Taking stock of evidence-based medicine: opportunities for its continuing evolution.

abstract：:Escalating costs, increasing multi-morbidity, medically unexplained health problems, complex risk, poly-pharmacy and antibiotic resistance can be regarded as artefacts of the traditional knowledge production in Western medicine, arising from its particular worldview. Our paper presents a historically grounded critical...

journal_title：Journal of evaluation in clinical practice

authors： Kirkengen AL,Ekeland TJ,Getz L,Hetlevik I,Schei E,Ulvestad E,Vetlesen AJ

更新日期：2016-08-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Focusing on the implementation of clinical practice guidelines (CPGs) for the management of adult cancers, the objectives of this study were to (a) describe the intrinsic elements known to influence CPG use; (b) identify the ways in which CPGs are implemented; and (c) explore how CPG cha...

journal_title：Journal of evaluation in clinical practice

authors： Urquhart R,Woodside H,Kendell C,Porter GA

更新日期：2019-08-01 00:00:00

abstract：:Therapist self-disclosure is one of the most controversial topics in the history of psychotherapy. The controversies reflect some basic discussions regarding the nature of psychotherapy practice. In psychotherapy practice, a particular concern is the interaction between the psychotherapist and the patient. The expert-...

journal_title：Journal of evaluation in clinical practice

authors： Berg H,Bjornestad J,Våpenstad EV,Davidson L,Binder PE

更新日期：2020-04-01 00:00:00

abstract：OBJECTIVES:The objectives of this paper were to investigate quality of care for individuals with osteoarthritis (OA) and to determine if those most in need had the outcome of a total joint replacement (TJR). Key quality indicators were involvement in treatment decisions, appropriate information provision and outcomes o...

journal_title：Journal of evaluation in clinical practice

authors： McHugh GA,Campbell M,Luker KA

更新日期：2012-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Little is known about which medical providers, other than neurologists, are involved in the care of neurologic conditions. We aimed to describe the current distribution of outpatient neurologic care by provider type. METHODS:We conducted a restrospective, cross-sectional analysis using a...

journal_title：Journal of evaluation in clinical practice

authors： Lin CC,Hill CE,Burke JF,Kerber KA,Hartley SE,Callaghan BC,Skolarus LE

更新日期：2020-08-04 00:00:00

abstract：INTRODUCTION:Although patient safety has improved steadily, harm remains a substantial global challenge. Additionally, safety needs to be ensured not only in hospitals but also across the continuum of care. Better understanding of the complex cognitive factors influencing health care-related decisions and organizationa...

journal_title：Journal of evaluation in clinical practice

authors： Seshia SS,Bryan Young G,Makhinson M,Smith PA,Stobart K,Croskerry P

更新日期：2018-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Adverse events (AEs) among hospitalized patients occur frequently and result in significant sequelae. Federal policy is incentivizing health information technology (HIT) use, although research demonstrating safety benefits from HIT is mixed. Our objective was to evaluate the potential eff...

journal_title：Journal of evaluation in clinical practice

authors： Abramson EL,Kern LM,Brenner S,Hufstader M,Patel V,Kaushal R

更新日期：2014-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:We aim to determine the prevalence of reconciliation errors (REs) at admission to surgery departments, report their potential clinical impact and analyse possible risk factors. METHODS:Prospective observational study was conducted for 8 months in a regional public hospital in Spain. The ...

journal_title：Journal of evaluation in clinical practice

authors： González-García L,Salmerón-García A,García-Lirola M,Moya-Roldán S,Belda-Rustarazo S,Cabeza-Barrera J

更新日期：2016-02-01 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：BACKGROUND:Geographical inequalities in lung cancer treatment and patient survival have been described. We hypothesized that lung cancer patients' access to treatment may be influenced by deprivation and the pathway to care. METHODS:Case notes were reviewed for patients resident in south-east London who were registere...

journal_title：Journal of evaluation in clinical practice

authors： Jack RH,Gulliford MC,Ferguson J,Møller H

更新日期：2006-10-01 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：:According to Sackett, evidence-based medicine is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. In this article, clinical reasoning is depicted as multilayered processes of evidence construction by means of social interaction and hum...

journal_title：Journal of evaluation in clinical practice

authors： Malterud K

更新日期：2002-05-01 00:00:00

abstract：OBJECTIVE:Venous thromboembolism (VTE) is a fatal complication and the most common preventable cause of death in hospitals. The risk-to-benefit ratio of thromboprophylaxis depends on the performance of the risk assessment model. A linear model, the Padua model, is recommended for medical inpatients in the United States...

journal_title：Journal of evaluation in clinical practice

authors： Wang X,Yang YQ,Liu SH,Hong XY,Sun XF,Shi JH

更新日期：2020-02-01 00:00:00

abstract：:Doctors often use theory to inform medical practice. The current bio-psycho-social model of health may be advanced still further with theoretical rigour. Traditional fields of thermodynamics and newer fields of non-linear dynamics including chaos theory and complex systems science can inform our understanding of the c...

journal_title：Journal of evaluation in clinical practice

authors： Topolski S

更新日期：2009-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Knowledge in evidence-based medicine (EBM) is increasingly becoming a core competence in medical education. We evaluated the trainee doctors' attitudes and knowledge of EBM to obtain the basis required for developing appropriate teaching and learning opportunities. METHODS:Trainee physic...

journal_title：Journal of evaluation in clinical practice

authors： Ahmadi-Abhari S,Soltani A,Hosseinpanah F

更新日期：2008-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:It is suspected that childhood urinary tract infection (UTI) remains under-diagnosed in primary care, and is consequently the cause of subsequent morbidity from renal scarring, hypertension and eventual renal failure. Practice-based education and service developments were undertaken to tr...

