abstract：OBJECTIVE:To discuss the usefulness of health care information technology (HIT) in assisting care providers minimize uncertainty while simultaneously increasing efficiency of the care provided. STUDY DESIGN:An ongoing study of HIT, performance measurement (clinical and production efficiency) and their implications to ...

journal_title：Journal of evaluation in clinical practice

authors： Kazandjian VA,Lipitz-Snyderman A

更新日期：2011-12-01 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：: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：:Medicine is predicated on a view of human nature that is highly positivist and atomistic. This is apparent in the way in which its students are taught, clinical consultations are structured and medical evidence is generated. The field of medical humanities originally emerged as a challenge to this overly narrow view, ...

journal_title：Journal of evaluation in clinical practice

authors： Macnaughton J

更新日期：2011-10-01 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：: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：:A system approach termed P4 medicine has recently been proposed in the field of oncology. This approach has been advanced as an extension of what is usually called 'personalized' or 'genomic medicine'. P4 medicine creates effective predictive, personalized, preventive and participatory models to treat patients. In ord...

journal_title：Journal of evaluation in clinical practice

authors： Pravettoni G,Gorini A

更新日期：2011-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Following increased interest in having inter-professional (IP) health care teams engage patients in decision making, we developed a conceptual model for an IP approach to shared decision making (SDM) in primary care. We assessed the validity of the model with stakeholders in Canada. METH...

journal_title：Journal of evaluation in clinical practice

authors： Légaré F,Stacey D,Gagnon S,Dunn S,Pluye P,Frosch D,Kryworuchko J,Elwyn G,Gagnon MP,Graham ID

更新日期：2011-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Efforts to implement evidence-based medicine (EBM) training in developing countries are limited. We describe the results of an international effort to improve research capacity in a developing country; we conducted a course aimed at improving basic EBM attitudes and identified challenges....

journal_title：Journal of evaluation in clinical practice

authors： Tomatis C,Taramona C,Rizo-Patrón E,Hernández F,Rodríguez P,Piscoya A,Gonzales E,Gotuzzo E,Heudebert G,Centor RM,Estrada CA

更新日期：2011-08-01 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, AIMS AND OBJECTIVES:Clinical guidelines are tools that systematize scientific evidence and help to achieve proper care. Several difficulties are reported regarding the effective use, such as the shortcomings in the level of knowledge and attitudes by the professionals, the service structure and the preferenc...

journal_title：Journal of evaluation in clinical practice

authors： Magluta C,Gomes MA,Wuillaume SM

更新日期：2011-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Annual national prevalence surveys have been conducted in the Netherlands over the past 10 years and have revealed high prevalence rates in Dutch nursing homes. Pressure ulcer guideline implementation is one of the factors that can influence prevalence rates. Previous research has shown t...

journal_title：Journal of evaluation in clinical practice

authors： Meesterberends E,Halfens RJ,Lohrmann C,Schols JM,de Wit R

更新日期：2011-08-01 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：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：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:Variability in indications for total hip replacement (THR) and unequal waiting times may limit health care access. OBJECTIVE:To analyse the relationship between appropriateness and previously developed surgical priority instruments. METHOD:Multicentre cross-validation study of patients placed on the waiting...

journal_title：Journal of evaluation in clinical practice

authors： Allepuz A,Quintana JM,Espallargues M,Escobar A,Moharra M,Arostegui I

更新日期：2011-02-01 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：OBJECTIVES:The purpose of this study is to examine Electronic Health Record (EHR) adoption among Florida doctors who treat the elderly. This analysis contributes to the EHR adoption literature by determining if doctors who disproportionately treat the elderly differ from their counterparts with respect to the utilizati...

journal_title：Journal of evaluation in clinical practice

authors： Yeager VA,Menachemi N,Brooks RG

更新日期：2010-12-01 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:The incidence of falls and fall-related injuries in older age is predicted to increase concomitantly with global population ageing, representing a serious challenge to health care systems. In spite of the availability of policy and practice guidelines for the prevention of falls and fall-...

journal_title：Journal of evaluation in clinical practice

authors： Peel NM,Travers C,Bell RA,Smith K

更新日期：2010-12-01 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：AIMS AND OBJECTIVES:Musculoskeletal system has been found to be involved in genesis and perpetuation of chronic pelvic pain (CPP) and has strong evidences that up to 80% of women with CPP present dysfunction of the musculoskeletal system. In this study, we report a series of women with CPP caused by tenderness of pelvi...

