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題名:臺灣實證醫學教學之推廣策略與執行成效
書刊名:醫學與健康期刊
作者:陳杰峰 引用關係羅恒廉譚家偉侯文萱郭耿南
作者(外文):Chen, ChiehfengLo, Heng-lienTam, Ka-waiHou, Wen-hsuanKuo, Ken-nan
出版日期:2013
卷期:2:附冊1
頁次:頁1-11
主題關鍵詞:實證醫學實證健康照護知識轉譯醫學教育Evidence-based medicineEvidence-based health careKnowledge translationMedical education
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:9
  • 點閱點閱:81
醫療照護體系在過去這二十年間急劇且持續的轉變著,平均餘命顯著地延長,新的醫療科技與技術持續地被導入健康照護作業的一環,無論是醫療機構內或外的照護作業流程都變的更加地繁複龐雜,健康照護相關的支出成本也因而不斷地上升,醫學研究更是以遠遠超過知識被吸收的速度大量的被發表,因應健康照護服務型態的轉變,醫事人員培育的內容,在過去幾年間亦有著質與量上大幅的改革,而實證醫學教育在這一醫學教育典範轉型中的重要性更是與時俱增。本文回顧及整理台灣過去近二十年推廣實證醫學教育訓練的成功經驗與發展策略,其中尤其是來自行政院衛生署政策的支持與引導、國家衛生研究院協同台灣實證醫學學會的積極耕耘帶動下,展現相當卓著的推廣與應用成效,相關的教學課程及推廣策略可提供有關醫療機構及衛生主管機關,後續研擬推廣措施之參考。
Health care system has undergone dramatic changes in the past 20 years. Life expectancy rises significantly as well. There are continuous developments of new health technologies that benefit the healthcare system. The processes of healthcare have become complex within and without the healthcare setting. New investment and complex care process result in increasing healthcare cost. The speed of publication of medical research significantly exceeds the ability of assimilation, therefore unable to apply new research finding in healthcare. For modem day healthcare characteristics, the education of healthcare professional also undergo major changes both in quality and quantity in recent year. As a new paradigm in healthcare practice, the evidence-based medicine (EBM) teaching in all healthcare professions becomes an ever-increasing importance. This article reviewed experiences of the effective strategies in promoting the evidence-based medicine teaching in past 20 years in Taiwan. With all related strategies and efforts, mainly the driving policy directive from the Department of Health, the great leading role of National Health Research Institutes and collaborative organizational ability of Taiwan Evidence-Based Medicine Association, we have made the initial success in EBM implementation and application. The teaching programs and promotional strategies developed provide the implementation models for those who plan to introduce EBM within their organizations.
期刊論文
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2.余光輝、陳永昌、田亞中、謝邦鑫、簡竹君、方基存(20070300)。實證醫學的醫學教育。醫學教育,11(1),13-20。new window  延伸查詢new window
3.Dawes, M.、Summerskill, W.、Glasziou, P.、Cartabellotta, A.、Martin, J.、Hopayian, K.、Porzsolt, F.、Burls, A.、Osborne, J.、Second International Conference of Evidence-Based Health Care Teachers and Developers(2005)。Sicily statement on evidence-based practice。BMC Medical Education,5。  new window
