Primary care providers perform more neurologic visits than neurologists among Medicare beneficiaries.

abstract：RATIONALE, AIMS AND OBJECTIVES:Diagnostic reasoning and treatment decisions are a key competence of doctors. A model based on values and probability provides a conceptual framework for clinical judgments and decisions, and also facilitates the integration of clinical and biomedical knowledge into a diagnostic decision....

journal_title：Journal of evaluation in clinical practice

authors： Ortendahl M

更新日期：2008-10-01 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:Recent reports indicate that approximately 10% of in-patients in UK hospitals are involved in an adverse event (these reports also state that 50% of these events are preventable). This is indeed a worrying finding, and indicates the need to look at how these incidents are handled or indeed, what is done to mi...

journal_title：Journal of evaluation in clinical practice

authors： Arfanis K,Smith A

更新日期：2012-12-01 00:00:00

abstract：:In this paper we reflect upon and problematize the ways in which 'patient involvement' is interpreted in a substantial proportion of the research literature on involvement and shared decision making. Drawing upon an analysis of this literature we raise concerns about the 'medicalization of involvement' embedded in, an...

journal_title：Journal of evaluation in clinical practice

authors： Donetto S,Cribb A

更新日期：2011-10-01 00:00:00

abstract：:Often, when conducting programme evaluations or studying the effects of policy changes, researchers may only have access to aggregated time series data, presented as observations spanning both the pre- and post-intervention periods. The most basic analytic model using these data requires only a single group and models...

journal_title：Journal of evaluation in clinical practice

authors： Linden A,Adams JL

更新日期：2011-12-01 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：:When the editorial to the first philosophy thematic edition of this journal was published in 2010, critical questioning of underlying assumptions, regarding such crucial issues as clinical decision making, practical reasoning, and the nature of evidence in health care, was still derided by some prominent contributors ...

journal_title：Journal of evaluation in clinical practice

authors： Loughlin M,Bluhm R,Buetow S,Borgerson K,Fuller J

更新日期：2017-10-01 00:00:00

abstract：RATIONALE:This paper aims to show how the focus on eradicating bias from Machine Learning decision-support systems in medical diagnosis diverts attention from the hermeneutic nature of medical decision-making and the productive role of bias. We want to show how an introduction of Machine Learning systems alters the dia...

journal_title：Journal of evaluation in clinical practice

authors： Kudina O,de Boer B

更新日期：2021-01-22 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：: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:To evaluate adherence to guidelines for prophylactic antibiotic use in total knee replacement (TKR) and total hip replacement (THR) procedures and to examine the associations between guideline adherence and health care outcomes. METHODS:Using nationwide health insurance claims data, all ...

journal_title：Journal of evaluation in clinical practice

authors： Hsu C,Cheng SH

更新日期：2009-12-01 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：: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：RATIONALE, AIMS, AND OBJECTIVES:Heterogeneity is a critical issue in meta-analysis, because it implies the appropriateness of combining the collected studies and impacts the reliability of the synthesized results. The Q test is a traditional method to assess heterogeneity; however, because it does not have an intuitive...

journal_title：Journal of evaluation in clinical practice

authors： Lin L

更新日期：2020-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Individual comparisons of the performance of risk-adjustment indices have been widely conducted. Few reviews have been conducted to summarize the performance of different risk-adjustment indices. A 30-day mortality rate is widely used to evaluate the quality of care in hospitals by federa...

journal_title：Journal of evaluation in clinical practice

authors： Yang M,Mehta HB,Bali V,Gupta P,Wang X,Johnson ML,Aparasu RR

更新日期：2015-04-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Little attention has been given to perceptions of pharmacist availability and role in the community setting following policy changes. The Pakistani model is particularly interesting as it encompasses three different pharmacy practice licensure types with major differences in credentials,...

journal_title：Journal of evaluation in clinical practice

authors： Qadeer G,Amin MEK

更新日期：2020-04-22 00:00:00

abstract：RATIONALE AIMS AND OBJECTIVES:Pulmonary aspiration is a feared complication of anaesthesia that is associated with significant morbidity and mortality. Within the small existing body of literature on medical malpractice claims related to periprocedural aspiration, very little information is available regarding the case...

journal_title：Journal of evaluation in clinical practice

authors： Eltorai AS

更新日期：2019-10-01 00:00:00

abstract：:Following my own involvement in the rise of evidence-based medicine in General Practice in the UK, and having seen how this tide has led to a relative devaluation of other kinds of knowing this paper sets out four alternative approaches to the problem of knowledge in a way which both undermines the predominance of a s...

journal_title：Journal of evaluation in clinical practice

authors： Mitchell D

更新日期：2011-10-01 00:00:00

abstract：RATIONALE:Clinical reasoning lies at the heart of medical practice and has a long research tradition. Nevertheless, research is scattered across diverse academic disciplines with different research traditions in a wide range of scientific journals. This polyphony is a source of conceptual confusion. AIMS AND OBJECTIVE...

journal_title：Journal of evaluation in clinical practice

authors： Koufidis C,Manninen K,Nieminen J,Wohlin M,Silén C

更新日期：2020-06-22 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Monash Watch (MW) aims to reduce potentially preventable hospitalisations in a cohort above a risk "threshold" identified by Health Links Chronic Care (HLCC) algorithms using personal, diagnostic, and service data. MW conducted regular patient monitoring through outbound phone calls usin...

journal_title：Journal of evaluation in clinical practice

authors： Martin C,Hinkley N,Stockman K,Campbell D

更新日期：2018-12-01 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：: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：OBJECTIVE:The study aims to identify key enablers fostering clinical risk management (CRM) in hospitals to guide health care in this vital area of patient safety. METHOD:A cross-sectional survey was conducted at the national level in 324 Swiss hospitals in 2007-2008 to assess the relationship between key elements and ...

journal_title：Journal of evaluation in clinical practice

authors： Briner M,Manser T,Kessler O

更新日期：2013-04-01 00:00:00

abstract：RATIONALE:Wide variations in referral practice from primary to secondary care have been observed. Clinical, demographic and referrer characteristics explain little of this variation. Patient psychological characteristics have been suggested as a potential explanation of this, biasing referral. The objective of this stu...

journal_title：Journal of evaluation in clinical practice

authors： Glozier N,Prince M

更新日期：2007-04-01 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：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 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：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：:Given the growing concern for the safety, cost and adequacy of blood supply, there is an increasing need for appropriate blood product utilization. Despite a number of consensus guidelines for the transfusion of allogeneic blood products, inappropriate blood transfusion continues. We discuss the quality assurance proc...

journal_title：Journal of evaluation in clinical practice

authors： Joshi GP,Landers DF

更新日期：1998-05-01 00:00:00

abstract：RATIONALE:Group B streptococcus (GBS) neonatal infection can be prevented by screening pregnant women for GBS colonization from the 34th to the 38th week of gestation, as has been recommended in France since 2001. We assessed guideline adherence among midwives and obstetricians. METHODS:From 2006 to 2008, new and mand...

journal_title：Journal of evaluation in clinical practice

authors： Albouy-Llaty M,Nadeau C,Descombes E,Pierre F,Migeot V

更新日期：2012-08-01 00:00:00