The challenge of evidence in clinical medicine.

abstract：:Performance indicators for healthcare organizations represent a strategy for accountability worldwide. A universal approach to either the design for indicators or their applicability to local needs remains a work in progress. The Maryland Hospital Association's Quality Indicator Project (QIP) is the only indicator-bas...

journal_title：Journal of evaluation in clinical practice

authors： Kazandjian VA,Matthes N,Wicker KG

更新日期：2003-05-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Complex problems require strategies to engage diverse perspectives in a focused, flexible manner, yet few options exist that fit with the current health care and public health system constraints. The Complex Network Electronic Knowledge Translation Research model (CoNEKTR) brings together...

journal_title：Journal of evaluation in clinical practice

authors： Norman CD,Charnaw-Burger J,Yip AL,Saad S,Lombardo C

更新日期：2010-10-01 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：:The objectives of this study were to present a short history of the Critical Care Research Network (CCR-Net), describe its approach to health services research and to summarize completed and current research projects. In doing this, we explored the question is this research network accomplishing its goals? We reviewed...

journal_title：Journal of evaluation in clinical practice

authors： Keenan SP,Martin CM,Kossuth JD,Eberhard J,Sibbald WJ

更新日期：2000-02-01 00:00:00

abstract：INTRODUCTION:While shared decision-making (SDM) training programmes for health professionals have been developed in several countries, few have been evaluated. In Norway, a comprehensive curriculum, "klar for samvalg" (ready for SDM), for interprofessional health-care teams was created using generic didactic methods an...

journal_title：Journal of evaluation in clinical practice

authors： Kienlin S,Nytrøen K,Stacey D,Kasper J

更新日期：2020-04-01 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:Handovers within and between health care settings are known to affect quality of care. Health care organizations, struggle how to guarantee best care during handovers. The aim of this paper is to evaluate handover practices in Dutch birth centres from a process perspective, to identify ob...

journal_title：Journal of evaluation in clinical practice

authors： Hitzert M,Boesveld IC,Hermus MAA,de Graaf JP,Wiegers TA,Steegers EAP,Meijboom BR,Akkermans HA

更新日期：2018-06-01 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：RATIONALE, AIMS AND OBJECTIVES:Mortality prediction models using logistic regression analysis play a pivotal role in intensive care quality evaluation, allowing a hospital's performance to be compared with a standard. However, when a difference between predicted and observed mortality exists, that is, the numerator of ...

journal_title：Journal of evaluation in clinical practice

authors： Foltran F,Berchialla P,Giunta F,Malacarne P,Merletti F,Gregori D

更新日期：2010-10-01 00:00:00

abstract：OBJECTIVE:Models for the structured delivery of care rely on organizational attributes of practice teams. The Survey of Organizational Attributes for Primary Care (SOAPC) is known to be a valid instrument to measure this aspect in the primary care setting. The aim of this study was to determine the validity of a transl...

journal_title：Journal of evaluation in clinical practice

authors： Ose D,Freund T,Kunz CU,Szecsenyi J,Natanzon I,Trieschmann J,Wensing M,Miksch A

更新日期：2010-12-01 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：:In modern philosophy, the concept of truth has been problematized from different angles, yet in evidence-based health care (EBHC), it continues to operate hidden and almost undisputed through the linked concept of "bias." To prevent unwarranted relativism and make better inferences in clinical practice, clinicians may...

journal_title：Journal of evaluation in clinical practice

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

更新日期：2018-10-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:The Australian National Heart Foundation Guidelines have been developed to guide clinicians on how to best manage chronic heart failure (CHF) patients according to the current best available evidence. The primary aim of this study is to evaluate the proportion of patients prescribed evid...

journal_title：Journal of evaluation in clinical practice

authors： Khalil V,Danninger M,Wang W,Khalil H

更新日期：2017-12-01 00:00:00

abstract：:Statistical tests of heterogeneity and bias, in particular publication bias, are very popular in meta-analyses. These tests use statistical approaches whose limitations are often not recognized. Moreover, it is often implied with inappropriate confidence that these tests can provide reliable answers to questions that ...

journal_title：Journal of evaluation in clinical practice

authors： Ioannidis JP

更新日期：2008-10-01 00:00:00

abstract：:Obese people consume significantly greater amounts of health resources. This study set out to determine if health resource utilization by obese people decreases after losing weight in a comprehensive medically supervised weight management programme. Four hundred and fifty-six patients enrolled in a single-centred, mul...

journal_title：Journal of evaluation in clinical practice

authors： van Walraven C,Dent R

更新日期：2002-02-01 00:00:00

abstract：:Experience of knowledge management initiatives in non-health care organizations can offer useful insights, and strategies, to implement evidence-based practice in health care. Knowledge management offers a structured process for the generation, storage, distribution and application of knowledge in organizations. This ...

