From Evidence-Based to Knowledge-Based Healthcare: A Task-Based Knowledge Management Approach

Conference paper


The healthcare is a knowledge-based profession where ideally decisions are based on formal evidence. But the challenges faced by healthcare decision makers are to apply these generic and population level evidence to the specific situation of an individual patient. In this paper we argue for a knowledge-based approach to medical decision-making. Such an approach is grounded in general population level interventions, based on the evidence that informs and is specialized to the specific context of a particular patient. We propose task-based knowledge management (TbKM) as a theoretical construct to implement the knowledge-based approach to medical decision-making.


Knowledge Management Healthcare Worker Tacit Knowledge Knowledge Work Knowledge Management System 
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  1. AHMAC (2008) National E-Health strategy: summary. In AHMAC. Australian Health Ministers’ Conference. Victorian Department of Human ServicesGoogle Scholar
  2. Alavi M, Leidner DE (1999) Knowledge management systems: issues, challenges, and benefits. Commun AIS 1(2es):1Google Scholar
  3. Al-Hawamdeh S (2002) Knowledge management: re-thinking management and facing the chal lenge of managing tacit knowledge. Inf Res 8(1):1–15Google Scholar
  4. Anderson J, Graham A (1980) A problem in medical education: is there an information overload? Med Educ 14(1):4–7CrossRefGoogle Scholar
  5. Armstrong BK et al (2007) Challenges in health and health care for Australia. Med J Aust 187(9):485–489Google Scholar
  6. Benseman J, Barham P (2009) Coping with information overload: the development and evaluation of a journal review service. Med Educ 18(6):446–447CrossRefGoogle Scholar
  7. Benson S, Standing C (2004) Effective knowledge management: knowledge, thinking and the personal—corporate knowledge nexus problem. Springer Netherlands 3(2):227–238Google Scholar
  8. Bloom DE et al (2004) The effect of health on economic growth: a production function approach. World Dev 32(1):1–13CrossRefGoogle Scholar
  9. Burnett S et al (2005) Knowledge support for interdisciplinary models of healthcare delivery: a study of knowledge needs and roles in managed clinical networks. Health Inform J 11(2):146–160CrossRefGoogle Scholar
  10. Burstein F, Linger H (2003) Supporting post-Fordist work practices: a knowledge management framework for supporting knowledge work. IT People 16(3):289–305CrossRefGoogle Scholar
  11. Caulfield J (2007) Clinical trials—shedding light the evidence. Pharmacist 26(6):450–454Google Scholar
  12. Chaudhry B et al (2006) Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Int Med 144(10):742–752Google Scholar
  13. Corrao S et al (2008) Evidence-based knowledge management: an approach to effectively promote good health-care decision-making in the Information Era. IEM 4:99–106Google Scholar
  14. Davenport T, Glaser J (2002) Just-in-time delivery comes to knowledge management. Harvard Business Rev 80(7):3–9Google Scholar
  15. Debowski D (2006) Knowledge management, 1st edn. Wiley, AustraliaGoogle Scholar
  16. Drucker P (1999) Beyond the information revolution. The Atlantic Monthly (October) 284:47–57Google Scholar
  17. Eichler H et al (2004) Use of cost-effectiveness analysis in health-care resource allocation decision-making: how are cost-effectiveness thresholds expected to emerge? Value Health 7(5):518–528CrossRefGoogle Scholar
  18. Eisenstein E (2005) The printing revolution in early modern Europe. Cambridge Uniersity Press, CambridgeGoogle Scholar
  19. Elstein AS (2004) On the origins and development of evidence-based medicine and medical decision making. Inflamm Res 53(S2):184–189CrossRefGoogle Scholar
  20. Evans D (2003) Hierarchy of evidence: a framework for ranking evidence evaluating healthcare interventions. J Clin Nurs 17:77–84CrossRefGoogle Scholar