4.李佳諭、王維芳、張瑩如(20110400)。實證護理培訓課程對護理人員實證護理知識、態度及行為之成效探討。新臺北護理期刊,13(1),19-31。  延伸查詢new window
5.葉蒨菁、黃靜宜、廖以誠、張淑真、黃素猜(20101100)。某醫學中心護理人員接受實證護理工作坊之成效。新臺北護理期刊,12(2),7-15。  延伸查詢new window
6.羅恒廉、陳杰峰、邱亞文、郭耿南(2009)。實證醫學與考科藍系統性回顧之發展近況。醫療爭議審議報導系列,40,20-28。  延伸查詢new window
7.張家勳、陳建煒(20030700)。臺灣實證醫學的展望。臺灣醫學,7(4),575-578。  延伸查詢new window
8.Wallace, J.、Nwosu, B.、Clarke, M.(2012)。Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers, perceptions. BMJ Open。BMJ Open,2012。  new window
9.Chiu, Y. W.、Weng, Y. H.、Lo, H. L.、Shih, Y. H.、Hsu, C. C.、Kuo, K. N.(2010)。Impact of a nationwide outreach program on the diffusion of evidence-based practice in Taiwan。International Journal for Quality in Health Care,22(5),430-436。  new window
10.Weng, Y. H.、Hsu, C. C.、Shih, Y. H.、Lo, H. L.、Chiu, Y. W.、Kuo, K. N.(2012)。Dissemination of systematic reviews in hospital setting: a comparative survey for diffusing the Cochrane Library。Postgrad Med J.,88,511-514。  new window
11.邱浩彰、葉建宏、陳彥正、張志華、楊巧如(20070900)。輔仁大學醫學系實證醫學的教學。醫學教育,11(3),193-200。new window  延伸查詢new window
12.吳明順、陳杰峰、曾珮娟、連吉時、溫明麗、邱文達(20070700)。以團體觀摩競賽提昇實證醫學的教學成效。臺灣醫學,11(4),425-430。  延伸查詢new window
13.黃靜宜、廖以誠、賴鈺嘉、曹龍彥(20080300)。實證醫學小組教學工作坊對住院醫師之影響評估。醫學教育,12(1),36-44。new window  延伸查詢new window
14.楊宗翰、陳勇志、楊甯貽、施昭寧、余光輝、王正旭(20100300)。醫師與其他臨床人員在實證工作坊表現之比較。醫學教育,14(1),49-57。new window  延伸查詢new window
15.Chiu, Y. W.、Weng, Y. H.、Lo, H. L.、Shih, Y. H.、Hsu, C. C.、Kuo, K. N.(2012)。Comparison of accessing online databases between physicians and nurses in Taiwan。Inform Health Soc Care,30,132-138。  new window
16.Weng, Y. H.、Kuo, K. N.、Yang, C. Y.、Lo, H. L.、Shih, Y. H.、Chiu, Y. W.(2012)。Information-searching behaviors of main and allied health professionals: A nationwide survey in Taiwan。J Eval Clin Pract,2012。  new window
17.Shaneyfelt, T.、Baum, K. D.、Bell, D.、Feldstein, D.、Houston, T. K.、Kaatz, S.(2006)。Instruments for evaluating education in evidence-based practice: a systematic review。JAMA,296(9),1116-1127。  new window
18.楊培銘(20080000)。在內科醫學會推動實證醫學之歷程。臺灣實證醫學學會會刊,1(1),9-10。  延伸查詢new window
19.Weng, Y. H.、Kuo, K. N.、Yang, C. Y.、Liao, H. H.、Chen, C.、Lo, H. L.(2013)。Effectiveness of national evidence-based medicine competition in Taiwan。BMC Med. Educ.,13(1),1-8。  new window
20.譚家瑋、蔡龍文、蔡家揚、梁宏華、張孟霖、賴宜君、陳貞蓉(20100500)。從實證醫學到臨床應用--全腹膜外內視鏡腹股溝疝氣修補手術之人工網膜固定改善專案。醫療品質雜誌,4(3),73-76。new window  延伸查詢new window
21.余光輝、張璧月(2013)。嚴重藥物過敏基因檢測HLA-B* 1502臨床應用的實證醫學觀點。Journal of Biomedical & Laboratory Sciences,25,1-9。  延伸查詢new window
22.Glasziou, P.、Haynes, B.(2005)。The paths from research to improved health outcomes。ACP Journal Club,142,8-10。  new window
