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"Evidence based health care"

Marcel Mertz, Hannes Kahrass, Daniel Strech
BACKGROUND: Modern standards for evidence-based decision making in clinical care and public health still rely solely on eminence-based input when it comes to normative ethical considerations. Manuals for clinical guideline development or health technology assessment (HTA) do not explain how to search, analyze, and synthesize relevant normative information in a systematic and transparent manner. In the scientific literature, however, systematic or semi-systematic reviews of ethics literature already exist, and scholarly debate on their opportunities and limitations has recently bloomed...
October 3, 2016: BMC Medicine
Kostyantyn Dumchev, Olga Varetska, Ihor Kuzin
Once facing the most severe HIV epidemic in Eastern Europe, Ukraine has built an elaborate Monitoring and Evaluation (M&E) system to track the response to AIDS. This system was developed using recommendations and input from multiple international expert organizations and donors and, at the current stage, serves as a best practice model in many areas. The present paper aims to provide a comprehensive overview of the evolution of the M&E system in Ukraine since its inception. Notable achievements and challenges are described and illustrated by epidemiological data and the recommendations for future development are discussed...
October 6, 2016: AIDS and Behavior
Hyun Kang
Evidence-based medicine (EBM) is the conscientious, explicit, and judicious use of current best evidence in making decisions regarding the care of individual patients. This concept has gained popularity recently, and its applications have been steadily expanding. Nowadays, the term "evidence-based" is used in numerous situations and conditions, such as evidence-based medicine, evidence-based practice, evidence-based health care, evidence-based social work, evidence-based policy, and evidence-based education...
October 2016: Korean Journal of Anesthesiology
Uta Wegewitz, Beate Weikert, Alba Fishta, Anja Jacobs, Dawid Pieper
BACKGROUND: Evidence syntheses, and in particular systematic reviews (SRs), have become one of the cornerstones of evidence-based health care. The Assessment of Multiple Systematic Reviews (AMSTAR) tool has become the most widely used tool for investigating the methodological quality of SRs and is currently undergoing revision. The objective of this paper is to present insights, challenges and potential solutions from the point of view of a group of assessors, while referring to earlier methodological discussions and debates with respect to AMSTAR...
2016: BMC Medical Research Methodology
Luciana Cordeiro, Cassia Baldini Soares
The aim of the study is to discuss the emancipatory approach to action research as an appropriate methodology for workers' meaningful implementation of evidence-based health care. Implementation of evidence-based health care using action research is well supported by the literature. There are various approaches to action research, and they are coherent with the objectives and methods elected to develop the investigation. It is not clear which approach of action research is responsible for meaningful worker engagement in changing praxis...
August 2016: International Journal of Nursing Practice
Ly Thuy Nguyen, Patsy Yates, Lourdes Clemenceau Annoussamy, Trung Quang Truong
To what extent are non-pharmacological interventions effective in reducing symptom clusters in terms of presence, frequency and severity, compared with standard care?More specifically, the objectives are to: CENTER CONDUCTING THE REVIEW:: The Hanoi Medical University Nursing Research Center for Evidence Based Health Care: a Collaborating Centre of the Joanna Briggs Institute; and Centre for Evidence-based Healthy Aging: an Affiliate Centre of the Joanna Briggs Institute, School of Nursing, Queensland University of Technology, Australia...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
T Young, P Garner, M Clarke, J Volmink
Africa has high disease burden and health system challenges but is making progress in recognising, accepting and adopting evidence-based health care (EBHC). In this paper, we reflect on the developments of the past two decades and consider further steps that will help with the translation of reliable research results into the decision making process. There has been a rapid growth in various initiatives to promote EBHC in the African region. These include the conduct and reporting of primary and secondary research, research capacity development and supportive initiatives, access to information, and work with decision makers in getting research into clinical guidelines and health policies...
June 24, 2016: Journal of Clinical Epidemiology
S Joshua Thomas
Evidence-based health care (EBHC) has consistently been attacked by opponents for being perniciously reductive. Although these attacks are overwhelmingly framed as critiques of evidence-based medicine, they standardly target the research wing of EBHC upon which evidence-based medicine is dependent, and increasingly extend to adjacent health care disciplines, such as nursing. One of the most persistent forms this line of attack has taken is the allegation that EBHC, with its emphasis on the hierarchy of evidence, grounded in the use of randomized controlled trials, and the clinical guidelines developed on their basis, fails to recognize the patient as the complex self she is, treating her instead as merely a quantifiable, medical-scientific object...
August 2016: Journal of Evaluation in Clinical Practice
Carol E Smith, Ubolrat Piamjariyakul, Marilyn Werkowitch, Donna Macan Yadrich, Noreen Thompson, Dedrick Hooper, Eve-Lynn Nelson
This article describes a method to translate an evidence based health care intervention to the mobile environment. This translation assisted patient participants to: avoid life threatening infections; monitor emotions and fatigue; keep involved in healthy activities. The mobile technology also decreased costs by reducing for example travel to visit health care providers. Testing of this translation method and its use by comparison groups of patients adds to the knowledge base for assessing technology for its impact on health outcome measures...
March 2016: International Journal of Sensor Networks and Data Communications
Nihar R Desai
No abstract text is available yet for this article.
