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Decision making in health care involves consideration of a complex set of diagnostic, therapeutic and prognostic uncertainties. Medical therapies have side effects, surgical interventions may lead to complications, and diagnostic tests can produce misleading results. Furthermore, patient values and service costs must be considered. Decisions in clinical and health policy require careful weighing of risks and benefits and are commonly a trade-off of competing objectives: maximizing quality of life vs maximizing life expectancy vs minimizing the resources required. This text takes a proactive, systematic and rational approach to medical decision making. It covers decision trees, Bayesian revision, receiver operating characteristic curves, and cost-effectiveness analysis; as well as advanced topics such as Markov models, microsimulation, probabilistic sensitivity analysis and value of information analysis. It provides an essential resource for trainees and researchers involved in medical decision modelling, evidence-based medicine, clinical epidemiology, comparative effectiveness, public health, health economics, and health technology assessment. Overview - Introduction to Evidence-Based Practice What is Evidence-Based Practice (EBP)? The most common definition of Evidence-Based Practice (EBP) is from Dr David Sackett EBP is the conscientious explicit Medicine UCC Admission Since its inception the UCCSOM has gained recognition among the private institutions in Puerto Rico for its strong emphasis on community intervention Evidence-based practice - Wikipedia Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice that has been gaining ground following its formal introduction in 1992 Shared Decision Making - New England Journal of Medicine Perspective Shared Decision Making The Pinnacle of Patient-Centered Care Michael J Barry MD and Susan Edgman-Levitan PA N Engl J Med 2012; 366:780-781 Shared decision making Washington State Health Care What is shared decision making? Shared decision making is a process that allows patients and their providers to make health care decisions together taking into Nurses information use and clinical decision makingthe EVIDENCE-BASED DECISION MAKING INVOLVES ACTIVELY USING INFORMATION Evidence-based decision making involves combining the knowledge arising from ones clinical Evidence Based Practice Resources - Health Sciences Evidence Based Practice (EBP) is the integration of clinical expertise patient values and the best research evidence into the decision making process for patient care Shared Decision Making to Improve Care and Reduce Costs A sleeper provision of the Affordable Care Act (ACA) encourages greater use of shared decision making in health care For many health situations in which there's not Tools for Implementing an Evidence-Based Approach in TOOLS AND TECHNIQUES Tools for Implementing an Evidence-Based Approach in Public Health Practice Evidence based medicine: what it is and what it isn't David L Sackett William M C Rosenberg J A Muir Gray R Brian Haynes W Scott Richardson; Professor NHS Research and Development Centre for Evidence Based Medicine
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