Nhg Clinical Practice Guidelines

Author : Joost Blijham
Publisher : Springer Science & Business Media
Page : 57 pages
File Size : 54,8 Mb
Release : 2011-12-20
Category : Medical
ISBN : 9789031388257

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NHG clinical practice guidelines by Joost Blijham Pdf

Ruim 20 jaar geleden is de eerste standaard van het Nederlands Huisartsen Genootschap (NHG) uitgekomen. Daarmee is het richtlijnenproject van het NHG wereldwijd een van de langst lopende en meest succesvolle programma’s voor evidence based richtlijnenontwikkeling. In de loop van de jaren is de kwaliteit van de standaarden toegenomen. Belangrijke mijlpalen waren de keus voor een scheiding tussen aanbevelingen en onderbouwing met een notenapparaat begin jaren negentig en voor de toepassing van systematische literatuursearches op basis van uitgangsvragen rond de eeuwwisseling. Door de levensduur van het richtlijnenproject en de vlotte introductie van standaarden als onderwijsmateriaal in de (huis)artsenopleiding, is inmiddels een groot deel van de zittende huisartsenpopulatie in Nederland opgegroeid met de standaarden. De meest huisartsen in Nederland gebruiken de standaarden in de dagelijkse praktijk als leidraad. Over 10 jaar zal het aantal huisartsen in Nederland dat niet met de standaarden is opgeleid, op de vingers van een hand zijn te tellen.Vanwege het grote belang van de NHG-Standaarden voor de huisartsengeneeskunde en de kwaliteit daarvan heeft het NHG gemeend de starten met het vertalen van standaarden in het Engels. Daarmee komen de in Nederland geldende evidence based richtlijnen ter beschikking van doelgroepen buiten Nederland. Als pilot is begonnen met het vertalen van een tweetal standaarden te weten: M09 – Otitis Media Acuta en M29 – Kinderen met Koorts.Afhankelijk van de ontvangst zal worden besloten uit het totale aanbod van circa 90 NHG-Standaarden meer standaarden te vertalen.

Author : Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines
Publisher : National Academies Press
Page : 217 pages
File Size : 49,8 Mb
Release : 2011-07-16
Category : Medical
ISBN : 9780309164221

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Clinical Practice Guidelines We Can Trust by Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines Pdf

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Author : Marius Fieschi,Enrico Coiera,Yu-Chan Jack Li
Publisher : IOS Press
Page : 998 pages
File Size : 46,6 Mb
Release : 2004
Category : Medical
ISBN : 1586034448

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Medinfo by Marius Fieschi,Enrico Coiera,Yu-Chan Jack Li Pdf

A fundamental challenge for medical informatics is to develop and apply better ways of understanding how information technologies and methods can help support the best care for every patient every day given available medical knowledge and resources. In order to provide the most effective healthcare possible, the activities of teams of health professionals have to be coordinated through well-designed processes centered on the needs of patients. For information systems to be accepted and used in such an environment, they must balance standardization based on shared medical knowledge with the flexibility required for customization to the individual patient. Developing innovative approaches to design and build evidence-based careflow management systems is essential for providing the knowledge management infrastructure of health care organizations that seeks to increase performance in delivering high quality care services by efficiently exploiting available resources. Parallel challenges arise in the organization of research at the biological and clinical levels, where the focus on systematically organizing and supporting processes of scientific inquiry by novel informatics methods and databases are in their very early stages. These Proceedings of Medinfo 2004 demonstrate the base of knowledge medical informatics professionals will collectively draw upon in the years ahead to meet these challenges and realize opportunities.