April 2016: American Heart Journal
Lucinda Billingham, Kinga Malottki, Neil Steven
Rare cancers are a growing group as a result of reclassification of common cancers by molecular markers. There is therefore an increasing need to identify methods to assess interventions that are sufficiently robust to potentially affect clinical practice in this setting. Methods advocated for clinical trials in rare diseases are not necessarily applicable in rare cancers. This Series paper describes research methods that are relevant for rare cancers in relation to the range of incidence levels. Strategies that maximise recruitment, minimise sample size, or maximise the usefulness of the evidence could enable the application of conventional clinical trial design to rare cancer populations...
February 2016: Lancet Oncology
Ann Oakley
The sociology of childbirth emerged in the 1970s largely as a result of influences from outside sociology. These included feminism, maternity care activism, the increasing medicalisation of childbirth, and evidence-based health care. This paper uses the author's own sociological 'career' to map a journey through four decades of childbirth research. It demonstrates the importance of social networks and interdisciplinary work, particularly across the medical-social science divide and including cross-cultural perspectives, argues that the study of reproduction has facilitated methodological development within the social sciences, and suggests that childbirth remains on the periphery of mainstream sociological concerns...
June 2016: Sociology of Health & Illness
Toby B Cumming, Leonid Churilov, Emily S Sena
BACKGROUND: Meta-analyses are considered the gold standard of evidence-based health care, and are used to guide clinical decisions and health policy. A major limitation of current meta-analysis techniques is their inability to pool ordinal data. Our objectives were to determine the extent of this problem in the context of neurological rating scales and to provide a solution. METHODS: Using an existing database of clinical trials of oral neuroprotective therapies, we identified the 6 most commonly used clinical rating scales and recorded how data from these scales were reported and analysed...
2015: PloS One
Cynthia M Sublett
No abstract text is available yet for this article.
September 2015: Urologic Nursing
Gill Harvey, Elizabeth McInnes
No abstract text is available yet for this article.
December 2015: Worldviews on Evidence-based Nursing
Gibril J Njie, Ramona K C Finnie, Sushama D Acharya, Verughese Jacob, Krista K Proia, David P Hopkins, Nicolaas P Pronk, Ron Z Goetzel, Thomas E Kottke, Kimberly J Rask, Daniel T Lackland, Lynne T Braun
INTRODUCTION: Hypertension and hyperlipidemia are major cardiovascular disease risk factors. To modify them, patients often need to adopt healthier lifestyles and adhere to prescribed medications. However, patients' adherence to recommended treatments has been suboptimal. Reducing out-of-pocket costs (ROPC) to patients may improve medication adherence and consequently improve health outcomes. This Community Guide systematic review examined the effectiveness of ROPC for medications prescribed for patients with hypertension and hyperlipidemia...
2015: Preventing Chronic Disease
Pirkko Kouri
eHealth is a term referring to tools and services using information and communication technologies (ICTs) that can improve healthcare in many ways, such as prevention, diagnosis, treatment, monitoring and management. The small 'e' in front of the eHealth (original abbreviation for "electronic health") has been given several meaning: 'e' also refers to efficiency, empowerment of patients, evidence-based health care, enabled cross-border communication, and equity access to services, for instance. Furthermore eHealth includes the attitude and commitment to networking and global way of thinking...
2015: World Hospitals and Health Services: the Official Journal of the International Hospital Federation
Ian Freckelton
The 2010 report of the United Kingdom Science and Technology Committee of the House of Commons and the 2015 report of the Australian National Health and Medical Research Council have overtaken in significance the uncritical Swiss report of 2012 and have gone a long way to changing the environment of tolerance toward proselytising claims of efficacy in respect of homeopathy. The inquiry being undertaken in the United States by the Food and Drug Administration during 2015 may accelerate this trend. An outcome of the reports and inquiries has been a series of decisions from advertising regulators and by courts rejecting medically unjustifiable claims in respect of the efficacy of homeopathy...
September 2015: Journal of Law and Medicine
Steven L Halterman, Melinda S Balezentis
Accountable care organizations (ACOs) aim to transform health care delivery and provider payment in a way that improves patient access, engagement and quality of care. If successful, ACOs may help the U.S. health care system finally evolve from a "diagnose, treat and reimburse mostly acute, episodic health care" approach to one that encourages and compensates health care providers that work with their patients throughout a full continuum of care to prevent and manage chronic conditions. What are the implications for ACOs from a workforce health perspective? ACOs were built on a framework for delivering evidence-based health care interventions to engage patients in managing and improving their health...
2015: Benefits Quarterly
Alireza Mehrazmay, Alireza Karambakhsh, Mahmood Salesi
CONTEXT: Randomized controlled trials (RCTs) are important tools for evidence-based health care decisions. It is, therefore, important that they be conducted and reported with the highest possible standards. The aim of this study was to evaluate the reporting quality of the RCTs published in nephrology urology monthly journal and to examine whether there was a change over time in the reporting quality. EVIDENCE ACQUISITION: The quality of each report was assessed using the Consolidated Standards of Reporting Trials (CONSORT) 2010 Statement checklist and a 5-point quality assessment instrument, i...
July 2015: Nephro-urology Monthly
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