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This volume is designed to help educators, practitioners and patients teach evidence-based medicine. Until the middle of the last century, most interventions in clinical practice were based on the experience of generations of physicians. The evolution of epidemiology, and subsequently clinical epidemiology, resulted in methods that allowed the objective critique of all therapies used in clinical practice.
CD-ROM contains 11 bonus chapters and searchable text in PDF.
The accompanying CD-ROM contains clinical examples, critical appraisals and background papers.
Offers guidance on the principles of family medicine, primary care in the community, and various aspects of clinical practice. Suitable for both residents and practicing physicians, this title includes evidence-based, practical information to optimize your patient care and prepare you for the ABFM exam.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
A research methods text with a unique focus on evidence-based practice with couples and families, this book bridges the divide between research and clinical work. The text offers comprehensive, user-friendly coverage of measurement and design issues and basic qualitative and quantitative methods. Illustrating research concepts with clinically relevant examples and sample studies, it teaches clear steps for evaluating different types of studies and identifying common threats to validity. Of special value to therapists, it provides a systematic framework for using research to guide the selection and evaluation of interventions that meet the needs of particular clients. Pedagogical features: *End-of-chapter "Applications" sections showing how to evaluate specific methods. *Appendices with quick-reference guides and recommended resources. *Instructive glossary. See also the authors' Essential Skills in Family Therapy, Third Edition: From the First Interview to Termination, which addresses all aspects of real-world clinical practice, and Essential Assessment Skills for Couple and Family Therapists, which shows how to weave assessment into all phases of therapy.
This revolutionary, user-friendly textbook not only guides social workers in developing competence in the DSM system of diagnosis, it also assists them in staying attuned during client assessment to social work values and principles: a focus on client strengths, concern for the worth and dignity of individuals, appreciation of environmental influences on behavior, and commitment to evidence-informed practice. The authors, seasoned practitioner-scholars, provide an in-depth exploration of fourteen major mental disorders that social workers commonly see in practice, including anxiety disorders, depression, bipolar disorder, and schizophrenia. They skillfully integrate several perspectives in order to help practitioners meet the challenges they will face in client assessment. A risk and resilience framework helps social workers understand environmental influences on the emergence of mental disorders and the strengths that clients already possess. Social workers will also learn to apply critical thinking to the DSM when it is inconsistent with social work values and principles. Finally, the authors catalog the latest evidence-based assessment instruments and treatments for each disorder so that social workers can intervene efficiently and effectively, using the best resources available. Students and practitioners alike will appreciate the wealth of case examples, evidence-based assessment instruments, treatment plans, and new social diversity sections that make this an essential guide to the assessment and diagnostic processes in social work practice.
Evidence-Based Medicine Guidelines fills the demand for a handbook discussing the diagnosis and treatment of a wide range of diseases and conditions encountered by health care professionals. The title was first published in Finland by the Finnish Medical Society, where it is now considered to be the single most important support tool for the physicians' decision making in their daily work. What sets EBM Guidelines apart from competing books? Provides physicians with fast and easy access to practice guidelines based on the best available research evidence Covers practically all medical conditions encountered in general practice Developed by over 300 experienced general practitioners and specialists worldwide Includes both diagnostic and therapeutic guidelines, and recommendations on diagnostic tests and drug dosage Presented in a user-friendly format with self contained chapters based on clinical subjects Clear and concise explanations of all available evidence results in the guideline for treatment The strength of evidence is graded from A-D making this title a quick and easy reference whenever and wherever you need it! Assumes no prior knowledge of EBM or statistics - all the work of searching and appraisal has been done for you! Seeks to include guidelines where clinical evidence is incomplete or unavailable Contains full-colour photographs and tables throughout Easy-to-read and fast support at the point of care - EBM Guidelines: Summarises the best available evidence - Cochrane reviews - DARE abstracts - Clinical Evidence topics - original articles in medical journals - abstracts in the Health Technology Assessment Database - NHS Economic Evaluation Evaluates and grades the strength of all individual evidence from A (Strong research-based evidence) to D (No scientific evidence) Suggests guidelines based on clinical evidence. If clinical evidence is inadequate or missing, an expert panel evaluate all other available information and suggests the appropriate guideline With over 1000 problem-orientated or disease-specific guidelines including reference to evidence summaries for all guidelines, this title is the most extensive collection of guidelines for primary care today. Here are just a few examples of the raving reviews for Evidence-Based Medicine Guidelines: "An excellent resource... quick to use, even during consultations...very helpful to check whether our preferred diagnostic and therapeutic methods are adequate...competent suggestions based on real evidence..." —Heinz Bhend, PRIMARY CARE "clinically useful answers...easy-to-read ...this resource is worth using..." —Carl Heneghan, Centre for Evidence-Based Medicine, Oxford, UK, EVIDENCE-BASED MEDICINE Journal
The movement to make medicine more scientific has evolved over many decades but the specific term evidence-based medicine was introduced in 1990 to refer to a systematic approach to helping doctors to apply scientific evidence to decision-making at the point of contact with a specific consumer.
Whether you offer comprehensive pregnancy care in your primary care facility, or provide prenatal and postpartum care, this book delivers the guidance you need to optimize health for both mothers and their babies. It covers all aspects of birth care, from preconception counseling and prenatal care, through labor and delivery (both low-risk and complicated), to postpartum care and the first month of life. The completely revised third edition includes the most up-to- date, evidence-based standards of care. It offers information that is patient centered, prevention oriented, educational, and sensitive to the care of the whole woman and her family. Features a reader-friendly outline/narrative format for ease of use in daily clinical practice. Describes how to care for patients with a wide range of medical conditions during pregnancy as well as pregnancy-related conditions. Takes a whole-family approach to maternity care, with discussions of maternal and paternal adjustment, marital adjustment, sibling adjustment, single-parent families, and return-to-work issues. Provides patient and family education materials on a full range of topics, from nutrition in pregnancy to breastfeeding. Features a section on alternative medicine in maternity care. Provides detailed instruction for a wide array of procedures, including cesarean delivery, perineal repair of simple and complex lacerations, circumcision, assisted deliveries, and amnioinfusion. A continued strong emphasis on evidence-based medicine includes an ongoing summary of Level A recommendations throughout the text. A new chapter summarizes practical applications of how to incorporate continuous quality improvement and enhanced medical safety into the maternity care setting. A new section details which immunizations can be used safely during pregnancy. A section on "Centering Pregnancy" discusses this new model of care and how it incorporates longitudinal group.