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(Quality in Health Care[TA])
539 results
  • A clinical informaticist to support primary care decision making. [Journal Article]
  • QHQual Health Care 2001; 10(4):245-9
  • Swinglehurst DA, Pierce M, Fuller JC
  • CONCLUSIONS: The clinical informaticist service increased access to evidence for busy clinicians. Satisfaction was high among users and clinicians stated that changes in practice would occur. However, uptake of the service was lower than expected (22% of those offered the service). Further research is needed into how this method of increasing access to evidence compares with other strategies, and whether it results in improved health outcomes for patients.
  • Formal consensus: the development of a national clinical guideline. [Journal Article]
  • QHQual Health Care 2001; 10(4):238-44
  • Rycroft-Malone J
  • CONCLUSIONS: The method outlined proved to be a practical and systematic way of integrating a number of different evidence sources. The resultant guideline is a mixture of research based and consensus based recommendations. Given the lack of available guidance on how to mix research with expert opinion and patient experiences, the method used for the development of this guideline has been outlined so that other guideline developers may use, adapt, and test it further.
  • Influence of evidence-based guidance on health policy and clinical practice in England. [Journal Article]
  • QHQual Health Care 2001; 10(4):229-37
  • Coleman P, Nicholl J
  • CONCLUSIONS: The evidence-based guidance specified was significantly more likely to be seen to have contributed to the decisions of public health specialists and commissioners than those of consultants in hospitals or of GPs in a primary care setting. Appropriate information support and dissemination systems that increase awareness, access, and use of evidence-based guidance at the clinical interface should be developed.
  • The effectiveness of quality systems in nursing homes: a review. [Review]
  • QHQual Health Care 2001; 10(4):211-7
  • Wagner C, van der Wal G, … de Bakker DH
  • CONCLUSIONS: The design of most of the studies meant that it was not possible to attribute the results entirely to the newly implemented quality system. As it is difficult in practice to design a randomised controlled study, future research into the effectiveness of quality systems should not only focus on selected correlates of quality, but should also include a qualitative and quantitative (multivariate and multilevel) approach. The methods used to measure quality need to be improved.
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