scholarly journals Towards an evidence-based decision making healthcare system management: Modelling patient pathways to improve clinical outcomes

2013 ◽  
Vol 55 (1) ◽  
pp. 117-125 ◽  
Author(s):  
Shola Adeyemi ◽  
Eren Demir ◽  
Thierry Chaussalet
Keyword(s):  
Decision Making ◽  
Clinical Outcomes ◽  
Healthcare System ◽  
System Management ◽  
Evidence Based ◽  
Patient Pathways ◽  
Evidence Based Decision Making

scholarly journals A Framework of Evidence-Based Decision-Making in Health System Management: Applying Best-Fit Framework Synthesis

2020 ◽  
Author(s):  
Tahereh Shafaghat ◽  
Peivand Bastani ◽  
Mohammad Hasan Imani Nasab ◽  
Mohammad Amin Bahrami ◽  
Zahra Kavosi ◽  
...  
Keyword(s):  
Decision Making ◽  
Health System ◽  
Scientific Evidence ◽  
Developed Countries ◽  
System Management ◽  
Evidence Based ◽  
Systematic Map ◽  
Public Health Decision ◽  
Secondary Study ◽  
Evidence Based Decision Making

Abstract Background: Scientific evidence is the basis for improving public health; decision-making without sufficient attention to evidence may lead to unpleasant consequences. In recent years, efforts have been made to create more comprehensive guidelines for evidence-based decision-making (EBDM), thus the purpose of the present study was developing a framework for EBDM to make the best decisions concerning to scare resources and too many needs. Methods: The present basic-applied research was a secondary study carried out using qualitative research method in 2019. A Systematic Scoping Review (SSR) was done for the comprehensive review of the existing published studies in this area. This method, according to Arksey and O’Malley approach, consists of five main stages and one optional stage. Results: Based on the SSR, 3751 studies from 7 databases were found, and due to the full-text screening of the studies, 30 final studies were selected for extracting the components and steps of EBDM in Health System Management (HSM). After collecting, synthesizing, and categorizing key information, the framework of EBDM in HSM is developed in the form of four general scopes of inquiring, inspecting, implementing and integrating, which includes 10 main steps and 56 sub-steps. Conclusions: The present framework tries to present a sequential systematic map to achieve evidence-based decision and policy making specially for under developed and developing countries which mostly suffer from applying update and applied evidences in their decision-making process. At the same time, it seems that the present framework tries to synthesize and integrate the fragmented elements of the other models and in this way can be tested by developed countries to improve their EBDM cycle.

scholarly journals A Framework of Evidence-Based Decision-Making in Health System Management: A Best-Fit Framework Synthesis and a Scoping Review

2020 ◽  
Author(s):  
Tahereh Shafaghat ◽  
Peivand Bastani ◽  
Mohammad Hasan Imani Nasab ◽  
Mohammad Amin Bahrami ◽  
Zahra Kavosi ◽  
...  
Keyword(s):  
Decision Making ◽  
Health System ◽  
Scoping Review ◽  
Developed Countries ◽  
System Management ◽  
Decision Making Process ◽  
Evidence Based ◽  
Public Health Decision ◽  
Best Fit ◽  
Evidence Based Decision Making

Abstract Background: Scientific evidence is the basis for improving public health; decision-making without sufficient attention to evidence may lead to unpleasant consequences. Despite efforts to create comprehensive guidelines and models for evidence-based decision-making (EBDM), there isn`t any to make the best decisions concerning scarce resources and unlimited needs. The present study aimed to develop a comprehensive applied framework for EBDM. Methods: This was a meta-synthesis including two phases of a Scoping Review (SR) and a Best-Fit Framework (BFF) synthesis conducted in 2019. A scoping review was done for the comprehensive review of the existing published studies in this area. The six-stage approach of Arksey and O’Malley was applied. Six main databases including PUBMED, Scopus, Web of Science, Science Direct, EMBASE, and ProQuest were searched using related keywords. Data were extracted and analyzed via thematic analysis. Results of the scoping review were then synthesized to achieve the best-fit framework applying Carroll et al (2013) approach. Results: Based on the SR, 3751 studies were found, and due to the full-text screening of the studies, 30 final articles were selected for extracting the components and steps of EBDM in Health System Management (HSM). After collecting, synthesizing, and categorizing key information, the framework of EBDM in HSM was developed in the form of four general scopes. These comprised inquiring, inspecting, implementing, and integrating, which included 10 main steps and 56 sub-steps. Conclusions: The present framework provided a comprehensive guideline that can be well adapted for implementing EBDM in health systems and related organizations especially in underdeveloped and developing countries where there is usually a lag in updating and applying evidence in their decision-making process. In addition, this framework by providing a complete, well-detailed, and sequential process can be tested in the organizational decision-making process by developed countries to improve their EBDM cycle.

Debates in Dysphagia Management: How Do You Use Evidence-Based Practice in Your Dysphagia Patient Care?

2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Clinical Outcomes ◽  
Clinical Judgment ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Clinical Decision ◽  
Evidence Based ◽  
Clinical Method ◽  
Do So

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.

Statistical formats to optimize evidence-based decision making: A behavioral approach

2014 ◽  
Vol 67 (5) ◽  
pp. 790-794 ◽  
Author(s):  
Iván Arribas ◽  
Irene Comeig ◽  
Amparo Urbano ◽  
José Vila
Keyword(s):  
Decision Making ◽  
Behavioral Approach ◽  
Evidence Based ◽  
Evidence Based Decision Making

scholarly journals Implementing evidence-based assessment and selection in organizations: A review and an agenda for future research

2020 ◽  
pp. 204138662098341
Author(s):  
Marvin Neumann ◽  
A. Susan M. Niessen ◽  
Rob R. Meijer
Keyword(s):  
Decision Making ◽  
Self Determination Theory ◽  
Assessment Methods ◽  
Self Determination ◽  
Future Research ◽  
Assessment Instruments ◽  
Evidence Based ◽  
Assessment Practice ◽  
Outcome Feedback ◽  
Evidence Based Decision Making

In personnel- and educational selection, a substantial gap exists between research and practice, since evidence-based assessment instruments and decision-making procedures are underutilized. We provide an overview of studies that investigated interventions to encourage the use of evidence-based assessment methods, or factors related to their use. The most promising studies were grounded in self-determination theory. Training and autonomy in the design of evidence-based assessment methods were positively related to their use, while negative stakeholder perceptions decreased practitioners’ intentions to use evidence-based assessment methods. Use of evidence-based decision-making procedures was positively related to access to such procedures, information to use it, and autonomy over the procedure, but negatively related to receiving outcome feedback. A review of the professional selection literature showed that the implementation of evidence-based assessment was hardly discussed. We conclude with an agenda for future research on encouraging evidence-based assessment practice.

scholarly journals Evidence-Based Decision-Making on Medical Technologies in China, Japan, and Singapore

2009 ◽  
Vol 12 ◽  
pp. S12-S17 ◽  
Author(s):  
Gordon G. Liu ◽  
Takashi Fukuda ◽  
Chien Earn Lee ◽  
Vivian Chen ◽  
Qiang Zheng ◽  
...  
Keyword(s):  
Decision Making ◽  
Evidence Based ◽  
Medical Technologies ◽  
Evidence Based Decision Making
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