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Healthcare Org 1, 2.07 (R) [INFO] Topic 3. Evidence-Based Healthcare Administration Practice

2.07 (R) [INFO] Topic 3. Evidence-Based Healthcare Administration Practice

Topic 3. What is evidence-based healthcare administration practice? Evidence-based healthcare administration practice is the use of the best scientifically-based evidence in the design of healthcare administration processes and in healthcare administrative decision-making. The origin of evidence-based healthcare administration practice lies in the evidence-based medicine (EBM) movement. This section discusses: Overview of the Origins of Evidence-Based Medicine (EBM) Overview of Evidence-Based Healthcare Administration Practice Note [FUN]: Links within this section lead to external [FUN] readings not needed for the certificate work. You do not have to visit these external links. Do so only if you have the interest and the time. Note [CERT]: Pay attention to the text in bold. It just may be included on the [CERT] Lesson Two Quiz. Overview of the Origins of Evidence-Based Medicine (EBM) The origin of the term “evidence-based” is generally credited to David M. Eddy who was the first to use the term “evidence-based” in speeches and workshops in 1985. He was the first to publish the term in 1990 in an article entitled Practice Policies: Where Do They Come From? He used the term and the process in reference to the evidence-based design of health-related practice and coverage guidelines, policies, and measures. The term "evidence-based" in relationship to clinical decision-making made its first published appearance in a 1992 article by David Sackett, et. al. entitled Evidence-Based Medicine: A New Approach to Teaching the Practice of Medicine. The article states that "Evidence-based medicine de-emphasizes intuition, unsystematic clinical experience, and pathophysiologic rationale as sufficient grounds for clinical decision making and stresses the examination of evidence from clinical research." The term and concept of evidence-based medicine (EBM) rapidly became an organizing concept for a variety of health-related work and philosophies. For example, in 1993 the Cochrane Collaboration was founded (now known simply as Cochrane. It was named for Archie Cochrane who died in 1988 and had argued throughout much of his life that medical decision-making should be based in the results of randomized control trials (RCTs); that medical decision-making should be EBM (more science than art and based in the scientific method). The motto of Cochrane is: "Trusted evidence. Informed decisions. Better health. " The primary Cochrane evidence methodology is the systematic review which "summarises the results of available carefully designed healthcare studies (controlled trials) and provides a high level of evidence on the effectiveness of healthcare interventions. Judgments may be made about the evidence and inform recommendations for healthcare. " These systematic reviews are published as Cochrane Reviews in the Cochrane Library. The general form of the Cochrane EBM systematic review seeks to answer the question: What is the best treatment – based in the evidence – for a particular disease or condition? Note [FUN]: The video for Topic 3 - What Are Systematic Reviews? - is a YouTube video produced by Cochrane. The video explains why systematic reviews are important and how they are done. This includes an explanation of how the effects of interventions are compared in order to provide evidence. There are many articles and reports on the development of EBM. You may find the ones listed below interesting and relevant to this question. Each is optional; you do not have to read it. They are: The Origins of Evidence-Based Medicine: A Personal Perspective What is Evidence-Based Medicine? The notion of "evidence-based" spread to fields other than clinical decision-making. There are now efforts for evidence-based practice (EBP) in many disciplines. For example: Policymaking such as the Evidence-Based Policymaking Collaborative and the Campbell Collaboration Nursing such as the Indiana Center for Evidence-Based Nursing Practice Dentistry such as the American Dental Association (ADA) Center for Evidence-Based Dentistry Complementary and Alternative Medicine such as the Journal for Evidence-Based Complementary and Alternative Medicine Policing such as the Cambridge Journal for Evidence-Based Policing Design such as the Evidence-Based Design Journal Overview of Evidence-Based Healthcare Administration Practice Management and administration also joined the evidence-based movement. The terms management and administration as noted earlier are often used interchangeably to describe the same set of responsibilities. Evidence-based healthcare administration is a part of the evidence-based