Author : Timo Bolt
Publisher : Maklu
Page : 468 pages
File Size : 55,6 Mb
Release : 2015-08-28
Category : Evidence-based medicine
ISBN : 9789044132991

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A doctor's order. The Dutch Case of Evidence-Based Medicine (1970-2015) by Timo Bolt Pdf

In the early 1990s, a new concept was coined: ‘evidence-based medicine’ (EBM). After a remarkably short time, EBM was virtually all-pervasive in medicine and healthcare throughout the world. Even outside the domain of healthcare, the new concept became fashionable, for example in the shape of (pleas for) ‘evidence-based management’ and ‘evidence-based policy’. In short, ‘evidence-based’ developed into one of the mantras of the current era. This book uses history as a tool to gain insight into the highly influential, but also elusive and multifaceted phenomenon of EBM. As such, A Doctor’s Order is a ‘must read’ for patients, professionals, managers and policy makers in healthcare as well as for anyone who is interested in understanding the present socio-political order.

Author : Gert P. Westert,Lea Jabaaij,Rajat Chowdhury,Els Borst-Eilers
Publisher : CRC Press
Page : 304 pages
File Size : 54,6 Mb
Release : 2018-12-12
Category : Medical
ISBN : 9781315347479

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Morbidity, Performance and Quality in Primary Care by Gert P. Westert,Lea Jabaaij,Rajat Chowdhury,Els Borst-Eilers Pdf

This book is based on the findings of a nationwide study, the aim of which was to analyse general practitioners' performance as gatekeepers of the Dutch healthcare system. The study was undertaken along six themes: the health of the population; inequalities in health; utilisation of care; quality of care; communication; organisation and workload. Morbidity, Performance and Quality in Primary Care involves 400,000 patients, 1.5 million recorded GP-patient contacts and 2.1 million drug prescriptions. This survey appears at a timely moment. It coincides with the recent interest in primary care arising not only from the growing importance of cost containment in healthcare, but also from the now firmly established association between the life expectancy of a population and the existence of a strong primary care sector. The international interest in the Dutch situation is reflected in several chapters, where experts from all over the world put Dutch general practice into an international perspective.

Author : C. Gordon,J. P. Christensen
Publisher : IOS Press
Page : 252 pages
File Size : 41,8 Mb
Release : 1995
Category : Medical
ISBN : 9051991991

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Health Telematics for Clinical Guidelines and Protocols by C. Gordon,J. P. Christensen Pdf

Guidelines for clinical practice (sometimes also termed practice policies) receive increasing attention from clinicians and health services as means for applying best current knowledge to maximise the quality and efficiency of delivered care. Earlier studies confirm the growing and widespread importance of this trend within medicine, and the widely recognised potential for healthcare telematics as a means to enable the use of clinical guidelines to deliver fullest benefits to patients. This book explores the scope and needs for further work in this area. Listed by Biological Abstracts/RRM, BIOSIS, volume 47, issue 4, April 1994 "...the papers presented are wide ranging, such that anyone with an interest in any aspect of guideline development or application is likely to find something worthwhile. It is, therefore, a book to dip into according to the reader's interest. Even clinicians with little knowledge of telematics will find several chapters on the principles of clinical guidelines and protocols of interest, while those from the field of telematics will find plenty of material regarding the complexities of representation of clinical knowledge." - L. Boydell, S&E Belfast Health and Social Services Trust, Belfast, UK Journal of Telemedicine and Telecare, volume 2, no. 1, 1996, p. 61-62

Author : Linda T. Welson
Publisher : Nova Publishers
Page : 306 pages
File Size : 54,6 Mb
Release : 2006
Category : Cholesterol
ISBN : 1600211097

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Triglycerides and Cholesterol Research by Linda T. Welson Pdf

Triglycerides are the chemical form in which most fat exists in food as well as in the body. They are also present in blood plasma and, in association with cholesterol, form the plasma lipids. Triglycerides in plasma are derived from fats eaten in foods or made in the body from other energy sources like carbohydrates. Calories ingested in a meal and not used immediately by tissues are converted to triglycerides and transported to fat cells to be stored. Hormones regulate the release of triglycerides from fat tissue so they meet the body's needs for energy between meals. Cholesterol is a soft, waxy substance found among the lipids (fats) in the bloodstream and in all the body's cells. It's an important part of a healthy body because it's used to form cell membranes, some hormones and is needed for other functions. But a high level of cholesterol in the blood -- hypercholesterolemia -- is a major risk factor for coronary heart disease, which leads to heart attack. Cholesterol and other fats can't dissolve in the blood. They have to be transported to and from the cells by special carriers called lipoproteins. This book presents leading new research from around the world.

