：
2018
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影响因子：
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通讯作者：
H. Raspe
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文献类型：
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作者：
H. Raspe
本文反映了从20世纪90年代中期到现在德国循证医学（EbM）的历史。在这里，EbM已经建立了自己的第一个和成功的循证保健，即。e.高于临床水平，并在德国社会法的规范范围内。EbM和临床之间的距离，从一开始就可以感觉到，似乎没有太大的变化。EbM对临床术语的影响大于临床实践。这一方面是“自上而下”引入的结果，另一方面是德国临床医学的科学传统。直到20世纪80年代，新的诊断和治疗方法的引入一直依赖于（实际上再次依赖于）生物医学推论，而不是经验测试。另一个因素是EbM和诊所日益经济化之间的冲突。最后，EbM本身的发展导致了与临床、自我概念、实用逻辑和实践的疏远。
The text reflects the history of evidence-based medicine (EbM) in Germany from the mid1990ies to the present. Here, EbM has established itself first and successfully as evidence-based health care, i. e. above the clinical level and within the normative context of Germany’s social law. The distance between EbM and clinic, perceptible from the beginning, has seemingly not much changed. EbM had more influence on clinical jargon than clinical practice. This is on the one hand a result of its introduction „top down“ and on the other of a scientific tradition of German clinical medicine. Until the 1980ies the introduction of new diagnostic and therapeutic methods has been relying (and actually relies again) stronger on biomedical deductions than empirical testing. An additional factor are conflicts between EbM and the increasing economisation of the clinic. Lastly, developments within EbM itself lead to alienation from the clinic, its self-concept, pragmatic logic, and practices.