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How to survive the medical misinformation mess.

Abstract：

:Most physicians and other healthcare professionals are unaware of the pervasiveness of poor quality clinical evidence that contributes considerably to overuse, underuse, avoidable adverse events, missed opportunities for right care and wasted healthcare resources. The Medical Misinformation Mess comprises four key problems. First, much published medical research is not reliable or is of uncertain reliability, offers no benefit to patients, or is not useful to decision makers. Second, most healthcare professionals are not aware of this problem. Third, they also lack the skills necessary to evaluate the reliability and usefulness of medical evidence. Finally, patients and families frequently lack relevant, accurate medical evidence and skilled guidance at the time of medical decision-making. Increasing the reliability of available, published evidence may not be an imminently reachable goal. Therefore, efforts should focus on making healthcare professionals, more sensitive to the limitations of the evidence, training them to do critical appraisal, and enhancing their communication skills so that they can effectively summarize and discuss medical evidence with patients to improve decision-making. Similar efforts may need to target also patients, journalists, policy makers, the lay public and other healthcare stakeholders.

journal_name

Eur J Clin Invest

journal_title

European journal of clinical investigation

authors

Ioannidis JPA,Stuart ME,Brownlee S,Strite SA

doi

10.1111/eci.12834

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

795-802

issue

11

eissn

0014-2972

issn

1365-2362

journal_volume

47

pub_type

杂志文章,评审

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