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This book challenges the evidence-based practice movement to re-think its assumptions. Firmly rooted in real practice while drawing lucidly on a great breadth of theoretical frameworks, it examines afresh how clinicians use knowledge. Evidence-based practice has recently become a key part of the training of all health professionals. Yet despite its ‘gold-standard’ status, it is faltering because too much effort has gone into insisting on an idealised model of how clinicians ought to use the best evidence, while not enough has been done to understand why they so often don’t. Practice-based Evidence for Healthcare is a groundbreaking attempt to redress that imbalance. Examining how clini...
Despite its ‘gold-standard’ status, the EBP movement is faltering because, while much effort has gone into developing an idealised model of the way clinicians ought to use best evidence, there is less understanding of why they often don’t. This book examines how clinicians do actually develop and use clinical knowledge.
No single discipline can provide a full account of why health care is the way it is. Introducing an accessible overview of health services and drawing on medicine, sociology, economics, history and epidemiology, this book provides a series of conceptual frameworks which help to clarify some of the complexity that confronts the inexperienced observer. Helping to determine what influences and shapes health services, it also examines some of the key processes involved in providing healthcare, considering three levels: individual patients, health care organizations such as hospitals, and regional or national institutions such as governments. This second edition has been updated to include recent...
The story told in this book begins in about 1700, when the first attempts were made to study the diseased heart in life (the subject matter of cardiology), as distinct from its appearance after death; it ends, rather arbitrarily, in 1970. The account of the development of knowledge of heart disease is mainly chronological with emphasis on the fruitful consequences of the cross-fertilization of clinical practice with pathological anatomy at the beginning of the nineteenth century and with physiology at the end. In addition, shorter chapters deals with such topics as specific disease entities, methods of investigation, cardiac surgery and the work of two individuals - Peter Latham, an example of a physician practising with today's clinical skills but a very imperfect knowledge of the pathogenesis of heart disease and Etienne Marey, an early exponent of the clinical physiology which would, in time, throw light on that pathogenesis.
Part One: The James Lind Legacy; The James Lind legacy: the past - James Lind; The James Lind legacy: the present - the relevance of his work today; Part Two: Filling the evidence gap; Filling the evidence gap - how big is it? Part Three: Raising standards - national policy and practice; Social care and joint working with the NHS: how the.
British Medical Association Book Award Winner - President's Award of the Year 2018 From the author of the bestselling introduction to evidence-based medicine, this brand new title makes sense of the complex and confusing landscape of implementation science, the role of research impact, and how to avoid research waste. How to Implement Evidence-Based Healthcare clearly and succinctly demystifies the implementation process, and explains how to successfully apply evidence-based healthcare to practice in order to ensure safe and effective practice. Written in an engaging and practical style, it includes frameworks, tools and techniques for successful implementation and behavioural change, as well as in-depth coverage and analysis of key themes and topics with a focus on: Groups and teams Organisations Patients Technology Policy Networks and systems How to Implement Evidence-Based Healthcare is essential reading for students, clinicians and researchers focused on evidence-based medicine and healthcare, implementation science, applied healthcare research, and those working in public health, public policy, and management.
Explains in laymen's terms why we need to control costs, come to terms with rationing in the near future, and take more individual responsibility for health. Lamm and Blank explain why "blank check" medicine-unchecked spending and use of technology-is bad for our collective health. [from publisher description].
It attacks through foods, animals, and innumerable chemical combinations. It is among the most common and potentially lethal afflictions known. It is the allergy, the subject of Mark Jackson’s fascinating chronicle. Jacksoninvestigates how the allergy became the archetypal “disease of civilization,” as it transformed from a fringe malady of the wealthy into one of the greatest medical disorders of the twentieth century. Jackson also examines the social and economic impact of the allergy, as it catalyzed a new health-conscious culture and created the wealth of some of the largest companies in the world today. Whether cats, crabgrass, or cheese is the source of your daily misery, Jackson’s engaging and in-depth account is an invaluable addition to every bookshelf.
This volume brings together the papers which 33 radiologists, chosen among the leading European experts, presented at the Halley Project 1996 Refresher Course. The project, which I promoted and co-ordinated, started out under the aegis of the European Association of Radiology in 1992 with the aim of fostering the advancement of Radiology in various countries of Eastern Europe: Bulgaria, the Czech Republic, Slovakia, Hungary, Poland and Rumania. Thanks to the expertise and enthusiasm of distinguished colleagues from various countries in Western Europe and to the generosity of two sponsors, Bracco International and Schering A.G., it was possible to set up, in 1992, 1993, 1994 and 1995. four Fa...
Since the conceptualization of bounded rationality, management scholars started investigating how people—managers and entrepreneurs—really make decisions within (and for) organizations. The aim of this eBook is to deeply investigate trends that have flourished within this pivotal research area in conceptual and/or empirical terms, trying to provide new insights on how managers and entrepreneurs make decisions within and for organizations. In this vein, readers that approach this eBook will be taken by hand and accompanied to the discovery of how the mind of decision makers is at the basis of organizational developments or failures. In this regard, published contributions in this eBook un...