Evidence-Based Decision Making in Health Care Settings: From Theory to Practice

2011 ◽  
pp. 215-234 ◽  
Author(s):  
Melanie Kazman Kohn ◽  
Whitney Berta ◽  
Ann Langley ◽  
David Davis
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Evidence Based ◽  
Health Care Settings ◽  
Theory To Practice ◽  
Evidence Based Decision Making

Are Home Care Programs Cost-Effective? A Systematic Review of the Literature

2003 ◽  
Vol 4 (4) ◽  
pp. 198-201 ◽  
Author(s):  
Kimberly D. Fraser
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Cost Effectiveness ◽  
Home Care ◽  
Home Health Care ◽  
Research Question ◽  
Policy Implications ◽  
Evidence Based ◽  
The Cost ◽  
Evidence Based Decision Making

The cost-effectiveness of home care programs and services is an important area of health care research given the recent growth and continuing trend in home health care, the current state of health care reform in Canada, and changing demographics in Canada. Home care programs often proceed with little evidence-based decision-making. Increased demand for evidence-based decision-making is apparent in not only clinical settings, but also in policy environments thus creating a need for more research in this area. There are presently very few rigorous studies on the cost-effectiveness of home care programs. This systematic literature review addresses the research question, “What is the relationship between cost-consequence evidence and policy implications within the home care context?” The findings are not surprising. They include mixed results and indicate that cost-effectiveness of home care programs is an important area to study in spite of the many challenges. The challenges presented must be acknowledged and addressed in order to produce better research designs in future studies.

scholarly journals Evidence Based Decision Making in Blockchain Economic Systems: From Theory to Practice

2020 ◽  
Author(s):  
Marek Laskowski ◽  
Michael Zargham ◽  
Hjalmar Turesson ◽  
Henry M. Kim ◽  
Matt Barlin ◽  
...  
Keyword(s):  
Decision Making ◽  
Economic Systems ◽  
Evidence Based ◽  
Theory To Practice ◽  
Evidence Based Decision Making

scholarly journals Commitment Levels of Health Care Providers in Using the District Health Information System and the Associated Factors for Decision Making in Resource-Limited Settings: Cross-sectional Survey Study

10.2196/23951 ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. e23951
Author(s):  
Shuma G Kanfe ◽  
Berhanu F Endehabtu ◽  
Mohammedjud H Ahmed ◽  
Nebyu D Mengestie ◽  
Binyam Tilahun
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Providers ◽  
Data Use ◽  
Health Information System ◽  
Evidence Based ◽  
Care Providers ◽  
District Health ◽  
Cross Sectional ◽  
Evidence Based Decision Making

Background Changing the culture of information use, which is one of the transformation agendas of the Ministry of Health of Ethiopia, cannot become real unless health care providers are committed to using locally collected data for evidence-based decision making. The commitment of health care providers has paramount influence on district health information system 2 (DHIS2) data utilization for decision making. Evidence is limited on health care providers’ level of commitment to using DHIS2 data in Ethiopia. Therefore, this study aims to fill this evidence gap. Objective This study aimed to assess the levels of commitment of health care providers and the factors influencing their commitment levels in using DHIS2 data for decision making at public health care facilities in the Ilu Aba Bora zone of the Oromia national regional state, Ethiopia in 2020. Methods The cross-sectional quantitative study supplemented by qualitative methods was conducted from February 26, 2020 to April 17, 2020. A total of 264 participants were approached. SPSS version 20 software was used for data entry and analysis. Descriptive and analytical statistics, including bivariable and multivariable analyses, were performed. Thematic analysis was conducted for the qualitative data. Results Of the 264 respondents, 121 (45.8%, 95% CI 40.0%-52.8%) respondents showed high commitment levels to use DHIS2 data. The variables associated with the level of commitment to use DHIS2 data were found to be provision of feedback for DHIS2 data use (adjusted odds ratio [AOR] 1.85, 95% CI 1.02-3.33), regular supervision and managerial support (AOR 2.84, 95% CI 1.50-5.37), information use culture (AOR 1.92, 95% CI 1.03-3.59), motivation to use DHIS2 data (AOR 1.80, 95% CI 1.00-3.25), health needs (AOR 3.96, 95% CI 2.11-7.41), and competency in DHIS2 tasks (AOR 2.41, 95% CI 1.27-4.55). Conclusions In general, less than half of the study participants showed high commitment levels to use DHIS2 data for decision making in health care. Providing regular supportive supervision and feedback and increasing the motivation and competency of the health care providers in performing DHIS2 data tasks will help in promoting their levels of commitment that can result in the cultural transformation of data use for evidence-based decision making in health care.

scholarly journals Dari Penelitian Ke Praktek Kedokteran

Sari Pediatri ◽  
2016 ◽  
Vol 3 (1) ◽  
pp. 42
Author(s):  
Dody Firmanda
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Evidence Based Medicine ◽  
Clinical Governance ◽  
Evidence Based ◽  
Organizational Cultures ◽  
Clinical Leadership ◽  
Based Medicine ◽  
Evidence Based Health Care ◽  
Evidence Based Decision Making

Salah satu komponen latar belakang dari tujuan dilakukannya suatu penelitian adalah relevansi penelitian tersebut terhadap kemajuan ilmu pengetahuan, membuat kebijakan (policy) klinis dalam penatalaksanaan pasien secara individu ataupun kelompok serta kebijakan kesehatan secara lebih luas dalam suatu sistem tingkat institusi penyelenggara kesehatan baik tingkat rumah sakit (standard of procedures) maupun nasional (guidelines). Pada abad 21 ini dengan semakin meningkatnya tekanan dan tuntutan, pesatnya perkembangan teknologi kedokteran/kesehatan dan semakin terbatasnya sumber dana serta perubahan globalisasi, diharapkan pengambilan keputusan yang tepat dan baik akan bergeser ke arah ‘Evidence-based decision making’. “Evidence-based Medicine (EBM)” dan “Evidence-based Health Care (EBHC)” adalah cara pendekatan untuk mengambil keputusan dalam penatalaksanaan pasien (dan atau penyelenggaraan pelayanan kesehatan) secara eksplisit dan sistematis berdasarkan bukti penelitian terakhir yang sahih (valid) dan bermanfaat. Penerapan “Evidence-based Medicine (EBM)” dan “Clinical Governance” dalam suatu sistem organisasi pelayanan kesehatan memerlukan beberapa persyaratan yakni organisastion-wide transformation, clinical leadership dan positive organizational cultures. 

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