By Christopher Silagy, Andrew Haines
Facts established perform in basic well-being Care is divided into sections. the 1st discusses how the person can observe proof established drugs within the scientific surroundings, and the second one covers the broader factor of alterations in corporation and technique to advertise higher and more desirable supply of care inside of a convention or fundamental care workforce. Chapters are written by means of prime experts in facts dependent fundamental care from Australia, the united kingdom, and mainland Europe.
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2 This chapter explores a variety of ways to track down different types of evidence in order to help inform decision-making in general practice. The task goes beyond simply examining different methods of electronic searching to a deeper consideration of why the information is required in the first place. It is also important to examine who can use the information and how it can be used most effectively. The general practitioner as an information broker Traditionally, models of general practice have portrayed doctors as a “fount of knowledge”, using their information and knowledge base to both educate and plan appropriate management for their patients.
1 Fortunately, in recent years there has been a move towards encouraging a more systematic approach to reviewing original research. 8 27 EVIDENCE-BASED PRACTICE IN PRIMARY CARE There are other ways in which original research can be summarised into forms that make the information more digestible to busy practitioners and their patients. For example, clinical practice guidelines are being prepared by many groups throughout the world for a range of different health care problems. Guidelines are considered in more detail in Chapter 9.
9–16 Although the questions asked of each study vary depending on the topic of the paper, the series suggests a core series of questions to ask of any paper: What were the results? Are the results of the study valid? Will the results help me in caring for my patients? 1 Bare bones users’ guides for appraisal of the validity of medical studies Purpose of study Guides Therapy Concealed random allocation of patients to comparison groups Outcome measure of known or probable clinical importance Few lost to followup compared with number of bad outcomes Diagnosis Patients to whom you would want to apply the test in practice Objective or reproducible diagnostic standard, applied to all participants Blinded assessment of test and diagnostic standards Prognosis Inception cohort, early in the course of the disorder and initially free of the outcome of interest Objective or reproducible assessment of clinically important outcomes Few lost to followup compared with number of bad outcomes Aetiology Clearly identified comparison group or those at risk for, or having, the outcome of interest Blinding of observers of outcome to exposure; blinding of observers of exposure to outcome Reviews Explicit criteria for selecting articles and rating validity Comprehensive search for all relevant articles Applying criteria such as these, learners rapidly acquire confidence in detecting bias which may threaten the validity of reported research.