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循证医学的基础是临床流行病学,而临床流行病学的基础是临床病例。循证医学与病案管理的关系是:最佳证据的提供者和最佳证据的应用者所依据的就是病案。病案作为医疗信息的主要载体,循证医学所使用大量可靠的高质量的病案,都是来自于临床诊疗的记录-病案。流行病学研究史上的典范都是临床医生根据临床不寻常现象,根据既往病史和暴露史资料,使用流行病学的方法进行的病因学研究。临床病案大量的数据为循证医学Meta分析奠定了基础。
Evidence-based medicine is based on clinical epidemiology, and clinical epidemiology is based on clinical cases. The relationship between evidence-based medicine and medical record management is that the provider of the best evidence and the applicant of the best evidence are based on the medical record. The medical record as the main carrier of medical information, evidence-based medicine uses a large number of reliable and high-quality medical records, are from clinical records - medical records. The paradigm of epidemiological research is the etiology study of epidemiological methods based on clinicians’ unusual phenomena, based on past medical history and exposure history data. A large number of data of clinical cases laid the foundation for meta-analysis of evidence-based medicine.