面向循证医学的知识服务平台概述

于彤+张竹绿+贾李蓉

中国中医科学院中医药信息研究所，北京 100700

摘要：现代医学图书馆的一项重要职能是为循证医学的发展提供实时、可靠的知识服务。近年来，在互联网上出现了Clinical Evidence、DynaMed、Essential Evidence Plus、MD Consult、UpToDate等一系列网站，它们利用数字图书馆所积累的海量数字资源，面向广大医师提供综合性的知识服务。医生和患者可以使用这些系统，根据自身需要和所关注的主题选择合适的知识服务，进而找到现有的最佳证据。基于循证医学的知识服务平台在国际上得到了医学工作者的广泛欢迎，成为临床决策中不可或缺的参考工具。本文介绍了国际上最流行的知识服务平台,分析它们的业务功能和技术特点，并讨论它们在临床决策中发挥的作用。

关键词：循证医学；信息资源；数字图书馆；知识服务

doi: 10.3969/j.issn.2095-5707.2014.04.017

An Overview of Knowledge Service Platforms for Evidence-Based Medicine

Yu Tong, Zhang Zhulv*, Jia Lirong

(Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China)

Abstract: Modern medical libraries have an important responsibility to provide updated, reliable knowledge services for evidence-based medicine. In recent years, a series of websites, such as Clinical Evidence, DynaMed, Essential Evidence Plus, MD Consult, and UpToDate, were established to provide synthesized knowledge services for clinical physicians based on massive data resources in medical libraries. Physicians and patients can use these systems to find relevant knowledge services according to their needs and interest. Evidence-based medical knowledge service platforms have received wide welcome from the international medical professionals, and have become an indispensable tool for clinical decision-making. This article introduced several famous knowledge service platforms, analyzed their functions and technical characteristics, and discussed their role in clinical decision-making.

Key words: evidence-based medicine; information resource; digital library; knowledge service

1循证医学和知识服务

近年来，循证医学（Evidence-based Medicine，EBM）正在成为主流[1]。EBM可被定义为“在医疗保健的决策中，以有意识、明确、严谨的方式使用现有的最佳证据”[2]。在循证医学中，最可靠的证据来自于按照特定方法收集所有质量可靠的随机对照试验（Randomized Controlled Trial，RCT）后所作的系统评价（Systematic Review，SR)[3]。循证保健服务的成功倚重于最佳证据的可及性，这些证据应覆盖疾

基金项目：中国博士后科学基金资助项目（2012M520559）；中国中医科学院基本科研业务费自主选题项目（ZZ070311，ZZ080302）

第一作者：于彤，助理研究员，研究方向：中医药信息学。E-mail: yutongoracle@hotmail.com

*通讯作者：张竹绿，助理研究员，研究方向：中医药信息学。E-mail: 1192631610@qq.com

病的诊断、治疗、预防等方面，并与患者个人、群体和医疗资源的特点具有相关性[4-5]。……