EBMとは何か?

医学図書館とEBM

抄録

During the past ten years the phrase EBM (Evidence-based Medicine) has become popular among Japanese medical care providers. Not only the MHW (Ministry of Health and Welfare) but pharmaceutical companies have become interested in EBM. David Sackett says EBM is conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. In medical practice, 5 steps for are adovocated EBM: step 1, formulation of medical questions; step 2, a search for good evidence; step 3, critical appraisal of the information; step 4, putting the evidence into practice; step 5, verification of the appropriateness of these steps. There are many barriers to the adoption of EBM by Japansese physicians, such as information technology, tactics for searching evidence, English language, structure of the Japanese literature database, and medical authorities. Medical librarians should be alert to the prosperity of EBM and prepare the best and most appropriate evidence in their libraries.