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    題名: 重要內科疾病中草藥療效實證醫學之研究
    其他題名: Investigation of Chinese Medical Berbs in Evidence-Based on the Curative Effect of Important Internal Medical Diseases
    作者: 林昭庚(Lin,Jaung-Geng);張世良(Chang,Shih-Liang)
    貢獻者: 中醫學院中國醫學研究所
    關鍵詞: 中草藥;療效評估;實證醫學;Chinese Herb Medicine;Evidence-Based Medicine;Curative Evaluation
    日期: 2006-12-31
    上傳時間: 2009-09-01 13:34:45 (UTC+8)
    摘要: 世界衛生組織 (WHO) 傳統醫藥策略,鼓勵各國傳統醫學納入現有醫療政策體系,並促進傳統醫學療效評估與安全性之研究。而實證醫學 (evidence-based medicine, EBM) 的概念漸被擴展到整個保健系統,因此提出實證保健 (evidence-based healthcare,EBHC) 的全新理念,對健保支付制度有一定的影響。EBM或EBHC被視為新的典範,取代建立在權威之上的傳統醫學。它仰賴隨機對照試驗 (RCT),一系列試驗之系統性回顧 (Systematic Review, SR);然而它不僅受限於此,也強調資訊的傳播和收集,所以實證及於臨床實務,它也因此具有研究基礎實務的概念。本研究主要目的為:運用先前的針灸療效研究整理文獻模式,分組收集整理中草藥及方劑對內科疾病療效之研究,從所建立的指標篩選積分較高者進行統合。使中草藥治療內科疾病具有實證之研究,能經由有系統的分析整理與傳播,能更廣為臨床醫師所熟悉與運用,更能作為政府對於制定健保政策之參考。實證醫學(EBM)需考量證據 (Evidence)、臨床專業知識與技能 (Expertise)、並以病人為中心。是一種觀念也是一種態度,傳統中醫藥面臨此一醫學新潮應積極面對,迎頭趕上才不致被時代潮流所淹沒。

    According to a new World Health Organization (WHO) strategy "WHO TRADITIONAL MEDICINE STRATEGY 2002-2005"lanched in 2002, it promoted that countries must integrate TCM into their national existing health care systems. Evidence-based Medicine was also expanded into all health care system. A new concept, evidence based healthcare (EBHC) has certain effect on the payment of national health insurance. EBM and EBHM are thought as new type to substitute for traditional medicine that was based on authority. It not only depended on randomize controlled trial (RCT) and a series of systematic review (SR), but also contain the collection and propagation of information. So, evidence cover clinical practice with research based. The purpose of this study is that previous research model of acupuncture's curative effect is applied to collect and categorize the papers in the curative effect of internal medical disease treated with Chinese herb. The higher score of appraisal index will be selected to proceed systematic review that can provide evidence-based curative effect of Chinese herb in internal medical disease, and have clinical physician applying and knowing the new information of research in Chinese Herb. This study will also provide to government to refer to make decision on healthcare. Evidence in scientific research, expertise of physician and value of patient were considered in decision model of evidence-based medicine. That is a concept and also an attitude. The Traditional Chinese Medicine face to this new medical tide. We must have an active attitude and to catch up with the new fashion of medicine.
    顯示於類別:[中國醫學研究所] 研究計畫

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