[Evidence-based medicine--method, critical appraisal and usefulness for professionalized business practice in medical].
The concept of evidence-based medicine (EBM) describes 5 steps that lead to a scientifically based solution of clinical problems. EBM is often reduced to the search for the best evidence (randomised controlled trials, meta-analyses) or the introduction of guidelines. This causes criticism and may have consequences for medicine. But EBM also emphasizes the so-called clinical expertise of the doctor, which is important for reference to the individual patient. This point of EBM is being developed further. Connected with the theory of professionalization by U. Oevermann, stressing the importance of hermeneutical competence, EBM turns out to be a sophisticated model of professional medical practice.
Portwich
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Versicherungsmedizin, Schweizerische Unfallversicherungsanstalt, Luzern. philipp.portwich@suva.ch
D002986:Clinical Trials as Topic / Q000379:methods*; D003661:Decision Support Techniques; D019317:Evidence-Based Medicine / Q000379:methods*; D005858:Germany; D010818:Practice Patterns, Physicians'; D011361:Professional Competence; D011785:Quality Assurance, Health Care / Q000379:methods*