Author : Mark Gabbay
Publisher : CRC Press
Page : 329 pages
File Size : 40,7 Mb
Release : 2023-07-28
Category : Medical
ISBN : 9781000941821

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The Evidence-Based Primary Care Handbook by Mark Gabbay Pdf

Here at last is a realistic and practical book that shows how evidence-based practice can be successfully applied in a primary care setting. The first section provides an introduction to the principles of evidence-based health care as they apply to primary care, and many other books on this subject stop right there. However, Section 3 practises what this first section preaches, by applying these tools to 15 common clinical problems in primary care, such as sore throat, asthma, urinary tract infections, low back pain and heart failure. In between, Section 2 focuses on topics of particular relevance to planners and to Primary Care Groups (PCGs), and includes chapters on commissioning, prescribing issues and health economics. The authors are all familiar with primary care as clinicians and/or researchers, and understand the reality of practising evidence-based medicine in primary care - for example, how to cope in the absence of 'best evidence', or how to search for evidence when time is very limited. GPs, primary care nurses, PCG managers, practice managers, community pharmacists and all other members of the primary health care team will find this book challenging, informative and relevant.

Author : Anna Laskai
Publisher : Springer Nature
Page : 298 pages
File Size : 50,9 Mb
Release : 2020-05-06
Category : Social Science
ISBN : 9783030447908

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Institutional Corruption Theory in Pharmaceutical Industry-Medicine Relationships by Anna Laskai Pdf

​This book discusses the influence of the pharmaceutical industry on the practice of medicine, and the observed and potential pitfalls of such partnerships. It argues that the pharmaceutical industry has become indispensable to many of the activities of the medical profession across the pharmaceutical product lifecycle, and examines the regulatory, ethical, professional and institutional difficulties that arise from these interactions. With data drawn from over 80 qualitative accounts from medical, pharmaceutical, regulatory and healthcare professionals, this book uses both Hungary and the Netherlands as case studies to demonstrate the potential problem of undue pharmaceutical industry influence within the relationships fostered with the profession of medicine. Chapters systematically describe the lifecycle of a pharmaceutical product from research to distribution, demonstrating the interdependency of industry and medicine. Arguing that the medical profession should be a buffer between the pharmaceutical industry interests and patient interests, the book explores how undue industry influence weakens the ability of the medical profession to do so. Using the theory of institutional corruption, the book aims to analyze how conflict of interest and the weakening of institutional imperatives is a result of institutional interactions rather than individual actions. Appropriate for students and researchers of the pharmaceutical industry, corporate corruption, and those working in NGOs and policy making, this unique volume is an comprehensive look at the complex relationship between medicine and pharmacy.

Author : Ana Catarina Fonseca,José M. Ferro
Publisher : Springer Nature
Page : 339 pages
File Size : 41,7 Mb
Release : 2021-05-04
Category : Medical
ISBN : 9783030707613

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Precision Medicine in Stroke by Ana Catarina Fonseca,José M. Ferro Pdf

This book provides a comprehensive coverage of the state of the art in precision medicine in stroke. It starts by explaining and giving general information about precision medicine. Current applications in different strokes types (ischemic, haemorrhagic) are presented from diagnosis to treatment. In addition, ongoing research in the field (early stroke diagnosis and estimation of prognosis) is extensively discussed. The final part provides an in-depth discussion of how different interdisciplinary areas like artificial intelligence, molecular biology and genetics are contributing to this area. Precision Medicine in Stroke provides a practical approach to each chapter, reinforcing clinical applications and presenting clinical cases. This book is intended for all clinicians that interact with stroke patients (neurologists, internal medicine doctors, general practitioners, neurosurgeons), students and basic researchers.

