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  Á¦¸ñ : EBM Database "DynaMed" ±¸µ¶


American Journal of Psychiatry ¿ø¹®ÀÌ¿ë °¡´É

ÀÓ»óÀü¹®ÀÇ°¡ ȯÀÚ Ä¡·á°úÁ¤¿¡¼­ Á÷Á¢ ½±°í ºü¸£°Ô ÀÌ¿ëÇÒ ¼ö ÀÖµµ·Ï 2,000¿©Á¾ÀÇ ÀÓ»ó ÅäÇÈ¿¡ ´ëÇÑ ÃÖÀûÀÇ ±Ù°Å(Best Available Evidence)¸¦ Á¦°øÇÏ´Â EBM±â¹ÝÀÇ ÀÓ»ó Âü°í µ¥ÀÌÅͺ£À̽ºÀÎ DynaMed¸¦ ½Å±Ô ±¸µ¶ÇÕ´Ï´Ù.

DynaMed¶õ?

  • ÇöÀåÄ¡·á°úÁ¤¿¡¼­ ¹Ù·Î ÀÌ¿ëÇÒ ¼ö ÀÖµµ·Ï ¼³°èµÈ EMB ±â¹ÝÀÇ ÀÓ»óÀÇÇÐ Á¤º¸¿ø
  • ȯÀÚÁø·á °úÁ¤¿¡¼­ »ý±â´Â ÀÓ»óÁú¹®¿¡ ´ëÇÑ °¡Àå ÀûÀýÇÑ ±Ù°Å (best available evidence)¸¦ Á¦°ø
  • ¸ÅÀÏ ¾÷µ¥ÀÌÆ®¸¦ ÅëÇÑ ÃֽŠÁ¤º¸ Á¦°ø (PC, PDA µîÀ» ÅëÇÑ ½±°í ºü¸¥ ÀÌ¿ë)
  • 2,000¿© ÀÓ»óÅäÇÈ¿¡ ´ëÇÑ ¿ä¾àÁ¤º¸ ¼ö·Ï
  • ÀÓ»ó, ±³À°, ¿¬±¸¸¦ À§ÇÑ À¯¿ëÇÑ Á¤º¸¿ø
  • 500¿©Á¾ÀÇ ÀÇÇÐÀú³Î ¹× EBM Á¤º¸¿¡ °üÇÑ °¨½Ã ¹× ¸®ºä¸¦ ÅëÇÑ ¿ä¾à¹® ¼ö·Ï
  • American Academy of Family Physicians (AAFP)¿¡ ÀÇÇØ ÀÎÁõµÈ Ãßõ EBM Á¤º¸¿ø

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  • ÀÇÇÐ ±âº»Á¤º¸¿Í ÃֽŠÁ¤º¸ÀÇ °áÇÕ (Combination of Basic and New Information)
  • TextbookÀ¸·ÎºÎÅÍÀÇ ±âº»Á¤º¸¿Í Àú³Î¸®ºä µîÀÇ ÃÖ½ÅÁ¤º¸ÀÇ ÅëÇÕ/Á¦°ø

  • ±¤¹üÀ§ÇÑ Á¤º¸¿ø¿¡ ´ëÇÑ ¸®ºä (Extensive Sources)
  • 500¿©Á¾ ÀÌ»óÀÇ ÀÇÇÐÀú³Î¿¡ ´ëÇÑ Á÷Á¢ ¸ð´ÏÅ͸µ ¹× 13Á¾ÀÇ 2Â÷ ¹®ÇåÁ¤º¸¿ø, 5Á¾ÀÇ ÀǾàÇ° Á¤º¸¿ø µî ´Ù¾çÇÑ Àú³Î ¸®ºä¼­ºñ½º¸¦ ÅëÇØ ±¤¹üÀ§ÇÑ Á¤º¸ Á¦°ø

  • ±Ù°Å Áß½ÉÀûÀÎ Á¢±Ù (Evidence-Based Approach)
  • °¡Àå Ÿ´ç¼º ÀÖ´Â Á¤º¸¿ø (¿¹ : The Cochrane Library, ACP Journal Club,  Evidence-Based Medicine)°ú °¡Àå Ÿ´çÇÑ ¿¬±¸ÇüÅ¿¡ Priority¸¦ ºÎ¿©

