摘要
循证医学以客观证据为基础,使临床治疗决策科学化,是临床医疗模式的一次重大转变。其目的是遵循证据寻求最佳、最可靠的诊疗方案,以提高治疗效果,从而延长患者寿命。但寿命的延长并不意味着生活质量的提高,临床实践必须要兼顾患者的感受和意愿。循值医学则是建立在循证医学最佳证据的基础上,将其与患者生活质量及治疗的经济费用最大限度地结合起来,运用效用分析的方法对生活质量的“质”进行具体量化。这一新型医疗模式将为整个社会提供一种更好的用于评价治疗方案的工具,可为患者提供更高质量的医疗服务,同时最大限度地减轻社会的经济负担。(中华眼科杂志,2006,421042-1046)
Evidence-based medicine （EBM） is based on objective evidence, which provides best available knowledge for physicians to scientifically make medical and therapeutic decisions for the care of all individual patients in order to improve the effectiveness of treatment and to prolong the life of patients. EBM has made a significant progress in clinical practice. But medical therapies cannot always bring a better life quality and clinically, patients＇ preference should be always taken into account. Value-based medicine （VBM） is the practice of medicine that emphasizes the value received from an intervention. It takes evidence-based data to a higher level by combining the parameters of patient-perceived value with the cost of an intervention. The fundamental instrument of VBM is cost-utility analysis. VBM will provide a better practice model to evaluate the therapeutic package and cost effectiveness for individual and general health care.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2006年第11期1042-1046,共5页
Chinese Journal of Ophthalmology
关键词
证据医学
生活质量
费用效益分析
Evidencebased medicine
Quality of life
Cost-benefit analysis
