abstract：RATIONALE:To describe the first phase of a global evaluation framework for the National Prescribing Service (NPS), with a focus on services for health professionals, and in particular highlight the lessons learnt from evaluation around the establishment and implementation of this national program. METHODS:The agreed e...

journal_title：Journal of evaluation in clinical practice

authors： Beilby J,Wutzke SE,Bowman J,Mackson JM,Weekes LM

更新日期：2006-04-01 00:00:00

abstract：:This paper investigates the translation of medical information into clinical practice and the role of thoughtful dissent by exploring the influence of sociological factors on change, the impact of evidence-based medicine (EBM), and the role of industry. Changing practice related to hormone therapy for menopausal and p...

journal_title：Journal of evaluation in clinical practice

authors： Genuis SK,Genuis SJ

更新日期：2006-02-01 00:00:00

abstract：OBJECTIVE:To compare glycaemic control, as reflected in the A1c level, of diabetic patients with primary care vs. with specialist care. METHODS:The study used administrative data from eastern Ontario, Canada, and a database containing the results of all A1c tests from this region between 1 September 1999 and 1 Septemb...

journal_title：Journal of evaluation in clinical practice

authors： Shah BR,Hux JE,Laupacis A,Mdcm BZ,Austin PC,van Walraven C

更新日期：2005-12-01 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: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

abstract：OBJECTIVE:To evaluate control of blood pressure (BP) and diabetes and the associated risk factors in diabetic hypertensives treated by diabetic clinic primary care physicians. METHODS:A retrospective analysis of the medical records of diabetic hypertensives from six primary care diabetic clinics in Bahrain. RESULTS:T...

journal_title：Journal of evaluation in clinical practice

authors： Al Khaja KA,P Sequeira R,Damanhori AH

更新日期：2005-04-01 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:The spontaneous reporting of adverse drug reactions (ADRs) through the yellow card and made concrete by the knowledge and attitudes of doctors, has been rousing a great deal of bibliographical interest in recent years. However, there does not seem to be any actual revision in the theme on...

journal_title：Journal of evaluation in clinical practice

authors： Herdeiro MT,Polonia J,Gestal-Otero JJ,Figueiras A

更新日期：2004-11-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:This paper is the third of three related papers exploring the ways in which the principles of Learning Organizations (LOs) could be applied in Primary Care settings at the point of service delivery. METHODS:Here we provide a systematic literature review of contextual factors that either ...

journal_title：Journal of evaluation in clinical practice

authors： Rushmer R,Kelly D,Lough M,Wilkinson JE,Davies HT

更新日期：2004-08-01 00:00:00

abstract：:Recent years have witnessed the rising star of evidence-based medicine (EBM) as an approach towards rationalizing clinical practice in the face of an exponentially growing body of knowledge. Along with it, however, a sense of unease is rising among practising doctors, as they feel that well-intentioned principles may ...

journal_title：Journal of evaluation in clinical practice

authors： Porta M

更新日期：2004-05-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Guidelines for stroke management should improve quality of care. Dissemination of guidelines, however, does not guarantee guideline adherence. The aim of this paper is to investigate barriers for guideline adherence to bring about suggestions for possible implementation strategies. METHO...

journal_title：Journal of evaluation in clinical practice

authors： Van Der Weijden T,Hooi JD,Grol R,Limburg M

更新日期：2004-05-01 00:00:00

abstract：OBJECTIVE:To identify and review evidence relating to the measurement properties of published multi-item outcome measures for the conservative management of lateral ligament injuries of the ankle. METHODS:Systematic literature searches were used to identify measures, which were then assessed against pre-defined criter...

journal_title：Journal of evaluation in clinical practice

authors： Haywood KL,Hargreaves J,Lamb SE

更新日期：2004-05-01 00:00:00

abstract：:Results of renal transplantation have improved steadily over the years. This article reviews the current status of patient and graft survival and discusses major causes of mortality and renal allograft failure. Review of recent literature demonstrates that the traditional enemies of transplantation, acute rejection an...

journal_title：Journal of evaluation in clinical practice

authors： Jurewicz WA,Miles A

更新日期：2004-02-01 00:00:00

abstract：:The aim of this study was to utilize an evaluation tool based on Prochaska's model of change in order to assess behaviour change as part of an evaluation process for a research transfer training programme (RTTP). The RTTP was a training programme offered to scientists in a psychiatry department and research institute ...

journal_title：Journal of evaluation in clinical practice

authors： Buckley LL,Goering P,Parikh SV,Butterill D,Foo EK

更新日期：2003-11-01 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：: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：:Access to appointments in primary care is not routinely measured, and there is no one standardized method for doing so. Any measurement tool has to take account of the dynamic status of appointment availability and the definitional problems of appointment types. The aim of this study was to develop and trial a method ...

journal_title：Journal of evaluation in clinical practice

authors： Elwyn G,Jones W,Rhydderch M,Edwards P

更新日期：2003-02-01 00:00:00

abstract：:The aim was to determine whether there are differences among family physicians (FPs) and general practitioners (GPs) in terms of their preference for different classes of antihypertensives, either alone or in combinations, in uncomplicated cases of hypertension and to determine the extent of adherence to WHO/ISH guide...

journal_title：Journal of evaluation in clinical practice

authors： Sequeira RP,Jassim KA,Damanhori AH,Mathur VS

更新日期：2002-11-01 00:00:00

abstract：:Recent surveys have uncovered major variations in key aspects of intercostal drain management, suggesting that decisions are being made on individual preferences without resorting to sound evidence. We provide an up-to-date review of the best practice with evidence-based recommendations and expert consensus views. The...

