期刊文献+

多维视野下的临床决策 被引量:9

Multi-aspect of Clinical Decision Making
在线阅读 下载PDF
导出
摘要 临床决策是临床实践的重要组成部分之一,随着时代和科学技术的发展,临床决策的内涵和方法也发生了深刻的变化。有许多的因素影响或决定临床决策的质量,如何正确处理好循证医学证据与经验、传统方法和现代技术、创新与人文主义精神、技术与费用等关系是一个十分复杂的课题,需要从临床、经济、社会和法律等多方面加以研究和探索。 Clinical decision making has been an important component of clinical practices. As with scientific and technologic developments, its implications and methods have greatly and profoundly changed. Various factors influence the quality of clinical decision making, including evidence - based guidelines, empiric tools, innovations, humanism, financial factors, requiring further and widespread studies.
作者 张忠鲁
机构地区 大连市友谊医院
出处 《医学与哲学》 北大核心 2005年第09X期13-16,共4页 Medicine and Philosophy
关键词 临床决策 影响因素 多维性 clinical decision making impact factor multi - aspect
  • 相关文献

参考文献1

二级参考文献53

  • 1Krumholz HM, Radford M J, Wang Y, et al. National use and effectiveness of beta-blockers for the treatment of elderly patients after acute myocardial;nfarction: National Cooperative Cardiovascular Project.IAMA. 1998;280:623-629.
  • 2Jencks SF, Cuerdon T, Burwen DR, etal. Quality of medical care delivered to Medicare beneflcianes: a profile at state and national levels. JAMA. 2000;284:1670-1676.
  • 3Krumholz HM, Chen J, Rathore SS, Wang Y, Radford MJ. Regional variation in the treatment and outcomes of myocardial infarction: investigating New England's advantage. Am Heart J. 2003;146:242-249.
  • 4Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA. 2003;289:305-312.
  • 5Petersen LA, Normand SL, Leape LL, McNeil BJ.Comparison of use of medications after acute myocardial infarction in the Veterans Health Administration and Medicare. Circulation. 2001 ;104:2898-2904.
  • 6Krumhotz HM, Radford M J, Wang Y, Chen J, Marciniak TA. Early beta-blocker therapy for acute myocardial infarction in elderly patients. Ann Intern Med.1999;131:648-654.
  • 7Wennberg DE; Dartmouth Atlas of Cardiovascular Health Care Working Group. The Dartmouth Atlas of Cardiovascular Health Care. Chicago, III: AHA Press; 1999.
  • 8Keeley EC, Boura JA, Grines CL. Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet. 2003;361:13-20.
  • 9Boden WE, O'Rourke RA, Crawford MH, et al; Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital (VANQWISH) Trial Investigators. Outcomes in patients with acute non-Q-wave myocardial infarction randomly assigned to an invasive as compared with a conservative management strategy. N Engl J Med. 1998;338:1785-1792.
  • 10Wennberg DE, Lucas FL, Siewers AE, Kellett MA,Malenka DJ. Outcomes of percutaneous coronary interventions performed at centers without and with onsite coronary artery bypass graft surgery. JAMA. 2004;292:1961-1968.

共引文献14

同被引文献74

引证文献9

二级引证文献71

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部