journal_title：Journal of evaluation in clinical practice

authors： Sandars J,Heller R

更新日期：2006-06-01 00:00:00

abstract：OBJECTIVE:We investigated whether providing participants in an exercise programme with regular feedback on their exercise progress affected their adherence to the programme regimen. METHOD:We conducted a randomized controlled trial. Adult men and women with borderline hypertension and a body mass index ≥ 25.0 were ran...

journal_title：Journal of evaluation in clinical practice

authors： Shakudo M,Takegami M,Shibata A,Kuzumaki M,Higashi T,Hayashino Y,Suzukamo Y,Morita S,Katsuki M,Fukuhara S

更新日期：2011-02-01 00:00:00

abstract：:Rationale, aims and objectives  The study aims to investigate the effects of a patient safety advisory on patients' risk perceptions, perceived behavioural control, performance of safety behaviours and experience of adverse incidents. Method  Quasi-experimental intervention study with non-equivalent group comparison w...

journal_title：Journal of evaluation in clinical practice

authors： Schwappach DL,Frank O,Buschmann U,Babst R

更新日期：2013-04-01 00:00:00

abstract：RATIONALES, AIMS AND OBJECTIVES:The increasing dispensing of statins has raised concern about the appropriateness of prescribing to various population groups. We aimed to (1) investigate incident and prevalent statin prescribing according to indication, gender and age and (2) relate prescribing patterns to evidence on ...

journal_title：Journal of evaluation in clinical practice

authors： Wallach-Kildemoes H,Stovring H,Holme Hansen E,Howse K,Pétursson H

更新日期：2016-04-01 00:00:00

abstract：:There have been considerable political and organizational moves to involve 'consumers' (patients, carers, service users, potential users, local communities and the public at large) in the provision, planning and monitoring of health services. Such developments beg the question 'what constitutes good practice in user i...

journal_title：Journal of evaluation in clinical practice

authors： Kelson M

更新日期：1996-05-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Neonates with life-threatening conditions face complex clinical circumstances that confront parents and professionals with ethical decisions. Parents' participation in decision making has not gained sufficient attention in practice. Understanding factors affecting parents' participation ...

journal_title：Journal of evaluation in clinical practice

authors： Banazadeh M,Khanjari S,Naddaf A,Oskouie F

更新日期：2020-10-25 00:00:00

abstract：BACKGROUND:Few randomized clinical trials focus on patients' symptoms of the first post-operative week following outpatient (OPS) versus inpatient (IPS) laparoscopic cholecystectomy (LC). The objective was to compare these treatment modalities with regard to patients' perceptions of pain and other post-operative sympto...

journal_title：Journal of evaluation in clinical practice

authors： Barthelsson C,Anderberg B,Ramel S,Björvell C,Giesecke K,Nordström G

更新日期：2008-08-01 00:00:00

abstract：:For over 30 years, "evidence-based" clinical guidelines remained entrenched in an oversimplified, design-based, framework for rating the strength of evidence supporting clinical recommendations. The approach frequently equated the rating of evidence with that of the recommendations themselves. "Grading Recommendations...

journal_title：Journal of evaluation in clinical practice

authors： Wyer PC

更新日期：2018-10-01 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

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：:This article draws attention to an absurd feature of contemporary political life that significantly affects health service policy and calls for an urgent explanation. Policies are formed by a process that privileges rhetoric over reality, producing policies that are conceptualized at a later date. Two influential arti...

journal_title：Journal of evaluation in clinical practice

authors： Loughlin M

更新日期：2002-05-01 00:00:00

abstract：:Hepatocellular carcinoma (HCC) is the commonest primary hepatic malignancy and the third most common cause of cancer-related death worldwide. Incidence remains highest in the developing world and is steadily increasing across the developed world. The majority of HCC occurs on a background of cirrhosis, principally cau...

journal_title：Journal of evaluation in clinical practice

authors： Patel M,Shariff MI,Ladep NG,Thillainayagam AV,Thomas HC,Khan SA,Taylor-Robinson SD

更新日期：2012-04-01 00:00:00

abstract：AIM:To measure the impact of French national consensus guidelines on the clinical practices of primary care paediatricians and general practitioners. DESIGN:Non-randomized intervention study, with a first survey 1 year before the consensus development conference and a second survey 1 year after. INTERVENTION:Implemen...

journal_title：Journal of evaluation in clinical practice

authors： Touzet S,Réfabert L,Letrilliart L,Ortolan B,Colin C

更新日期：2007-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVE:Accrediting health care organizations against standards is a recognized safety and quality intervention. The credibility of an accreditation programme relies on surveying reliability. We investigated accreditation survey coordinators' perceptions of reliability issues and their continued r...

journal_title：Journal of evaluation in clinical practice

authors： Greenfield D,Hogden A,Hinchcliff R,Mumford V,Pawsey M,Debono D,Westbrook JI,Braithwaite J

更新日期：2016-10-01 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