Limited value of physical examinations in upper respiratory illness: account of personal experience and survey of doctors' views.

abstract：:The whole spectrum of medicine consists of complex non-linear systems that are balanced and interact with each other. How non-linearity confers stability on a system and explains variation and uncertainty in clinical medicine is discussed. A major theme is that a small alteration in initial conditions may have a major...

journal_title：Journal of evaluation in clinical practice

authors： Petros P

更新日期：2003-05-01 00:00:00

abstract：:Evidence-based health care (EBHC), previously evidence-based medicine (EBM), is considered by many to have modernized health care and brought it from an authority-based past to a more rationalist, scientific grounding. But recent concerns and criticisms pose serious challenges and urge us to look at the fundamentals o...

journal_title：Journal of evaluation in clinical practice

authors： Wieringa S,Engebretsen E,Heggen K,Greenhalgh T

更新日期：2017-10-01 00:00:00

abstract：RATIONALE, AIMS & OBJECTIVES:A variety of transition of care interventions has been evaluated to date to reduce readmissions. No studies evaluated effectiveness of clinical pharmacist's home-visits to recently discharged Medicare Advantage patients with the goal of preventing subsequent readmissions and urgent care use...

journal_title：Journal of evaluation in clinical practice

authors： Shcherbakova N,Tereso G

更新日期：2016-06-01 00:00:00

abstract：RATIONALE:There is growing interest in validating tools aimed at supporting the clinical decision-making process and research. However, an increased bureaucratization of clinical practice and redundancies in the measures collected have been reported by clinicians. Redundancies in clinical assessments affect negatively ...

journal_title：Journal of evaluation in clinical practice

authors： Palese A,Marini E,Guarnier A,Barelli P,Zambiasi P,Allegrini E,Bazoli L,Casson P,Marin M,Padovan M,Picogna M,Taddia P,Chiari P,Salmaso D,Marognolli O,Canzan F,Ambrosi E,Saiani L,Grassetti L

更新日期：2016-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:To evaluate asthma management and control in primary care clinics so as to design improvements based on guideline-directed outcomes. METHODS:In this study, all medical records of asthma-diagnosed patients (children as well as adults, entire lifespan, asthma-related visits or not) were re...

journal_title：Journal of evaluation in clinical practice

authors： du Plessis JM,Gerber JJ,Brand L

更新日期：2013-04-01 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：:Health care purchasers are facing increasing pressure to make the best use of their limited resources and to purchase only those services known to be clinically effective. This paper describes one health authority's experience of promoting clinical effectiveness through clinical audit and clinical guidelines. It highl...

journal_title：Journal of evaluation in clinical practice

authors： Auplish S

更新日期：1997-02-01 00:00:00

abstract：:Time and timeliness are key issues in appraising and ensuring the clinical relevance of systematic reviews. Time considerations entering the systematic review process include the history of the clinical problem, disease, or treatment that is the target of the review, and the history of the research conducted to addres...

journal_title：Journal of evaluation in clinical practice

authors： Barroso J,Sandelowski M,Voils CI

更新日期：2006-08-01 00:00:00

abstract：:Parts 1 and 2 in this series of three articles have shown that and how strong evidence-based medicine has neither a coherent theoretical foundation nor creditable application to clinical practice. Because of its core commitment to the discredited positivist tradition it holds both a false concept of scientific knowled...

journal_title：Journal of evaluation in clinical practice

authors： Mugerauer R

更新日期：2020-12-04 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:Self-assessed health (SAH) status is a very simple four-, or five-category self-reported measure of health status that has been shown to be a powerful predictor of mortality, service use and total cost of medical care treatment. It is therefore reasonable to suggest that pre-intervention SAH may influence the...

journal_title：Journal of evaluation in clinical practice

authors： Long MJ,McQueen DA,Lescoe-Long M,Schurman JR 2nd

更新日期：2005-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:In the UK fewer than 15% of familial hypercholesterolemia (FH) cases are diagnosed, representing a major gap in coronary heart disease prevention. We wished to support primary care doctors within the Medway Clinical Commissioning Group (CCG) to implement NICE guidance (CG71) and consider ...

journal_title：Journal of evaluation in clinical practice

authors： Green P,Neely D,Humphries SE,Medway FH Audit Steering Committee.

更新日期：2016-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Primary care visits often include a family member or friend. The purpose of this study was to determine the effect of the presence of a family member on the visit content and dynamics among diabetic patients in Family Medicine settings. METHOD:Encounters of patients with type 2 diabetes ...

journal_title：Journal of evaluation in clinical practice

authors： Katerndahl D,Parchman M

更新日期：2013-12-01 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：RATIONALE AND OBJECTIVES:The effect of the presence of pressure ulcers on burden of caregivers is unknown. We investigated the relationship between the state of pressure ulcers in vulnerable elderly patients and the burden on their informal caregivers. METHODS:This cross-sectional study enrolled 137 patients aged > or...

journal_title：Journal of evaluation in clinical practice

authors： Yamamoto Y,Hayashino Y,Higashi T,Matsui M,Yamazaki S,Takegami M,Miyachi Y,Fukuhara S

