Abstract
Evidence-based clinical decision making in health care described in this book pertains thus far to dentistry, medicine, and nursing. It is to be expected that these concepts will expand into related health care fields such as clinical psychology, social work, dental hygiene, and that even the roles of the physician assistant and the nursing assistant will be favored by the incorporation of the best available evidence. Further, evidence-based decisions must increasingly incorporate considerations and analyses of cost– and risk–benefit ratio, traditionally the realm of comparative effectiveness research. The common thread among all will certainly remain the reliance of the clinical decision-making process on the best available evidence, which results from the process of research synthesis. Therefore, future avenues in the field will depend largely on future developments in research synthesis.
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- 1.
Comparative effectiveness research (or analysis) in health care is best defined as the process of generation and synthesis of scientific evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor clinical conditions, or to improve the delivery of care, in a concerted effort to assist patients, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and the population levels. (from the Committee on Comparative Effectiveness Research, Institute of Medicine, 2009).
- 2.
In this context, the concepts of “hard” vs. “soft” knowledge cited in the introductory chapter as arising from the academic domain of knowledge management, clearly signal a novel domain of teaching/learning of the tenets proposed in this book, and which will, we predict, see increased exploration, implications, and application in the field of evidence-based decision-making in health care.
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Chiappelli, F. (2010). Future Avenues of Research Synthesis for Evidence-Based Clinical Decision Making. In: Chiappelli, F. (eds) Evidence-Based Practice: Toward Optimizing Clinical Outcomes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05025-1_15
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DOI: https://doi.org/10.1007/978-3-642-05025-1_15
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