[Implementing evidence-based medicine: what effects are measurable?].
Evidence-based medicine (EBM) was proposed as a possible method of solving two of health care's present problems: the increasing flood of information and rising expenditures. Although this concept appears to be plausible, the measurable improvements in health care brought about by possible implementation of EBM should be explicitly described. After having demonstrated the present problems as well as the necessity to solve them, we described the goals intended to be achieved by the implementation of EBM. Furthermore, the impact of EBM on medical education was described. The possible influence of EBM on the effectiveness and efficiency of health care was also considered. The conflicts caused by the introduction of EBM were demonstrated using the example of the "German Guideline Discussion". Finally, three proposals were made; the integration of EBM into education, the avoiding of conflicts similar to the German Guideline Discussion and the need to alter the political framework accompanying these processes.
Porzsolt
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Abteilung Psychotherapie und Psychosomatische Medizin, Universitätsklinikum Ulm.
D003363:Cost Control; D003479:Curriculum; D019317:Evidence-Based Medicine / Q000191:economics; D013502:General Surgery / Q000191:economics / Q000193:education*; D005858:Germany; D006801:Humans; D009313:National Health Programs / Q000191:economics; D017410:Practice Guidelines as Topic
Implementierung der Evidence-Based Medicine: Welche Effekte sind messbar?