Reductionism in medicine: some thoughts on medical education from the clinical front line.

abstract：:It is important to improve our understanding about what might be the specific characteristics of mental disorders to strengthen the scientific credibility of psychiatry and to clarify its position among other medical and nonmedical sciences. On the other hand, this issue has diagnostic, research, therapeutic, legal, f...

journal_title：Journal of evaluation in clinical practice

authors： Telles Correia D

更新日期：2017-10-01 00:00:00

abstract：RATIONALE:Psychological factors are acknowledged to impact on pregnancy, birth, neonatal outcomes and maternal mental health. The importance of psychological well-being is now recognized within maternity care and UK maternity policy advocates choice and control, equating this to increased quality of experience and impr...

journal_title：Journal of evaluation in clinical practice

authors： Jomeen J,Martin CR

更新日期：2008-06-01 00:00:00

abstract：:The aim was to determine whether there are differences among family physicians (FPs) and general practitioners (GPs) in terms of their preference for different classes of antihypertensives, either alone or in combinations, in uncomplicated cases of hypertension and to determine the extent of adherence to WHO/ISH guide...

journal_title：Journal of evaluation in clinical practice

authors： Sequeira RP,Jassim KA,Damanhori AH,Mathur VS

更新日期：2002-11-01 00:00:00

abstract：:The types of diseases, or categories of suffering, referred to as medically unexplained symptoms or syndromes (MUS) are the focus for the following commentary. Such cases seem to invite reflection. The very nature of such complex patterns of disease and suffering raises a number of fundamental epistemological and onto...

journal_title：Journal of evaluation in clinical practice

authors： Eriksen TE,Kirkengen AL

更新日期：2016-08-01 00:00:00

abstract：RATIONALE, AIM AND OBJECTIVE:As the prescribing of drugs in secondary care is known to influence prescribing in primary care and because an understanding of prescribers' reasoning is essential for evaluating prescribing appropriateness, the aim of this study was to investigate secondary care doctors' views of appropria...

journal_title：Journal of evaluation in clinical practice

authors： Ljungberg C,Lindblad AK,Tully M

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Child psychoanalytic psychotherapy has been criticized for its reluctance to embrace evidence-based practice. This study aims to explore the historical narrative of a sample of child psychoanalytic psychotherapists about progress in developing the evidence base. METHODS:Fourteen psychotherapists were interv...

journal_title：Journal of evaluation in clinical practice

authors： Rous E,Clark A

更新日期：2013-08-01 00:00:00

abstract：:Over the past two decades, the majority of medical schools in the USA have embarked upon curricular initiatives to enhance the teaching of ambulatory or office-based primary care. Identifying characteristics of these primary care experiences that make for the most effective learning is a top priority in medical educat...

journal_title：Journal of evaluation in clinical practice

authors： Kurth RJ,Irigoyen MM,Schmidt HJ

更新日期：2001-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The London Health Sciences Centre found that its emergency room (ER) mental health services were affected by people presenting with problems that did not require psychiatric intervention. Consequently, a second triage using a crisis worker (CW) was introduced in the ER to identify those p...

journal_title：Journal of evaluation in clinical practice

authors： Coristine RW,Hartford K,Vingilis E,White D

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Recent research indicates that allied health clinicians have difficulty articulating client needs and priorities into specific and measurable goals. As a result, a number of strategies to facilitate improvement in allied health clinicians' goal-setting skills have been recommended in the literature. In order...

journal_title：Journal of evaluation in clinical practice

authors： Marsland E,Bowman J

更新日期：2010-02-01 00:00:00

abstract：OBJECTIVE:The obvious gap between evidence and practice in health care is unfavourable for patient care and requires the promotion of a scientific attitude among health care professionals. The aim of the present study was to determine the utilization of knowledge of and interest in research and development among primar...

journal_title：Journal of evaluation in clinical practice

authors： Morténius H,Marklund B,Palm L,Fridlund B,Baigi A

更新日期：2012-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The management of rheumatoid arthritis (RA) usually entails regular hospital reviews with a specialist often when the patient is well rather than during a period of exacerbation. An alternative approach where patients initiate appointments when they need them can improve patient satisfact...

