The challenges of transferring evidence-based dentistry into practice.
The challenges of transferring evidence-based dentistry into practice.
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DOI：
10.1016/j.jebdp.2005.12.011
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发表时间：
2006-03-01
期刊：
影响因子：
--
通讯作者：
Kao, Richard T
中科院分区：
文献类型：
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作者：
Kao, Richard T
循证牙科的目标是帮助从业者为患者提供最佳护理。这是通过将可靠的研究证据与个人临床专业知识和患者价值相结合来确定最佳治疗方案来实现的。虽然临床医生接受这一概念，但其在临床实践中的实施一直很缓慢。在这篇文章中，对实施循证护理的障碍进行了检查，并提供了可能的解决方案。牙科专业致力于为患者提供最好的牙科护理。由于新疗法、技术和材料的虚拟“信息爆炸”，消费者对治疗可能性和治疗结果的理解增加，以及社会人口模式的变化，这被证明是更加复杂的。虽然该行业倡导循证牙病预防和治疗的重要性，但从业人员实施这一概念的速度很慢。2003年，加州牙科协会（CDA）制定了一项循证牙科（EBD）行动计划，其中包括成立一个工作组来监督EBD工作，并实施计划，对CDA成员进行这种方法的教育。将EBD转移到临床实践中的挑战是工作组解决的关键问题，他们的大部分审议和观点都反映在本文中。还将探讨消除循证护理障碍的可能解决方案。
The goal of evidence-based dentistry is to help practitioners provide their patients with optimal care. This is achieved by integrating sound research evidence with personal clinical expertise and patient values to determine the best course of treatment. Although clinicians embrace this concept, its implementation in clinical practice has been slow. In this article, barriers against the implementation of evidence-based care are examined and possible solutions are offered. The dental profession is committed to providing the best possible dental care for patients. This is proving to be more complex due to a virtual "information explosion" on new therapies, techniques, and materials; increased consumer understanding of treatment possibilities and therapeutic outcomes; and changing sociodemographic patterns. Although the profession advocates the importance of evidence-based dental disease prevention and treatment, practitioners have been slow to implement this concept. In 2003, the California Dental Association (CDA) formulated an evidence-based dentistry (EBD) action plan that included the formation of a task force to monitor EBD efforts and implement programs to educate CDA members on this methodology. The challenges of transferring EBD into clinical practice were key issues addressed by the task force, and much of their deliberations and perspectives are reflected in this article. Possible solutions for eliminating barriers against evidence-based care will also be explored.