23.Straus, S. E.、Brouwers, M.、Johnson, D.、Lavis, J. N.、Legare, F.、Majumdar, S. R.(2011)。Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative。Implement Sci,6,127。  new window
24.Evidence-Based Medicine Working Group(1992)。Evidence-based medicine: A new approach to teaching the practice of medicine。The Journal of the American Medical Association,268(17),2420-2425。  new window
會議論文
1.余光輝(2011)。以中文版柏林問卷(Berlin Questionnaire)評估實證健康照護訓練。台灣實證醫學學會2011學術年會,台灣實證醫學學會 。台北市:國立臺灣大學醫學院。  延伸查詢new window
2.蔡榮美(2011)。以中文版夫勒斯諾量表(Fresno Test)評估實證健康照護訓練。台灣實證醫學學會2011學術年會,台灣實證醫學學會 。台北市:國立臺灣大學醫學院。  延伸查詢new window
3.Shen, W. H.、Lo, H. L.、Chiu, Y. W.、Chen, C. F.、Kuo, K. N.(2009)。Translating the abstract of Cochrane Database Systematic Review (CDSR) into Chinese。The 17th Cochrane Colloquium,(會議日期: 2009/10/11-10/14)。  new window
4.Chen, C.、Kuo, K. N.、Lo, H. L.、Yu, K. H.、Liao, H. H.、Lee, W. C.(2012)。Mobilizing evidence-based medicine by a national literature searching and appraisal championship。1st International Society for Evidence-Based Health Care Conference,(會議日期: 2012/10/06-10/08)。New Delhi。  new window
研究報告
1.陳杰峰、郭耿南、邱文達(2005)。區域級以上醫院推動實證醫學計畫IV成果報告。  延伸查詢new window
2.陳杰峰、郭耿南、邱文達、楊宜青(2007)。輔導各級醫院推動實證醫學計畫成果報告。  延伸查詢new window
3.郭耿南、邱亞文(2011)。設立實證醫學發展服務暨東亞考科藍中心。  延伸查詢new window
4.郭耿南、陳杰峰(2012)。推動行政院衛生署署立醫院實證醫學科技交流與電子資料庫共享平台計畫 (計畫編號:DOHlOl-TD-T-7)。  延伸查詢new window
5.郭斐然、陳慶餘、王維典、梁繼權(2516)。醫學生與住院醫師臨床能力的訓錬與評估--實證醫學臨床應用能力的訓練與評估 (計畫編號:NSC94-2516-S002-007)。  延伸查詢new window
6.蔡景仁、張瑩如、林其和(2511)。醫學院大學部實證醫學教學現況調査及實證健康照護互動式數位教學糸統之建置與評估--醫學院大學部實證醫學教學現況調査及實證健康照護互動式數位教學糸統之建置與評估 (計畫編號:NSC100-2511-S006-013)。  延伸查詢new window
7.郭斐然、陳慶餘、王維典、梁繼權(2008)。建立具有實境運作能力之醫師臨床核心技能的培育模式--臨床核心技能之「實證醫學技能」訓練、評量及師資培育計畫 (計畫編號:NSC96-2516-S002-009)。  延伸查詢new window
8.陳杰峰、邱文達(2012)。評估及發展實證醫學教育模式 (計畫編號:NSC100-2511-S-038-001)。  延伸查詢new window
圖書
1.Cochrane, A. L.(1999)。Effectiveness and Efficiency: Random Reflections on Health Services。London:Royal Society of Medicine Press。  new window
2.財團法人醫院評鑑暨醫療品質策進會(2004)。實證醫學教案手冊。  延伸查詢new window
3.郭耿南、陳杰峰、王慈蜂(2007)。實證醫學:醫療照護決策。台北:合記圖書出版社。  延伸查詢new window
4.郭耿南、林菁華、蔡伶觀(2009)。如何撰寫臨床指引--從開始到完成。台北:臺灣愛思惟爾有限公司。  延伸查詢new window
5.侯勝茂、李銘珠(2010)。以系統性回顧輔助實證醫學。台北:台灣愛思唯爾。  延伸查詢new window
6.楊宗翰、楊瑞褀、Gray, Muir(2011)。以實證為基礎的健康照護與公共衛生。台北:台灣愛思唯爾。  延伸查詢new window
7.Straus, S. E.、Tetroe, J.、Graham, I. D.(2009)。Knowledge Translation in Health Care: Moving from Evidence to Practice。West Sussex:Blackwell Publishing Ltd.。  new window
8.Sackett, D. L.、Richardson, W. S.、Rosenberg, W.、Haynes, R. B.(1997)。Evidence-based medicine: How to practice and teach evidence based medicine。New York, NY:Churchill Livingstone。  new window
9.陳杰峰、王慈蜂(2012)。實證醫學:臨床實務與教學指引。台北:台灣愛思唯爾:合計圖書。  延伸查詢new window
 
 
 
 
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