Author : Academy of Medicine (Singapore)
Publisher : Unknown
Page : 586 pages
File Size : 43,8 Mb
Release : 2008
Category : Medicine
ISBN : UCLA:L0099049637

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Annals of the Academy of Medicine, Singapore by Academy of Medicine (Singapore) Pdf

Author : Peter Tugwell,Beverley Shea,Maarten Boers,Peter Brooks,Lee Simon,Vibeke Strand,George Wells
Publisher : John Wiley & Sons
Page : 582 pages
File Size : 51,5 Mb
Release : 2009-07-10
Category : Medical
ISBN : 9781444315851

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Evidence-Based Rheumatology by Peter Tugwell,Beverley Shea,Maarten Boers,Peter Brooks,Lee Simon,Vibeke Strand,George Wells Pdf

Compiled by Cochrane collaborators and members of OMERACT (Outcome Measures in Rheumatology), Evidence-based Rheumatology is an essential resource for evidence-based medicine as applied to the musculoskeletal disorders. The introductory section covers the principles of evidence-based medicine in rheumatology, followed by clinical chapters covering all the major disorders. Each chapter includes non-drug therapy, drug therapy, and consumer evidence-based summaries. Evidence-Based Series: Evidence-based Rheumatology, part of the acclaimed series BMJ Evidence-based medicine textbooks that have revolutionised clinical medicine literature, comes with a fully searchable CD-ROM of the whole text. The text is kept up to date online at www.evidbasedrheum.com Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.

Author : Richard H. Baker (M.D.)
Publisher : Radcliffe Publishing
Page : 230 pages
File Size : 46,5 Mb
Release : 1999
Category : Medical
ISBN : 1857750888

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Making Use of Guidelines in Clinical Practice by Richard H. Baker (M.D.) Pdf

Shares knowledge and best practice on the development, dissemination and implementation of clinical practice guidelines, drawing on current examples from primary and secondary care including both local and national projects.

Author : Mark Shephard OAM
Publisher : CSIRO PUBLISHING
Page : 488 pages
File Size : 51,6 Mb
Release : 2016-11-01
Category : Medical
ISBN : 9781486305209

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A Practical Guide to Global Point-of-Care Testing by Mark Shephard OAM Pdf

Point-of-care testing (POCT) refers to pathology testing performed in a clinical setting at the time of patient consultation, generating a rapid test result that enables informed and timely clinical action to be taken on patient care. It offers patients greater convenience and access to health services and helps to improve clinical outcomes. POCT also provides innovative solutions for the detection and management of chronic, acute and infectious diseases, in settings including family practices, Indigenous medical services, community health facilities, rural and remote areas and in developing countries, where health-care services are often geographically isolated from the nearest pathology laboratory. A Practical Guide to Global Point-of-Care Testing shows health professionals how to set up and manage POCT services under a quality-assured, sustainable, clinically and culturally effective framework, as well as understand the wide global scope and clinical applications of POCT. The book is divided into three major themes: the management of POCT services, a global perspective on the clinical use of POCT, and POCT for specific clinical settings. Chapters within each theme are written by experts and explore wide-ranging topics such as selecting and evaluating devices, POCT for diabetes, coagulation disorders, HIV, malaria and Ebola, and the use of POCT for disaster management and in extreme environments. Figures are included throughout to illustrate the concepts, principles and practice of POCT. Written for a broad range of practicing health professionals from the fields of medical science, health science, nursing, medicine, paramedic science, Indigenous health, public health, pharmacy, aged care and sports medicine, A Practical Guide to Global Point-of-Care Testing will also benefit university students studying these health-related disciplines.

Author : Roger Jones (Prof.)
Publisher : Unknown
Page : 670 pages
File Size : 50,5 Mb
Release : 2005
Category : Medical
ISBN : 0198567839

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Oxford Textbook of Primary Medical Care by Roger Jones (Prof.) Pdf