journal_title：Journal of evaluation in clinical practice

authors： Tang AT,Velissaris TJ,Weeden DF

更新日期：2002-08-01 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：: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：: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：:The goals of medical ethics education comprise several dimensions: legal duties to secure informed consent, tell the truth and protect confidentiality; objective competencies that include an understanding of DNR regulations and surrogate decision-making procedures; discursive moral skills such as moral sensitivity, re...

journal_title：Journal of evaluation in clinical practice

authors： Gross ML

更新日期：2001-11-01 00:00:00

abstract：:Over the past two decades, the majority of medical schools in the USA have embarked upon curricular initiatives to enhance the teaching of ambulatory or office-based primary care. Identifying characteristics of these primary care experiences that make for the most effective learning is a top priority in medical educat...

journal_title：Journal of evaluation in clinical practice

authors： Kurth RJ,Irigoyen MM,Schmidt HJ

更新日期：2001-08-01 00:00:00

abstract：:Progressive improvements in antihypertensive drug therapy over the past four decades have provided clear benefits in limiting cardiovascular complications. Unfortunately, and largely inexplicably, the inclusion in meta-analyses of defective trials plus the employment of inappropriate diagnostic criteria for adverse co...

journal_title：Journal of evaluation in clinical practice

authors： Robertson JI

更新日期：2001-05-01 00:00:00

abstract：:The Hawthorne studies in the 1930s demonstrated how difficult it is to understand workplace behaviour, and this includes professional performance. Studies of interventions to improve professional performance, such as audit, can provide useful information for those considering using such methods, but cannot replace jud...

journal_title：Journal of evaluation in clinical practice

authors： Holden JD

更新日期：2001-02-01 00:00:00

abstract：:The aim of this study was to evaluate the impact of a program of training, education and awareness on the accuracy of the data collected from hospital discharge abstracts. Four random samples of hospital discharge abstracts relating to four different periods were studied. The evaluation of the impact of systematic tra...

journal_title：Journal of evaluation in clinical practice

authors： Lorenzoni L,Da Cas R,Aparo UL

更新日期：2000-11-01 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：:Independent qualitative evaluation of a project designed to ensure that clinical policy in specific areas of care in three obstetric units within one English health district was based on authoritative evidence. Data from nonparticipant observation, interviews, questionnaires and documents were combined to generate a d...

journal_title：Journal of evaluation in clinical practice

authors： Humphrey C,Berrow D

更新日期：2000-05-01 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：:This article reviews the methodological limitations identified in a recent authoritative US report by the Public Health Service, which provides the theoretical background to several other guidelines on cost effectiveness, such as those of the British Medical Journal. It places each limitation in context and discusses ...

journal_title：Journal of evaluation in clinical practice

authors： Raftery J

更新日期：1999-11-01 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

abstract：:In clinical medicine, a balance needs to be struck between reductionism (the view that a system can be fully understood in terms of its isolated parts) and holistic complexity appreciation (the view that the whole may not be discernible from knowledge of its parts). Reductionism, which currently is associated with ren...

journal_title：Journal of evaluation in clinical practice

authors： Welsby PD

更新日期：1999-05-01 00:00:00

abstract：:The aim of this study was to determine whether a brief Internet-based education programme could improve physicians' abilities to manage pigmented skin lesions. A pre-test-post-test assessment was used of subjects' knowledge of skin cancer, confidence in their management abilities and actual ability to recommend approp...

journal_title：Journal of evaluation in clinical practice

authors： Harris JM Jr,Salasche SJ,Harris RB

更新日期：1999-05-01 00:00:00

abstract：:A previous study (Stanhope et al. 1998) established that staff in two obstetric units reported less than a quarter of designated incidents to the units' risk managers. A questionnaire was administered to 42 obstetricians and 156 midwives at the same two obstetric units, exploring the reasons for low rates of reporting...

journal_title：Journal of evaluation in clinical practice

authors： Vincent C,Stanhope N,Crowley-Murphy M

更新日期：1999-02-01 00:00:00

abstract：:Outcomes assessment holds great promise to improve the quality and efficiency of health care. By subjecting practices to rigorous and systematic analysis, we should be in a position to make judgments about what does and does not work in clinical practice. However, the outcomes of outcomes assessment themselves should ...

journal_title：Journal of evaluation in clinical practice

authors： Gunderman R

更新日期：1998-11-01 00:00:00

abstract：:Clinical guidelines are essential in promoting the implementation of evidence-based practice within the NHS. But there are two broad schools of thought about their development and implementation: the first argues that guidelines should be entirely evidence-based and tolerates a degree of complexity which may make the ...

journal_title：Journal of evaluation in clinical practice

authors： Onion CW,Walley T

更新日期：1998-11-01 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：:The use of process measures in the assessment of the quality of care has been neglected of late. The outcomes movement has gathered momentum and process measurement appears to have been left trailing in the wake. Yet process measures can be sensitive indicators of the quality of care and have many advantages over outc...

journal_title：Journal of evaluation in clinical practice

authors： Crombie IK,Davies HT

更新日期：1998-02-01 00:00:00

abstract：:The aim of the present study was to examine the use of maternal weight measurements during antenatal care throughout the United Kingdom. A postal questionnaire and follow-up letter were sent to 1500 midwives throughout the United Kingdom, selected at random from the UKCC register. The postal survey achieved a response...

journal_title：Journal of evaluation in clinical practice

authors： Ellison GT,Holliday M

更新日期：1997-11-01 00:00:00