journal_title：Journal of evaluation in clinical practice

authors： Goodwin VA,Paudyal P,Perry MG,Day N,Hawton A,Gericke C,Ukoumunne OC,Byng R

更新日期：2016-06-01 00:00:00

abstract：:Identified as a mental disorder by Emil Kraepelin and Eugen Bleuler (1858-1939), schizophrenia has been subject to various criticisms, on both political and scientific grounds. Still, until the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, as the'Spectrum of Schizophrenia and Othe...

journal_title：Journal of evaluation in clinical practice

authors： Gonçalves J

更新日期：2017-10-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Clinical practice guidelines (CPGs) are significant tools for evidence-based health care quality improvement. The CPG program at King Saud University was launched as a quality improvement program to fulfil the international accreditation standards. This program was a collaboration betwee...

journal_title：Journal of evaluation in clinical practice

authors： Amer YS,Wahabi HA,Abou Elkheir MM,Bawazeer GA,Iqbal SM,Titi MA,Ekhzaimy A,Alswat KA,Alzeidan RA,Al-Ansary LA

更新日期：2019-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:We developed a novel Internet-based blended learning programme that allows busy health care professionals to attain core competency in clinical research. This study details the educational strategies and learning outcomes of the programme. METHOD:This study was conducted at Kyoto Univers...

journal_title：Journal of evaluation in clinical practice

authors： Tsugihashi Y,Kakudate N,Yokoyama Y,Yamamoto Y,Mishina H,Fukumori N,Nakamura F,Takegami M,Ohno S,Wakita T,Watanabe K,Yamaguchi T,Fukuhara S

更新日期：2013-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Guidelines for stroke management should improve quality of care. Dissemination of guidelines, however, does not guarantee guideline adherence. The aim of this paper is to investigate barriers for guideline adherence to bring about suggestions for possible implementation strategies. METHO...

journal_title：Journal of evaluation in clinical practice

authors： Van Der Weijden T,Hooi JD,Grol R,Limburg M

更新日期：2004-05-01 00:00:00

abstract：:The goals of medical ethics education comprise several dimensions: legal duties to secure informed consent, tell the truth and protect confidentiality; objective competencies that include an understanding of DNR regulations and surrogate decision-making procedures; discursive moral skills such as moral sensitivity, re...

journal_title：Journal of evaluation in clinical practice

authors： Gross ML

更新日期：2001-11-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Clinical studies show equivalent health outcomes from interventional procedures and treatment with medication only for stable angina patients. However, patients may be subject to overuse or access barriers for interventional procedures and may exhibit suboptimal adherence to medications....

journal_title：Journal of evaluation in clinical practice

authors： Savitz ST,Bailey SC,Dusetzina SB,Jones WS,Trogdon JG,Stearns SC

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Metaphors are central to the human understanding of complex issues; through the immediate associations they evoke and frame problems and suggest solutions. Our suggestion of Music in the Park as a metaphor for health systems reform brings to the forefront the environmentally diverse but bounded spaces of hea...

journal_title：Journal of evaluation in clinical practice

authors： Sturmberg JP,Martin CM,O'Halloran D

更新日期：2010-06-01 00:00:00

abstract：:The final years of life present challenges for care. In middle-/high-income countries, the percentage of people of advanced age in the population is growing, and the dying process continues to become more complex and protracted. We propose that a new understanding of care, 'teleological care', be considered as an impo...

journal_title：Journal of evaluation in clinical practice

authors： Cellarius V,Upshur R

更新日期：2014-12-01 00:00:00

abstract：PURPOSE:The study aims to support decision making on how best to redesign diabetes care by investigating three potential sources of heterogeneity in effectiveness across trials of diabetes care management. METHODS:Medline, CINAHL and PsycInfo were searched for systematic reviews and empirical studies focusing on: (1) ...

journal_title：Journal of evaluation in clinical practice

authors： Elissen AM,Steuten LM,Lemmens LC,Drewes HW,Lemmens KM,Meeuwissen JA,Baan CA,Vrijhoef HJ

