The Scientific Basis for Health Care

BMJ ◽  
1999 ◽  
Vol 319 (Suppl S6) ◽  
pp. 9912475a
Author(s):  
Victoria K Reeves
Keyword(s):  
2010 ◽  
Vol 7 (4) ◽  
pp. 511-514 ◽  
Author(s):  
Dana Ullman

The US Institute of Medical sponsors a “Summit on Integrative Medicine and the Health of the Public” on February 25–27, 2009. A prestigious body of speakers and attendees created a dynamic conference in which the content and discussions provided vital information for transforming the US health care system. Topics included: patient-centered care, the scientific basis of integrative medicine, health care financing reform and value-driven care, and mind-body relationships and health.


2016 ◽  
Vol 34 (1) ◽  
pp. 85-91 ◽  
Author(s):  
Beatriz H. Carlini ◽  
Sharon B. Garrett ◽  
Gregory T. Carter

Introduction: Washington State allows marijuana use for medical (since 1998) and recreational (since 2012) purposes. The benefits of medicinal cannabis (MC) can be maximized if clinicians educate patients about dosing, routes of administration, side effects, and plant composition. However, little is known about clinicians’ knowledge and practices in Washington State. Methods: An anonymous online survey assessed providers’ MC knowledge, beliefs, clinical practices, and training needs. The survey was disseminated through health care providers’ professional organizations in Washington State. Descriptive analysis compared providers who had and had not authorized MC for patients. Survey results informed the approach and content of an online training on best clinical practices of MC. Results: Four hundred ninety-four health care providers responded to the survey. Approximately two-third were women, aged 30 to 60 years, and working in family or internal medicine. More than half of the respondents were legally allowed to write MC authorizations per Washington State law, and 27% of those had issued written MC authorizations. Overall, respondents reported low knowledge and comfort level related to recommending MC. Respondents rated MC knowledge as important and supported inclusion of MC training in medical/health provider curriculum. Most Washington State providers have not received education on scientific basis of MC or training on best clinical practices of MC. Clinicians who had issued MC authorizations were more likely to have received MC training than those who had not issued MC authorization. Discussion: The potential of MCs to benefit some patients is hindered by the lack of comfort of clinicians to recommend it. Training opportunities are badly needed to address these issues.


1972 ◽  
Vol 2 (4) ◽  
pp. 525-529 ◽  
Author(s):  
K. L. White

Applications of epidemiologic concepts and methods to health services problems constitute extensions of other successful applications to health and disease problems in populations. Because population medicine is as important as individual medicine for improving and maintaining the health of communities, epidemiology should be regarded as a fundamental science of medicine. Clinical medicine, laboratory medicine, environmental medicine, and population or social medicine should be seen as complementary, not competitive, fields. For administrative medicine and management of health care systems, competence in epidemiology should be regarded as a necessary but not sufficient component of education for this essential branch of medical practice.


2020 ◽  
pp. 62-64
Author(s):  
Svetlana Kropotova ◽  
Anastasiya Shitova ◽  
Larisa Karaseva

Development of domestic health care, introduction of innovative technologies is impossible without scientific basis, experimental measures, modeling and other research methods. All this is related to the development of innovative technologies in nursing practice, justification of which requires a scientific-based approach.


Author(s):  
Stephen Weiner ◽  
Susanne Petermann

Excerpts from an interview with Stephen Weiner, who recounts his experience in the mental health care system from being told he had an emotional disturbance as a child (1957–1958) to his work with a psychiatrist on strengthening his more rational self. As a child, he was not given a diagnosis, making it difficult to know how “objectively” to evaluate his condition. Probably little was known about the phenomenology of derealization and solipsism then. After college he decided to seek treatment for his growing depression and alcohol abuse under a method known as Rolfing. He describes his skepticism toward psychiatrists and allied professionals unwilling to explain the scientific basis of their treatment. He suggests that the switch to the biological model of mental illness, while mostly good, brought about new difficulties for patients. After seeing three different doctors, Weiner settled with a psychiatrist who offered relief and palliative care.


2020 ◽  
Vol 65 (11) ◽  
pp. 188-203
Author(s):  
Ton Nguyen Duc

On the basis of an overview of domestic and foreign document sources, this study develops the indicators and clarifies the content of implementing assessment methods of people's living standards (PLS) in Binh Dinh Province. The results show that, among the groups of indicators: economy, education - training, medical and health care and the expanded indicators (electricity use, water for domestic use and housing), the group of economic indicators, income, in particular, plays an important and decisive role, but it is not the unique indicator in ensuring a comprehensive and sustainable living standards. From these evaluation indicators, the author has identified the necessary methods for data collection and data analysis to meet the theoretical and practical urgency in the local PLS. The development of these indicators and assessment methods is deemed an important scientific basis for applying research on the current situation as well as proposing feasible solutions to improve PLS in Binh Dinh Province according to specific timelines.


2008 ◽  
Vol 24 (01) ◽  
pp. 70-75 ◽  
Author(s):  
Jonas Lundberg ◽  
Mats Brommels ◽  
John Skår ◽  
Göran Tomson

Objectives:The aim of this study was to assess whether publications of importance for improving the health system and its technologies are highly cited intrascientifically.Methods:Bibliometric assessment of the 596 publications used as sources in the fifty SBU Alerts from 2001to 2004 from the Swedish Council on Technology Assessment in Health Care was carried out using the Thomson Scientific citation indexes. Normalized citation scores were calculated for all included studies. Additional factors such as the time and place of the research, subject categories, and journal source were analyzed.Results:On average, the sources in SBU Alert have been cited eight times more than the world average consistently during the time period and across research areas. Articles used as its scientific basis are often published in a few, high impact, general medical journals. However, many of the articles are published in field-specific journals with low impact factors. Most articles used in SBU Alert are published by authors based in the United States or the United Kingdom. However, Swedish, Danish, and Dutch publications are overrepresented in its science base, whereas Japanese, Taiwanese, Indian, and Russian publications are underrepresented.Conclusions:Publications used as sources in a Swedish system for identification and early assessment of new methods in health care are also highly cited within the scientific community. This finding increases the appropriateness of using bibliometric indicators in evaluations of clinical research and suggests that decision makers through SBU Alert are getting scientifically sound advice.


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