["Expert approved international standards of evidence-based medicine": a proposal].
["Expert approved international standards of evidence-based medicine": a proposal].
复制标题
[“专家批准的循证医学国际标准”：一项提案]。
DOI：
10.1016/j.zefq.2010.09.037
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
P. Sawicki
中科院分区：
文献类型：
--
作者：
H. Raspe;P. Sawicki
德国社会法典第五册(SGB V)第35B节提到“专家认可的循证医学国际标准”(EBM)。20多年前作为临床医学改革运动开始的一个想法，从社会法律的角度来看，正被用作标准创建方法方面的规范性概念，其目的是形成相应法律中提到的医疗药物比较效益/风险评估的“方法和标准”的基础。本文件将这些标准置于“利益描述和分析”的底部和顶部的“循证医学的基本关切”之间。除了各种标准外，我们还提出了循证医学的七个基本原则和四个基本关切(追求经验真理、患者福利、实用主义、程序正义)。每一项基本原则、标准、方法和标准都可以用来充实各自的上级类别(基本关切等)。这些标准的地位和作用将以“文献检索和选择”为例加以说明。
Section 35b of the German Code of Social Law Book V (SGB V) mentions" expert approved international standards of evidence-based medicine"(EbM). An idea which started as a reform movement in and for clinical medicine more than twenty years ago is here, from a socio-legal perspective, being utilised as a normative concept in terms of a standard-creating methodology, which is meant to form the basis for the" methods and criteria" of comparative benefit/risk assessment of medical drugs mentioned in the respective law. The present paper places the standards in a hierarchy between" description and analysis of benefits" at the bottom and, at the top," fundamental concerns of EbM". Apart from a variety of standards, we propose seven basic principles and four fundamental concerns of EbM (pursuit of empirical truth, patient welfare, pragmatism, procedural justice). Each of the basic principles, standards, methods and criteria can be taken to substantiate the respective superordinate category (basic concerns etc.). The position and role of the standards will be explained using the example" search for and selection of literature".