FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2052107185> ?p ?o ?g. }

• W2052107185 endingPage "784" @default.
• W2052107185 startingPage "761" @default.
• W2052107185 abstract "The ascendancy of EBM has been accompanied by a greater awareness of its shortcomings. It is increasingly evident from the cost, length, and difficulty of performing RCTs that studies cannot be launched to address every question in medicine. Good evidence is often lacking in medicine. Epistomologists question the very notions of evidence and the suitability of current study designs and measurement tools to research the salient issues of concern to patients and others concerned with quality. Lack of evidence of effectiveness does not prove ineffectiveness, yet, in reaction to EBM, insurance companies and government often make this inference to justify decisions to withhold coverage or research support. The unbridled enthusiasm for the evidence-based practice guideline of the early 1990s has been tempered by a more mature understanding of its limitations. Not many practice guidelines are developed well, and the implementation of flawed guidelines can cause harm. The seven-step process outlined earlier is slow, laborious, and expensive (sometimes costing hundreds of thousands of dollars). Moreover, there is little evidence that either the rigor of the methods or the guidelines themselves have a meaningful effect on practice behavior or patient outcomes. To the most cynical observers, the only consistent beneficiaries of guidelines are payers, who use guidelines with considerable success in reducing costs, lengths of stay, and utilization rates. Even ardent advocates of guidelines acknowledge the evidence that disseminating reviews and recommendations, by itself, fails to motivate clinicians to increase delivery of effective interventions and to abandon ineffective ones. This absence of response has stimulated a closer look at the barriers to behavior change and the design of thoughtful implementation strategies that begin with, but reach beyond, simple guidelines. Tools such as reminder systems, standing orders, academic detailing, peer review and audit, feedback, and health system changes recognize that knowing what to do is only one piece of an increasingly complex puzzle. The competitive marketplace of managed health care has added new economic influences on clinician behavior but is also fueling private-sector interest in good research. Patients, clinicians, and policy makers will continue to seek better data concerning what works in medicine and what does not." @default.
• W2052107185 created "2016-06-24" @default.
• W2052107185 creator A5001758658 @default.
• W2052107185 creator A5052537687 @default.
• W2052107185 date "2000-08-01" @default.
• W2052107185 modified "2023-09-27" @default.
• W2052107185 title "EVIDENCE-BASED MEDICINE" @default.
• W2052107185 cites W1503806335 @default.
• W2052107185 cites W1541048963 @default.
• W2052107185 cites W1550275457 @default.
• W2052107185 cites W1580484836 @default.
• W2052107185 cites W1964796004 @default.
• W2052107185 cites W1977958373 @default.
• W2052107185 cites W1978036628 @default.
• W2052107185 cites W1980278232 @default.
• W2052107185 cites W1984359955 @default.
• W2052107185 cites W1986215651 @default.
• W2052107185 cites W1990307331 @default.
• W2052107185 cites W2000597191 @default.
• W2052107185 cites W2003871702 @default.
• W2052107185 cites W2004035013 @default.
• W2052107185 cites W2006825115 @default.
• W2052107185 cites W2011932878 @default.
• W2052107185 cites W2013566511 @default.
• W2052107185 cites W2014472662 @default.
• W2052107185 cites W2017766892 @default.
• W2052107185 cites W2019824816 @default.
• W2052107185 cites W202007523 @default.
• W2052107185 cites W2023284062 @default.
• W2052107185 cites W2028910798 @default.
• W2052107185 cites W2029632570 @default.
• W2052107185 cites W2030070356 @default.
• W2052107185 cites W2034401866 @default.
• W2052107185 cites W2039676477 @default.
• W2052107185 cites W2049480192 @default.
• W2052107185 cites W2051556928 @default.
• W2052107185 cites W2056789386 @default.
• W2052107185 cites W2061328402 @default.
• W2052107185 cites W2074408178 @default.
• W2052107185 cites W2074740603 @default.
• W2052107185 cites W2087213683 @default.
• W2052107185 cites W2090358878 @default.
• W2052107185 cites W2097110957 @default.
• W2052107185 cites W2106952837 @default.
• W2052107185 cites W2108425422 @default.
• W2052107185 cites W2111041321 @default.
• W2052107185 cites W2116446898 @default.
• W2052107185 cites W2118266607 @default.
• W2052107185 cites W2126426045 @default.
• W2052107185 cites W2136956842 @default.
• W2052107185 cites W2144504916 @default.
• W2052107185 cites W2147802488 @default.
• W2052107185 cites W2155095934 @default.
• W2052107185 cites W2319677873 @default.
• W2052107185 cites W2321601575 @default.
• W2052107185 cites W2328513593 @default.
• W2052107185 cites W2330587574 @default.
• W2052107185 cites W3124130621 @default.
• W2052107185 cites W4229854378 @default.
• W2052107185 cites W4229865335 @default.
• W2052107185 cites W4230367845 @default.
• W2052107185 cites W4232025330 @default.
• W2052107185 cites W4234799040 @default.
• W2052107185 cites W4236631466 @default.
• W2052107185 cites W4238746608 @default.
• W2052107185 cites W4245442741 @default.
• W2052107185 cites W4246398066 @default.
• W2052107185 cites W4246979921 @default.
• W2052107185 cites W4249049905 @default.
• W2052107185 cites W4251390885 @default.
• W2052107185 cites W4252251648 @default.
• W2052107185 cites W4253560735 @default.
• W2052107185 cites W4255939214 @default.
• W2052107185 doi "https://doi.org/10.1016/s0889-8588(05)70310-5" @default.
• W2052107185 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/10949772" @default.
• W2052107185 hasPublicationYear "2000" @default.
• W2052107185 type Work @default.
• W2052107185 sameAs 2052107185 @default.
• W2052107185 citedByCount "47" @default.
• W2052107185 countsByYear W20521071852012 @default.
• W2052107185 countsByYear W20521071852013 @default.
• W2052107185 countsByYear W20521071852014 @default.
• W2052107185 countsByYear W20521071852015 @default.
• W2052107185 countsByYear W20521071852018 @default.
• W2052107185 countsByYear W20521071852019 @default.
• W2052107185 countsByYear W20521071852020 @default.
• W2052107185 countsByYear W20521071852022 @default.
• W2052107185 crossrefType "journal-article" @default.
• W2052107185 hasAuthorship W2052107185A5001758658 @default.
• W2052107185 hasAuthorship W2052107185A5052537687 @default.
• W2052107185 hasConcept C111472728 @default.
• W2052107185 hasConcept C111919701 @default.
• W2052107185 hasConcept C124056412 @default.
• W2052107185 hasConcept C138885662 @default.
• W2052107185 hasConcept C142724271 @default.
• W2052107185 hasConcept C15744967 @default.
• W2052107185 hasConcept C159110408 @default.
• W2052107185 hasConcept C160735492 @default.

• next