更新日期：2013-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The onset of acute illness may be accompanied by a profound sense of disorientation for patients. Addressing this vulnerability is a key part of a physician's purview, yet well-intended efforts to do so may be impeded by myriad competing tasks in clinical practice. Resolving this dilemma ...

journal_title：Journal of evaluation in clinical practice

authors： Schrewe B,Ruitenberg CW

更新日期：2020-05-07 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:A national guideline was proposed to enable shared care in hearing complaints and therefore to change patient flows. In this study the effect of this guideline is evaluated. METHODS:From a total of 3500 patients with hearing complaints, consulting the Ear Nose and Throat Department of a ...

journal_title：Journal of evaluation in clinical practice

authors： Duijvestijn JA,Grutters JP,Chenault MN,Joore MA,Manni JJ,Anteunis LJ

更新日期：2011-04-01 00:00:00

abstract：:In many developed nations, the state of publicly administered health care is increasingly precarious as a result of escalating numbers of chronically ill patients, inadequate medical personnel and hospital facilities, as well as sparse funding for ongoing upgrades to state-of-the-art diagnostic and therapeutic technol...

journal_title：Journal of evaluation in clinical practice

authors： Genuis SJ

更新日期：2008-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The spontaneous reporting of adverse drug reactions (ADRs) through the yellow card and made concrete by the knowledge and attitudes of doctors, has been rousing a great deal of bibliographical interest in recent years. However, there does not seem to be any actual revision in the theme on...

journal_title：Journal of evaluation in clinical practice

authors： Herdeiro MT,Polonia J,Gestal-Otero JJ,Figueiras A

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVE:To use structured implicit review following large-scale explicit audit of antipsychotic polyprescribing to: (1) determine the true rate of antipsychotic polytherapy that deviated from best practice for schizophrenia treatment; and (2) assess whether explicit antipsychotic polytherapy criterion was appropriate...

journal_title：Journal of evaluation in clinical practice

authors： Wheeler A

更新日期：2009-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The focus on the diagnosis is a pivotal aspect of medical practice since antiquity. Diagnostic taxonomy helped to categorize ailments to improve medical care, and in its social sense resulted in validation of the sick role for some, but marginalization or stigmatization for others. In the...

journal_title：Journal of evaluation in clinical practice

authors： Sturmberg JP,Martin CM

更新日期：2016-02-01 00:00:00

abstract：RATIONALE:Diagnostic reasoning is a critical aspect of clinical performance, having a high impact on quality and safety of care. Although diagnosis is fundamental in medicine, we still have a poor understanding of the factors that determine its course. According to traditional understanding, all information used in dia...

journal_title：Journal of evaluation in clinical practice

authors： Lucchiari C,Pravettoni G

更新日期：2012-02-01 00:00:00

abstract：:Access to appointments in primary care is not routinely measured, and there is no one standardized method for doing so. Any measurement tool has to take account of the dynamic status of appointment availability and the definitional problems of appointment types. The aim of this study was to develop and trial a method ...

journal_title：Journal of evaluation in clinical practice

authors： Elwyn G,Jones W,Rhydderch M,Edwards P

更新日期：2003-02-01 00:00:00

abstract：:The aim of this study was to evaluate the impact of a program of training, education and awareness on the accuracy of the data collected from hospital discharge abstracts. Four random samples of hospital discharge abstracts relating to four different periods were studied. The evaluation of the impact of systematic tra...

journal_title：Journal of evaluation in clinical practice

authors： Lorenzoni L,Da Cas R,Aparo UL

更新日期：2000-11-01 00:00:00

abstract：UNLABELLED:RATIONAL AND AIMS: In recent years, guidelines for treatment of patients with chronic heart failure (CHF) have been updated. Insight in current pharmacological and non-pharmacological treatment of CHF in primary care, which was non-optimal in earlier studies, is limited. We aim to describe current pharmacolo...

journal_title：Journal of evaluation in clinical practice

authors： Bosch M,Wensing M,Bakx JC,van der Weijden T,Hoes AW,Grol RP

更新日期：2010-06-01 00:00:00