management (EBMgt) movement. Evidence-based healthcare administration has a specific focus on the administration/management of healthcare organizations while EBMgt focuses on administration/management of all organizations. However, EBMgt is generally considered to have begun with a focus on healthcare administration with the 1998 article by Runo Axelsson entitled Towards Evidence-Based Health Care Management. The article “introduces a new approach for health care management called Evidence Based Management. This approach promises to improve the practice of health care management, at the same time as it may stimulate research on the organization and management of health care. Evidence Based Management means that health care managers should learn to search for and critically appraise evidence from management research as a basis for their practice.” Evidence-based healthcare administration is based in evidence (e.g., research studies) that answers the question: What is the best healthcare administration practice – based on the evidence – to achieve a particular desired organizational outcome? Where can you find the evidence you need? One place is the Center for Evidence-Based Management. Another place is journals – management and administration journals, especially those with a focus on health care. Examples include: Journal of Healthcare Management Frontiers of Health Services Management Health Care Management Science Health Care Management Review Healthcare Executive Health Services Management Research There are many published articles and reports on evidence-based management in general and evidence-based healthcare administration specifically. Some of them are listed below. You may find some or all of them interesting. Each is optional; you do not have to read it. They are: Evidence-Based Management: From Theory to Practice in Health Care The Gold Standard of Management? Evidence-Based Management and Healthcare Delivery Use of Evidence-Based Management in Healthcare Administration Decision-Making (PubMed Abstract Only) Evidence-Based Management in Health Care Organizations: A Cautionary Note (PubMed Abstract Only) Evidence-Based Management, The Basic Principles Evidence-Based Management: Foundations, Development, Controversies and Future Evidence-Based Management


2.07 (R) [INFO] Topic 3. Evidence-Based Healthcare Administration Practice 2.07 (R) [INFO] Tema 3. Práctica de la administración sanitaria basada en la evidencia Práctica de la Administración Sanitaria Basada en la Evidencia

Topic 3. What is evidence-based healthcare administration practice? エビデンスに基づく医療行政とは? Evidence-based healthcare administration practice is the use of the best scientifically-based evidence in the design of healthcare administration processes and in healthcare administrative decision-making. エビデンスに基づく医療管理の実践とは、医療管理プロセスの設計および医療管理の意思決定において、科学に基づいた最高の証拠を使用することです。 The origin of evidence-based healthcare administration practice lies in the evidence-based medicine (EBM) movement. エビデンスに基づく医療行政の起源は、エビデンスに基づく医療 (EBM) の動きにあります。 This section discusses: Overview of the Origins of Evidence-Based Medicine (EBM) Overview of Evidence-Based Healthcare Administration Practice Note [FUN]: Links within this section lead to external [FUN] readings not needed for the certificate work. このセクションでは以下について説明します: エビデンスに基づく医療 (EBM) の起源の概要 エビデンスに基づく医療管理実践の概要 注 [FUN]: このセクション内のリンクは、証明書作業に必要のない外部の [FUN] の読み物につながります。 You do not have to visit these external links. Do so only if you have the interest and the time. Note [CERT]: Pay attention to the text in bold. It just may be included on the [CERT] Lesson Two Quiz. Overview of the Origins of Evidence-Based Medicine (EBM) The origin of the term “evidence-based” is generally credited to David M. Eddy who was the first to use the term “evidence-based” in speeches and workshops in 1985. He was the first to publish the term in 1990 in an article entitled Practice Policies: Where Do They Come From? He used the term and the process in reference to the evidence-based design of health-related practice and coverage guidelines, policies, and measures. The term "evidence-based" in relationship to clinical decision-making made its first published appearance in a 1992 article by David Sackett, et. al. entitled Evidence-Based Medicine: A New Approach to Teaching the Practice of Medicine. The article states that "Evidence-based medicine de-emphasizes intuition, unsystematic clinical experience, and pathophysiologic rationale as sufficient grounds for clinical decision making and stresses the examination of evidence from clinical research." The term and concept of evidence-based medicine (EBM) rapidly became an organizing concept for a variety of health-related work and philosophies. For example, in 1993 the Cochrane Collaboration was founded (now known simply as Cochrane. It was named for