更新日期：2010-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:A valid tool to measure clinical competency early in medical school could identify students who may require special educational attention. The overall aim is to assess the relationship between students' scores on an objective structured clinical examination (OSCE) given in the second year...

journal_title：Journal of evaluation in clinical practice

authors： Simon SR,Bui A,Day S,Berti D,Volkan K

更新日期：2007-12-01 00:00:00

abstract：:Health management programmes are generally evaluated as point treatment studies in which only a baseline and outcome measurement are used in the analysis, even when multiple observations for each individual are available. By summarizing observations into two distinct measurements the evaluator loses any ability to dis...

journal_title：Journal of evaluation in clinical practice

authors： Linden A,Adams JL

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:In Switzerland, there is a dearth of information on the extent to which patients with chronic illnesses receive care congruent with the Chronic Care Model (CCM). To drive quality improvement programmes, it is necessary to have practical assessment tools in the country's own language to evaluate the delivery ...

journal_title：Journal of evaluation in clinical practice

authors： Steurer-Stey C,Frei A,Schmid-Mohler G,Malcolm-Kohler S,Zoller M,Rosemann T

更新日期：2012-02-01 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：RATIONALE, AIMS, AND OBJECTIVES:The main purpose of this paper is to measure the efficiency and ranking of medical diagnostic laboratories by applying a network data envelopment analysis (NDEA). METHODS:In this study, each medical diagnostic laboratory is considered as a decision-making unit (DMU), and an NDEA model i...

journal_title：Journal of evaluation in clinical practice

authors： Ghafari Someh N,Pishvaee MS,Sadjadi SJ,Soltani R

更新日期：2020-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:A positive and strong safety culture underpins effective learning from patient safety incidents in health care, including the community pharmacy (CP) setting. To build this culture, perceptions of safety climate must be measured with context-specific and reliable instruments. No pre-exist...

journal_title：Journal of evaluation in clinical practice

authors： Newham R,Bennie M,Maxwell D,Watson A,de Wet C,Bowie P

更新日期：2014-12-01 00:00:00

abstract：OBJECTIVE:To review the literature on the perceived benefits and disadvantages associated with significant event analysis (SEA) and identify reported barriers and facilitating factors. METHOD:A comprehensive search of electronic databases and peer reviewed journals was conducted during June 2006. Studies which explore...

journal_title：Journal of evaluation in clinical practice

authors： Bowie P,Pope L,Lough M

更新日期：2008-08-01 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：:Work on resilience in health and illness has been approached from a number of perspectives. These are the biological and psychosocial with a focus on the individual's responses to cope and adapt to changing circumstances wrought by changing physical health states. This we argue has a place but is far too narrow emphas...

journal_title：Journal of evaluation in clinical practice

authors： Walker C,Peterson CL

更新日期：2018-12-01 00:00:00

abstract：RATIONALE AND OBJECTIVES:Quality of life has emerged as a crucial concept for the assessment of health and the planning of health care. Desirable features for the evaluation of quality of life include comprehensiveness, self-ratedness, cultural sensitivity, practicality and psychometric soundness. An attempt to meet th...

journal_title：Journal of evaluation in clinical practice

authors： Mezzich JE,Cohen NL,Ruiperez MA,Banzato CE,Zapata-Vega MI

更新日期：2011-04-01 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:This paper reports an initiative which promoted evidence-based practice in pressure risk assessment and management among home nursing clients in Melbourne, Australia. AIM AND OBJECTIVES:The aim of this study was to evaluate the introduction and uptake of the Australian Wound Management Association Guidelines...

journal_title：Journal of evaluation in clinical practice

authors： Kapp S

更新日期：2013-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:To develop a reliable and valid questionnaire that can distinguish features of organizational culture for patient safety across subgroups such as hospitals, professions, management/non-management positions and units/wards. METHODS:We developed a Hospital Organizational Culture Questionna...

journal_title：Journal of evaluation in clinical practice

authors： Kobuse H,Morishima T,Tanaka M,Murakami G,Hirose M,Imanaka Y

更新日期：2014-06-01 00:00:00

abstract：AIMS AND OBJECTIVE:To identify factors important in determining whether an obese child achieves significant reductions in Body Mass Index Standard Deviation Score (BMI SDS) within a UK, hospital-based paediatric obesity service aimed at lifestyle modification. DESIGN:Observational Study. SUBJECTS:137 obese children (...

journal_title：Journal of evaluation in clinical practice

authors： Sabin MA,Ford A,Hunt L,Jamal R,Crowne EC,Shield JP

更新日期：2007-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:A clinical practice guideline for chronic obstructive pulmonary disease (COPD) was implemented in all Veterans Health Administration (VHA) hospitals in the US. The aim of the current analyses is to describe current adherence rates and the organizational factors related to provider adheren...

journal_title：Journal of evaluation in clinical practice

authors： Ward MM,Yankey JW,Vaughn TE,BootsMiller BJ,Flach SD,Watrin S,Doebbeling BN

更新日期：2005-08-01 00:00:00