Abstract

Evidence Based Medicine and Use Evidence for Guideline Development

Author(s): �?� Evidence Based Medicine �?� health �?� patients �?� decision making �?� Country-level policy making �?� evidence-based medicine �?� guidelines as topic

Quality of care can be measured using a framework provided by clinical practice guidelines. Guidelines' recommendations are used to make decisions not only in the clinical field but also about other related issues in health systems. As a result, the global standard for guaranteeing the quality of a guideline is the use of research evidence in the formulation of recommendations. Following a brief history of the need for and use of evidence in guideline development, the paper provides an overview of the four types of country-level guideline development mechanisms. The conscientious, explicit, judicious, and reasonable use of the most recent, best evidence in individual patient care decisions is known as evidence based medicine (EBM). The best research data is combined with clinical experience and patient values in EBM. Increasing the use of high-quality clinical research in clinical decision making is the goal of this movement. The clinician must acquire new abilities for EBM, such as the ability to conduct effective literature searches and evaluate the clinical literature using formal rules of evidence. Evidence-based medicine is a lifelong process of self-directed, problem-based learning in which caring for one's own patients necessitates clinically relevant information regarding diagnosis, prognosis, treatment, and other clinical and health care issues. It is not a "cookbook" with recipes, but when used correctly, it improves health care at a lower cost. The fact that traditional medicine does not take evidence into account is not the primary distinction between evidence-based medicine and EBM. Both take into account evidence; However, EBM calls for more robust evidence than has been the case in the past. The development of systematic reviews and meta-analyses, methods by which researchers identify multiple studies on a topic, separate the best ones, and then critically analyse them to come up with a summary of the best evidence that is available, is one of the greatest achievements of evidence-based medicine. Using evidence summaries in clinical practice to assist in the creation and revision of specific systematic reviews or evidence-based guidelines in their field of expertise, enrolling patients in studies of treatment, diagnosis, and prognosis, which are the foundation of medical practice, are the three responsibilities of the future EBM-oriented clinicians.