Archie Cochrane who died in 1988 and had argued throughout much of his life that medical decision-making should be based in the results of randomized control trials (RCTs); that medical decision-making should be EBM (more science than art and based in the scientific method). The motto of Cochrane is: "Trusted evidence. Informed decisions. Better health. " The primary Cochrane evidence methodology is the systematic review which "summarises the results of available carefully designed healthcare studies (controlled trials) and provides a high level of evidence on the effectiveness of healthcare interventions. Judgments may be made about the evidence and inform recommendations for healthcare. " These systematic reviews are published as Cochrane Reviews in the Cochrane Library. The general form of the Cochrane EBM systematic review seeks to answer the question: What is the best treatment – based in the evidence – for a particular disease or condition? Note [FUN]: The video for Topic 3 - What Are Systematic Reviews? - is a YouTube video produced by Cochrane. The video explains why systematic reviews are important and how they are done. This includes an explanation of how the effects of interventions are compared in order to provide evidence. There are many articles and reports on the development of EBM. You may find the ones listed below interesting and relevant to this question. Each is optional; you do not have to read it. They are: The Origins of Evidence-Based Medicine: A Personal Perspective What is Evidence-Based Medicine? The notion of "evidence-based" spread to fields other than clinical decision-making. There are now efforts for evidence-based practice (EBP) in many disciplines. For example: Policymaking such as the Evidence-Based Policymaking Collaborative and the Campbell Collaboration Nursing such as the Indiana Center for Evidence-Based Nursing Practice Dentistry such as the American Dental Association (ADA) Center for Evidence-Based Dentistry Complementary and Alternative Medicine such as the Journal for Evidence-Based Complementary and Alternative Medicine Policing such as the Cambridge Journal for Evidence-Based Policing Design such as the Evidence-Based Design Journal Overview of Evidence-Based Healthcare Administration Practice Management and administration also joined the evidence-based movement. The terms management and administration as noted earlier are often used interchangeably to describe the same set of responsibilities. Evidence-based healthcare administration is a part of the evidence-based management (EBMgt) movement. Evidence-based healthcare administration has a specific focus on the administration/management of healthcare organizations while EBMgt focuses on administration/management of all organizations. However, EBMgt is generally considered to have begun with a focus on healthcare administration with the 1998 article by Runo Axelsson entitled Towards Evidence-Based Health Care Management. The article “introduces a new approach for health care management called Evidence Based Management. This approach promises to improve the practice of health care management, at the same time as it may stimulate research on the organization and management of health care. Evidence Based Management means that health care managers should learn to search for and critically appraise evidence from management research as a basis for their practice.” Evidence-based healthcare administration is based in evidence (e.g., research studies) that answers the question: What is the best healthcare administration practice – based on the evidence – to achieve a particular desired organizational outcome? Where can you find the evidence you need? One place is the Center for Evidence-Based Management. Another place is journals – management and administration journals, especially those with a focus on health care. Examples include: Journal of Healthcare Management Frontiers of Health Services Management Health Care Management Science Health Care Management Review Healthcare Executive Health Services Management Research There are many published articles and reports on evidence-based management in general and evidence-based healthcare administration specifically. Some of them are listed below. You may find some or all of them interesting. Each is optional; you do not have to read it. They are: Evidence-Based Management: From Theory to Practice in Health Care The Gold Standard of Management? Evidence-Based Management and Healthcare Delivery Use of Evidence-Based Management in Healthcare Administration Decision-Making (PubMed Abstract Only) Evidence-Based Management in Health Care Organizations: A Cautionary Note (PubMed Abstract Only) Evidence-Based Management, The Basic Principles Evidence-Based Management: Foundations, Development, Controversies and Future Evidence-Based Management