An Evidence-Based Medicine Methodology To Bridge The Gap Between Clinical And Environmental Health Sciences
An Evidence-Based Medicine Methodology To Bridge The Gap Between Clinical And Environmental Health Sciences
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DOI：
10.1377/hlthaff.2010.1219
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发表时间：
2011-05-01
期刊：
影响因子：
9.7
通讯作者：
Sutton, Patrice
中科院分区：
文献类型：
--
作者：
Woodruff, Tracey J.;Sutton, Patrice
医生和其他临床医生可以帮助患者了解危险的环境暴露，特别是可能影响其生殖健康的物质。但是，相关的科学证据数量庞大，质量参差不齐，而且对照顾育龄人群的卫生专业人员来说基本上是陌生的。为了弥合临床和环境健康之间的差距，我们创建了一种方法来帮助评估证据的质量，并支持临床医生和患者做出基于证据的决策。该方法还可以支持专业协会，卫生保健组织，政府机构和其他机构制定预防导向的指导方针，用于临床和政策环境。
Physicians and other clinicians could help educate patients about hazardous environmental exposures, especially to substances that could affect their reproductive health. But the relevant scientific evidence is voluminous, of variable quality, and largely unfamiliar to health professionals caring for people of childbearing age. To bridge this gap between clinical and environmental health, we created a methodology to help evaluate the quality of evidence and to support evidence-based decision making by clinicians and patients. The methodology can also support professional societies, health care organizations, government agencies, and others in developing prevention-oriented guidelines for use in clinical and policy settings.