Evidence-Based Medicine and the Changing Nature of Health Care

Evidence-Based Medicine and the Changing Nature of Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-09-06

Total Pages: 202

ISBN-13: 0309113695

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Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.


Evidence-based Medicine

Evidence-based Medicine

Author: Sharon E. Straus

Publisher: Elsevier Masson

Published: 2005

Total Pages: 306

ISBN-13: 9782842997731

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The accompanying CD-ROM contains clinical examples, critical appraisals and background papers.


Unhealthy Politics

Unhealthy Politics

Author: Eric M. Patashnik

Publisher: Princeton University Press

Published: 2020-07-21

Total Pages: 283

ISBN-13: 0691208565

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How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.


Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author: OECD

Publisher: OECD Publishing

Published: 2019-10-17

Total Pages: 447

ISBN-13: 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.


The Philosophy of Evidence-based Medicine

The Philosophy of Evidence-based Medicine

Author: Jeremy H. Howick

Publisher: John Wiley & Sons

Published: 2011-02-23

Total Pages: 248

ISBN-13: 1444342665

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Evidence-based medicine (EBM) has become a required element of clinical practice, but it is critical for the healthcare community to understand the ongoing controversy surrounding EBM. Seeking to address questions raised by critics, The Philosophy of Evidence-based Medicine challenges the over dependency of EBM on randomized controlled trials. This book also explores EBM methodology and its relationship with other approaches used in medicine.


The Learning Healthcare System

The Learning Healthcare System

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2007-06-01

Total Pages: 374

ISBN-13: 0309133939

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As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of health care options and decisions. The Learning Healthcare System considers how health care is structured to develop and to apply evidence-from health profession training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement-and highlights opportunities for the creation of a sustainable learning health care system that gets the right care to people when they need it and then captures the results for improvement. This book will be of primary interest to hospital and insurance industry administrators, health care providers, those who train and educate health workers, researchers, and policymakers. The Learning Healthcare System is the first in a series that will focus on issues important to improving the development and application of evidence in health care decision making. The Roundtable on Evidence-Based Medicine serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.


Evaluating Evidence of Mechanisms in Medicine

Evaluating Evidence of Mechanisms in Medicine

Author: Veli-Pekka Parkkinen

Publisher: Springer

Published: 2018-07-13

Total Pages: 131

ISBN-13: 3319946102

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This book is open access under a CC BY license. This book is the first to develop explicit methods for evaluating evidence of mechanisms in the field of medicine. It explains why it can be important to make this evidence explicit, and describes how to take such evidence into account in the evidence appraisal process. In addition, it develops procedures for seeking evidence of mechanisms, for evaluating evidence of mechanisms, and for combining this evaluation with evidence of association in order to yield an overall assessment of effectiveness. Evidence-based medicine seeks to achieve improved health outcomes by making evidence explicit and by developing explicit methods for evaluating it. To date, evidence-based medicine has largely focused on evidence of association produced by clinical studies. As such, it has tended to overlook evidence of pathophysiological mechanisms and evidence of the mechanisms of action of interventions. The book offers a useful guide for all those whose work involves evaluating evidence in the health sciences, including those who need to determine the effectiveness of health interventions and those who need to ascertain the effects of environmental exposures.


Evidence-based Manual Medicine

Evidence-based Manual Medicine

Author: Michael A. Seffinger

Publisher: Elsevier Health Sciences

Published: 2007-01-01

Total Pages: 336

ISBN-13: 1416023844

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Offer your patients expanded options for musculoskeletal relief with the help of this innovative new resource on manual medicine. Experienced teachers and physicians show you exactly how to apply patient-focused, basic palpatory diagnostic and manual treatment procedures to achieve optimal outcomes and enhance patient comfort. Effectively diagnose and treat a wide range of musculoskeletal problems using direct and indirect myofascial release, isometric muscle energy, and indirect articular techniques. Teach your patients rehabilitative and preventive exercises as well as ergonomic guidelines to facilitate recovery. Confidently determine whether manipulative treatments are indicated using visual and palpation tests. Choose the best procedure for each patient with the help of detailed coverage describing each technique's effects and desired outcomes. Review clinical trials that document the effectiveness of manual techniques. Master techniques confidently with assistance from two authorities whom the AAFP invited to educate its members about manual approaches. Know exactly when and how to perform manual medicine techniques using step-by-step visual guidance from more than 700 photographs and drawings plus 62 video clips on the bonus DVD-ROM.


Informing the Future

Informing the Future

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-10-12

Total Pages: 203

ISBN-13: 0309215366

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This report illustrates the work of IOM committees in selected, major areas in recent years, followed by a description of IOM's convening and collaborative activities and fellowship programs. The last section provides a comprehensive bibliography of IOM reports published since 2007.