By Muir Gray Kt CBE DSc MD
The evidence-based drugs stream has been probably the most vital affects on drugs within the latter half the Nineties. This textbook on evidence-based decision-making--basing medical judgements at the most sensible to be had proof from systematic research--is excellent for healthcare, scientific, and nurse managers. It explains how evidence-based selection making could be utilized to healthiness coverage and administration judgements approximately teams of sufferers and populations, instead of judgements in regards to the remedy of people. Its first version used to be good reviewed and hugely winning, and this new version builds upon the good fortune of the 1st.
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Extra resources for Evidence-Based Healthcare: How to Make Health Policy and Management Decisions
2: 65-9. 4. R. J. (1992) An introduction to critical paths. Quality Management in Healthcare 1: 45-54. 5. KITCHINER, D. and BUNDRED, P. (1996) Integrated care pathways. Arch. Dis. Child. 75: 166-8. 6. , BJERKE, T. and KANE, R. (1998) The effects of clinical pathiuaysfor renal transplantation on patient outcomes and length of stay. Med. Care 36: 826-34. 7. M. M. (1999) Clinical pathways in hip and knee arthroplasty: a prospective randomised controlled study. Med. J. Aust. 170: 59-62. 8. FAIRFIELD, G.
PENCHEON, D. and POOLES, F. (1998) Guidelines in general practice: the new Tower of Babel. Br. Med. J. 317: 862-3. 14. , in t'VELD, C, RUTTEN, E. and MOKKINK, H. (1998) Attributes of clinical practice guidelines that influence use of guidelines in general practice: observational study. Br. Med. J. 317: 858-61. One of the fears of those in the medical profession is that evidence-based healthcare will be used as a means of removing individual professional liberty. 1 Although opportunities to influence the delivery of healthcare are tempting, their realisation must be tempered with the knowledge that most clinical decisions cannot be governed by strict rules; guidelines must remain as guidelines.
The introduction of GP-fundholding changed the way in which finance flowed in the National Health Service (NHS), and thereby altered the authority and responsibility of those professionals working in any general practice that became fundholding. In 1991, in the UK, what was known as the purchaser/provider split was introduced. The aim of implementing this was to alter the financial responsibility and authority of both purchasers and providers. e. between the assessment of need in conjunction with the allocation of resources and the delivery of health services.
Evidence-Based Healthcare: How to Make Health Policy and Management Decisions by Muir Gray Kt CBE DSc MD