  • ±Ù°Å ´Ü°è½Ã½ºÅÛ Àû¿ë (Level of Evidence System)
  • ±Ù°Å(Evidence)ÀÇ Áú¿¡ ´ëÇÑ ºü¸¥ ÀνÄÀ» À§ÇØ Àû¿ëµÈ ü°è·Î ÀÌ¿ëÀÚµéÀº Level of EvidenceÀ» ÅëÇؼ­ »¡¸® °¡Àå ÀûÇÕÇÑ ±Ù°Å¸¦ ã°í Ä¡·á¹æ¹ýÀ» °áÁ¤

    - Level 1 [likely reliable] evidence : ȯÀÚÁ߽ɱٰſ¡ ±â¹ÝÇÑ °¡Àå Ÿ´ç¼ºÀÖ´Â º¸°í¼­

    - Level 2 [mid-level] evidence : ȯÀÚÁ߽ɱٰſ¡ ±â¹ÝÇÑ º¸°í¼­ÀÌÁö¸¸ Level 1ÀÇ ±âÁØÀ» ¸¸Á·½Ãų¸¸ÇÑ ÁúÀû ¹üÁÖ¿¡ À̸£Áö ¸øÇÔ

    - Level3 [lacking direct] evidence : ȯÀÚÁ߽ɱٰÅÀÇ °úÇÐÀû ºÐ¼®¿¡ ±â¹ÝÇÏÁö ¾ÊÁö¸¸, °úÇÐÀû ¿¬±¸·ÎºÎÅÍ Ãß·ÐµÈ °á·Ð, Àü¹®°¡ÀÇ°ß, Case reports, Case Series

DynaMed ¸¸Á·µµ

  • °¡Á¤ÀÇÇаú ÀÇ»çµéÀÇ ÀÓ»óÁúÀÇ¿¡ ´ëÇÏ¿© 50% ÀÌ»óÀÇ ¸¸Á·½º·± ´äº¯À» Á¦°ø . (J Fam Pract 2001 Nov;50(11):960)
  • 52¸íÀÇ ÀÇ»ç, 698°³ÀÇ ÀÓ»óÁú¹®À» ´ë»óÀ¸·Î - ¾à 70%ÀÇ ¸¸Á·½º·¯¿î ´äº¯À» Á¦°ø. (Ann Fam Med 2005;3(6);507-513)
  • ¿µ±¹ National Health Service ¿¡ ÀÇÇÑ National License ȹµæÀ¸·Î, ¿µ±¹ ¸ðµç ÀÇ»çµéÀÌ DynaMedÀÌ¿ë Áß  

DynaMed ¼ö·Ï Category (36°³)

 

DyanMed °¢ ÅäÇÈÀÇ ¼ö·ÏÁ¤º¸

  • General Information (including ICD-9/-10 Codes) : IDCÄڵ忡 ÀÇÇÑ Áúº´ÀÇ Á¤ÀÇ/¼³¸í
  • Causes and Risk Factors : ¹ßº´¿äÀÎ ¹× À§Çè¿ä¼Ò  
  • Complications and Associated Conditions : ÇÕº´Áõ µî
  • History : Áúº´ÀÇ ÀÌ·Â
  • Physical : À°Ã¼Àû Áõ»ó
  • Diagnosis : Áø´Ü(¹ý)
  • Prognosis : ¿¹ÈÄ (Áúº´ÀÇ °æ°ú, °á¸»¿¡ ´ëÇÑ ¿¹»ó)
  • Treatment : Ä¡·á¹ý
  • Prevention and Screening : ¿¹¹æ(¹ý)
  • References including Reviews and Guidelines : °¡À̵å¶óÀÎ µî
  • Patient Information : ȯÀÚÁ¤º¸
  • Acknowledgements
  • Comment to Editor : ÇØ´ç ÅäÇÈ¿¡ ´ëÇÑ Àǰߺ¸³»±â