What is not the medical decision-making factor of evidence-based medicine is that

It is not evidence-based medicine, but computer technology.

The three basic elements of evidence-based medicine in clinical decision-making are: the best clinical research evidence, doctors' personal experience and patients' basic values and wishes. In addition to these three, expert opinions only suggest that the direction of treatment is not the decision-making factor of evidence-based medicine. Evidence-based medicine, which means "evidence-based medicine" and is also called empirical medicine, has also been translated into evidence-based medicine in Hongkong and Taiwan Province. It is a medical diagnosis and treatment method, which emphasizes the application of carefully designed and executed research (evidence) to optimize decision-making.

Professor David Sackett, a famous clinical epidemiologist, defines evidence-based medicine as "cautiously, accurately and wisely applying the best available research evidence to determine treatment measures for patients", and its core idea is that medical decision-making should be based on objective research results as much as possible. Doctors should prescribe prescriptions, formulate treatment plans or medical guidelines, and government agencies should formulate medical and health policies based on the existing and best research results.

Evidence-based medicine is different from traditional medicine. Traditional medicine is based on personal experience, and doctors treat patients according to their own practical experience, the guidance of senior doctors, scattered research reports in textbooks and medical journals. As a result, some truly effective therapies have not been adopted in clinic for a long time because they are not known to the public. Some therapies that are actually ineffective or even harmful have been widely used for a long time because they may be effective in theory. The practice of evidence-based medicine not only attaches importance to personal clinical experience, but also emphasizes the use of existing and best research foundation.

An excellent clinician should not only have rich clinical experience, but also be able to guide clinical practice according to the best scientific basis available, both of which are indispensable. This existing best scientific research foundation mainly refers to the clinical research foundation. Basic theory or animal experiment as a reference, there is no basis for clinical research, because the human body is much more complicated than animals and there are many influencing factors. The effect of a treatment on animals or in theory is not equal to the actual effect on patients. This actual effect needs clinical trials to prove.

The core of evidence-based medicine:

The core idea of evidence-based medicine is to combine clinical evidence and personal experience with the actual situation and wishes of patients in medical decision-making. Clinical evidence mainly comes from randomized controlled trials (RCT) and systematic review or meta-analysis.

The purpose of evidence-based medicine is to solve clinical problems, including pathogenesis and risk factors → understanding and preventing diseases; Early diagnosis of diseases → improving the diagnostic accuracy; Correctly and reasonably treat diseases → apply effective measures; Judging the prognosis of the disease → improving the prognosis and improving the quality of life. Rational use of drugs to promote scientific health management and decision-making.