journal_title：Journal of evaluation in clinical practice

authors： Montenegro ML,Mateus-Vasconcelos EC,Candido dos Reis FJ,Rosa e Silva JC,Nogueira AA,Poli Neto OB

更新日期：2010-10-01 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, 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：OBJECTIVES:To assess the evidence for tai chi in reducing resting blood pressure (BP) in the elderly. METHODS:Databases were searched up to February 2009. All randomized clinical trials (RCTs) testing the effects of tai chi on resting BP in the elderly were considered. The selection of studies, data extraction and val...

journal_title：Journal of evaluation in clinical practice

authors： Lee MS,Lee EN,Kim JI,Ernst E

更新日期：2010-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Second-generation antipsychotic agents have varying propensities to cause weight gain, elevated lipid levels and associated long-term complications. This study evaluates the cost-effectiveness of four second-generation antipsychotic agents used in Canada for the treatment of schizophrenia...

journal_title：Journal of evaluation in clinical practice

authors： McIntyre RS,Cragin L,Sorensen S,Naci H,Baker T,Roussy JP

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Trauma prevention starts with to find out the extent of the problem and who it affects. Insight into morbidity figures is therefore necessary. AIM:To explore sex differences in traumatology and secondary medical care utilization in primary care related to age and socio-economic status (SES). METHODS:Data w...

journal_title：Journal of evaluation in clinical practice

authors： Lagro-Janssen T,Grosicar J

更新日期：2010-08-01 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：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：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：:Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the struct...

journal_title：Journal of evaluation in clinical practice

authors： Henry SG

更新日期：2010-04-01 00:00:00

abstract：:The primary goal of evidence-based medicine (EBM) has been to change the way clinicians make decisions. But EBM has inappropriately privileged the results of clinical research for medical decision making and has undermined the importance of other kinds of medical knowledge, pathophysiologic understanding and clinical ...

journal_title：Journal of evaluation in clinical practice

authors： Tonelli MR

更新日期：2010-04-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to examine the impact of the use of an inter-professional care team on patient length of stay and payer charges in a geriatric transitional care unit. METHODS:An analysis of de-identified administrative records for transitional care patients for the 12-month period (2003-2004) care...

journal_title：Journal of evaluation in clinical practice

authors： Blewett LA,Johnson K,McCarthy T,Lackner T,Brandt B

更新日期：2010-02-01 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：RATIONALE, AIMS AND OBJECTIVES:Quantifying the impact of health care-associated infections (HAIs) on medical resource utilization is necessary for payers and providers to appropriately allocate limited resources for interventions. However, previous studies tend to involve single institutions and do not take into accoun...

journal_title：Journal of evaluation in clinical practice

authors： Lee J,Imanaka Y,Sekimoto M,Ishizaki T,Hayashida K,Ikai H,Tetsuya O

更新日期：2010-02-01 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：RATIONALE:Data about health care organizations (HCOs) are not useful until they are interpreted. Such interpretations are influenced by the theoretical lenses used by the researcher. OBJECTIVE:Our purpose was to suggest the usefulness of theories of complex adaptive systems (CASs) in guiding research interpretation. S...

journal_title：Journal of evaluation in clinical practice

authors： Jordon M,Lanham HJ,Anderson RA,McDaniel RR Jr

更新日期：2010-02-01 00:00:00

abstract：RATIONALE:Nurses' work is inextricably linked to the evaluation of the quality of care provision in health care. Within this evaluation, individualized care is a topical theme in western countries. Currently, there is no suitable instrument to measure the level of individualized care from the nurses' point of view. AI...

journal_title：Journal of evaluation in clinical practice

authors： Suhonen R,Gustafsson ML,Katajisto J,Välimäki M,Leino-Kilpi H

更新日期：2010-02-01 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：BACKGROUND:Evidence-based practice (EBP) is a worldwide approach to improving health care. There is, however, a shortage of studies examining whether or not newly graduated health care professionals are actually applying EBP in their daily work. OBJECTIVES:To examine the application of EBP in clinical practice by regi...

journal_title：Journal of evaluation in clinical practice

authors： Boström AM,Ehrenberg A,Gustavsson JP,Wallin L

更新日期：2009-12-01 00:00:00