journal_title：Journal of evaluation in clinical practice

authors： Cunningham AM,Edwards A,Jones KV,Bourdeaux K,Willock J,Barnes R

更新日期：2005-02-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Local health administrators implemented chronic obstructive pulmonary disease and heart failure admission order sets to increase guideline adherence. We explored the impact of these order sets on workflows and guideline adherence in the internal medicine specialty in two Canadian teachin...

journal_title：Journal of evaluation in clinical practice

authors： Lander B,Balka E

更新日期：2019-06-01 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：BACKGROUND:Unattended home sleep studies have been implemented to minimize the cost and delay in establishing obstructive sleep apnoea syndrome (OSAS) diagnosis and therapy. However, their accuracy and validity remain disputed. The purpose of our study is to assess their effectiveness (i.e. their technical reliability ...

journal_title：Journal of evaluation in clinical practice

authors： Domingo C,Vigil L

更新日期：2011-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Issues of overuse, underuse and misuse are paramount and lead to avoidable morbidity and mortality. Although evidence-based practice is advocated, the widespread implementation of this kind of practice remains a challenge. This is also the case for evidence-based practice related to the p...

journal_title：Journal of evaluation in clinical practice

authors： Van Herck P,Sermeus W,Jylha V,Michiels D,Van den Heede K

更新日期：2009-04-01 00:00:00

abstract：:The paper evaluates the importance of conceptions underlying practices in medicine and in medical education. It uses a study of anaesthetists' approaches to practice, and of lectures in problem-based learning, to illustrate the influence of a conception of 'applying knowledge in, or to, practice' and of its apparently...

journal_title：Journal of evaluation in clinical practice

authors： Margetson DB

更新日期：2000-08-01 00:00:00

abstract：OBJECTIVE:Very few studies have addressed the magnitude of the effect of the condition of the patients and the surgical volume on possible cost savings in coronary artery bypass grafting (CABG). The objectives of this study were to analyse and compare the costs of the CABG operating room (OR) between two hospitals, and...

journal_title：Journal of evaluation in clinical practice

authors： Chung WC,Fan PL,Chiu HC,Yang CY,Huang KL,Tzeng DS

更新日期：2010-12-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Despite increasing dissemination efforts, many psychotherapists still do not use treatments that are supported by research. Some have claimed that psychotherapists rely more on their clinical intuition than scientific evidence when making treatment decisions, but there is a paucity of res...

journal_title：Journal of evaluation in clinical practice

authors： Gaudiano BA,Brown LA,Miller IW

更新日期：2011-08-01 00:00:00

abstract：RATIONALE:Virtues are an important component in the practice of clinical medicine. Prudence or wisdom and charity or love are often viewed as crucial for virtuous practice. Generally, the two virtues are discussed separately, with no connection between them; however, a synergy exists between the two virtues as a compou...

journal_title：Journal of evaluation in clinical practice

authors： Marcum JA

更新日期：2011-10-01 00:00:00

abstract：RATIONAL, AIMS AND OBJECTIVES:Individual Placement and Support (IPS) is an evidence based strategy for facilitating employment among adults with severe mental illness (SMI) where staff may lead mock job interviews to prepare clients for real-world interviews (a method with limited scalability and cost effectiveness). A...

journal_title：Journal of evaluation in clinical practice

authors： Smith MJ,Graham AK,Sax R,Spencer ES,Razzano LA,Smith JD,Jordan N

更新日期：2020-08-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:The patient-centred medical home (PCMH) is an innovative approach to health care reform. Despite a well-established process for recognizing PCMH practices, fidelity to, and/or adaptation of, the PCMH model can limit health care and population health improvements. This study explored the ...

journal_title：Journal of evaluation in clinical practice

authors： Sklar M,Seijo C,Goldman RE,Eaton CB

更新日期：2019-12-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Guidelines for patients with knee osteoarthritis (OA) are suboptimally implemented in clinical care. To improve guideline adherence, patients' perceived barriers and facilitators in current care were investigated. METHODS:Eleven patients with knee OA were extensively interviewed using a ...

journal_title：Journal of evaluation in clinical practice

authors： Spitaels D,Vankrunkelsven P,Desfosses J,Luyten F,Verschueren S,Van Assche D,Aertgeerts B,Hermens R

更新日期：2017-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Smoking during pregnancy can cause several maternal and neonatal health risks, yet a considerable number of pregnant women continue to smoke. The objectives of this study were to test the factorial structure, validity and reliability of the Dutch version of the Modified Reasons for Smokin...

journal_title：Journal of evaluation in clinical practice

authors： De Wilde KS,Tency I,Boudrez H,Temmerman M,Maes L,Clays E

更新日期：2016-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Explicit criteria have been used worldwide to identify suboptimal prescribing such as potentially inappropriate prescriptions (PIPs). The objective of our study was to determine prevalence, types and factors associated with PIPs in older people discharged from an Albanian hospital. METHO...

journal_title：Journal of evaluation in clinical practice

authors： Hudhra K,Beçi E,Petrela E,Xhafaj D,García-Caballos M,Bueno-Cavanillas A

更新日期：2016-10-01 00:00:00

abstract：:Pharmacoeconomic evaluations are often based on computer models which simulate the course of disease with and without medical interventions. The purpose of this study is to propose and illustrate a rigorous approach for validating such disease models. For illustrative purposes, we applied this approach to a computer-b...

journal_title：Journal of evaluation in clinical practice

authors： Sendi PP,Craig BA,Pfluger D,Gafni A,Bucher HC

更新日期：1999-08-01 00:00:00