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随机对照试验之外的卫生决策证据
Evidence for Health Decision Making — Beyond Randomized, Controlled Trials


Thomas R. Frieden ... 其他 • 2017.08.03

良好公共卫生实践的核心原则之一是将所有方针决策建立在以公开、客观方式获得的最高质量科学数据的基础上1。确定数据能否满足这些要求仍存在困难,而其中的不确定性会带来临床医师和公共卫生决策者的不作为。尽管长期以来,随机对照试验(RCT)一直被认为是疗效数据的理想来源,但人们对获取决定性措施相关证据的其他方法越来越感兴趣,这催生出发掘不同数据来源优势,并克服其局限性的新思路2-8。本文从公共卫生的角度描述RCT和其他(有时候更具优势)数据来源的使用,阐明RCT的主要局限性,并提出使用多数据来源改进卫生决策的方法。





作者信息

Thomas R. Frieden, M.D., M.P.H.
From Atlanta, GA. The author is the former director of the Centers for Disease Control and Prevention. Address reprint requests to Dr. Frieden at tfrieden@gmail.com.

 

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