  21. Fox NJ et al (2005) The ‘expert patient’: empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet. Soc Sci Med 60(6):1299–1309CrossRefGoogle Scholar
  22. Ghosh B, Scott J (2007) Effective knowledge management systems for a clinical nursing setting. Inf Syst Manag 24:73–84CrossRefGoogle Scholar
  23. Guyatt G, Cook D, Haynes RB (2004) Evidence based medicine has come a long way: the second decade will be as exciting as the first. BMJ Oct 30:990–991CrossRefGoogle Scholar
  24. Hanka R, Fuka K (2000) Information overload and “just-in-time” knowledge. Electronic Library 18(4):279–285Google Scholar
  25. Haynes B (2006) Of studies, syntheses, synopses, summaries, and systems: the “5S” evolution of information services for evidence-based healthcare decisions. Evidence Based Med 11(6):162–164CrossRefGoogle Scholar
  26. Jadad A et al (2000) The Internet and evidence-based decision-making: a needed synergy for efficient knowledge management in health care. CMAJ 162(3):362–365Google Scholar
  27. Jadad A, Enkin M (2000) The new alchemy: transmuting information into knowledge in an electronic age. JAMC 162(13):1826–1828Google Scholar
  28. Jones N, Hershel R, Moesel D (2003) Using “knowledge champions” to facilitate knowledge management. J Knowl Manag 7(1):49–63CrossRefGoogle Scholar
  29. Latour B (1986) Visualization and cognition: thinking with eyes and hands. Knowledge Soc 6:1–40Google Scholar
  30. Lindholm C, Burstro M, Diderichsen F (2001) Does chronic illness cause adverse social and economic consequences among Swedes? Scand J Public Health 29:63–70CrossRefGoogle Scholar
  31. Mouhouelo P, Okessi A, Kabore M (2006) Where there is no internet: delivering health information via the blue trunk libraries. PLoS Med 3(3):e77CrossRefGoogle Scholar
  32. National E-Health Strategy (2008). Accessed 18 Apr 2010Google Scholar
  33. Ncayiyana DJ (2007) Evidence-based medicine is not all randomised controlled trials and systematic reviews. South Afr Med J (January) 97:310Google Scholar
  34. Nichols P et al (2008) Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust 188(5):276–279MathSciNetGoogle Scholar
  35. Sackett D et al (1996) Evidence-based medicine: what it is and what it isn’t. BMJ 312(7023):71–72Google Scholar
  36. Sheridan JE (2002) Organizational culture and employee retention. Acad Manag J 35(5):1036–1056CrossRefGoogle Scholar
  37. Smith A, Rupp W (2002) Communication and loyalty among knowledge workers: a resource of the firm theory view. J Knowl Manag 6(3):250–261CrossRefGoogle Scholar
  38. Straus S, Haynes RB (2009) Managing evidence-based knowledge: the need for reliable, relevant and readable resources. CMAJ 180(9):942–945CrossRefGoogle Scholar
  39. Suhrcke M et al (2006) The contribution of health to the economy in the European Union. Roy Inst Publ Health 120:994–1001CrossRefGoogle Scholar
  40. Sveiby KW (1999) The tacit and explicit nature of knowledge. In the knowledge management yearbook 1999–2000. Butterworth-Heinemann, Bostan, MA, pp 18–36Google Scholar
  41. Teece DJ (1998) Capturing value from knowledge assets: the new economy, markets for know-how, and intangible assets. Calif Manag Rev 40(3):55–79Google Scholar
  42. Watson K, Harper C (2008) Supporting knowledge creation—using Wikis for Group Collaboration. Educ Center Appl Res 2008(3)Google Scholar
  43. Wenger E, McDermott RA, Snyder W (2002) Cultivating communities of practice. Harvard Business Press, CambridgeGoogle Scholar
  44. Woolf SH et al (2005) Promoting informed choice: transforming health care to dispense knowledge for decision making. Ann Int Med 143(4):293–300Google Scholar
  45. Wyatt J (1991) Use and sources of medical knowledge. Lancet 338(Nov):1368–1373CrossRefGoogle Scholar
  46. Wyatt J (2001) Management of explicit and tacit knowledge. J Royal Soc Med 94(1):6–9Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Hamidreza Pousti
    • 1
  • Henry Linger
    • 1
  • Frada Burstein
    • 1
  1. 1.Faculty of Information TechnologyMonash UniversityMelbourneAustralia

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