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- W2016087406 abstract "Jurisdictions are increasingly focusing on appropriate use of healthcare services and interventions as a means to improve health system performance. Our objectives were to conduct a scoping review to (a) map Canadian research and related activity on system-level appropriateness of care and (b) create a resource database that could be used to inform evidence-based decision-making and future research priorities in this area.We searched Medline, EMBASE and CINAHL databases between 2003-2013 using terms including appropriate, inappropriate, health technology assessment and cost-effectiveness. Articles were included if they were Canadian-based and relevant to our definition. The database search was complemented by a website search of relevant Canadian organizations.4,979 articles were identified through the literature search, and 103 articles relevant to system-level appropriateness of care across Canada were charted. Of these, 64 contained an evaluation of appropriateness, 30 used a method of cost-effectiveness or total cost impact analysis and 9 involved another methodology. The most common health service categories included drug therapy (n=40) and health service utilization (n=33). Fifty-eight websites were summarized containing material relevant to system-level appropriateness of care.Our review identifies Canadian research and related activity pertaining to appropriateness of healthcare from a system-level perspective and provides a useful resource both to support evidence-based decision-making and to guide future appropriateness research." @default.
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- W2016087406 date "2014-05-28" @default.
- W2016087406 modified "2023-09-27" @default.
- W2016087406 title "A Scoping Review of Appropriateness of Care Research Activity in Canada from a Health System-Level Perspective" @default.
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- W2016087406 doi "https://doi.org/10.12927/hcpol.2014.23773" @default.
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