S4) Evidence-based Practice Flashcards Preview

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Flashcards in S4) Evidence-based Practice Deck (8)
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1

What is the argument for evidence-based healthcare?

Health service delivery should be based on best available evidence which emerges from findings of rigorously conducted research

2

Which two factors should the evidence for healthcare consist of?

Effectiveness (of drugs, practices, interventions)

- Cost-effectiveness (in a system with finite resources where should money be spent to gain the maximum utility?)

3

Identify 4 factors which influence healthcare practices

- Professional opinion

- Clinical fashion

- Historical practice and precedent

- Organisational and social culture

4

What is evidence based practice?

Evidence-based practice involves the integration of individual clinical expertise with the best available external clinical evidence from systematic research

5

Systematic reviews and meta-analyses have become very important in informing evidence base.

Why are they needed?

- Traditional literature reviews may be biased and subjective

- Quality of studies reviewed variable and sometimes poor

- Help address clinical uncertainty

- Highlight gaps in research/poor quality research

6

Provide 4 reasons as to why systematic reviews are useful to clinicians

- Offer quality control and increased certainty

- Offer authoritative, generalisable and up-to-date conclusions

- Reduce delay between research discoveries and implementation

- Help to prevent biased decisions being made

7

What are the 3 practical criticisms of the evidence-based practice movement?

- An impossible task to create and maintain systematic reviews across all specialities

- Challenging and expensive to disseminate and implement findings

​- Requires ‘good faith’ on the part of pharmaceutical companies

 

8

What are the 3 philosophical criticisms of evidence-based practice?

- ‘Does not align with most doctors’ modes of reasoning 

- Aggregate, population-level outcomes don’t mean that an intervention will work for an individual

- Professional responsibility/autonomy