Evidence Based Medicine

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Emerging EBM Trends

[By Prof. Hope Rachel Hetico; RN, MHA, CMP™]

Prof. Hetico

The next emerging trend in healthcare is evidence-based medicine. EBM offers the promise of improving the quality of clinical services and reducing costs.

Definition

Evidence Based Medicine may be defined as the use of any techniques from science, engineering, risk-management and meta-statistics analysis – to medical literature reviews and randomized controlled trials – in order to aim for the ideal.

According to healthcare economist and Assistant Professor Gregory Ginn PhD, MEd, CPA of the UNLV, this “ideal” represents the philosophy that medical professionals make “conscientious, explicit, and judicious use of current best evidence” in everyday clinical practice.

Historical Review

Some pundits argue that EBM is a trend that will prevail for the foreseeable future. In the past, standards of care were often set by panels of experts. Today, however, there is a greater demand for empirical evidence to establish the efficacy of clinical protocols.

Achievements

EBM can directly affect quality and financial performance because it facilitates the elimination of therapies that cannot be demonstrated to be effective.

For example, EBM can reduce a hospital’s prescription drug costs. Evidence-based medicine may also affect operations management if it shows that multiple approaches to treatment can be efficacious.

Of course, in order to accommodate different modalities of treatment, hospitals will need more sophisticated health information technology systems [HITS] that allow for data integration.

Assessment

EBM may also be used to support another trend, the development of alternative and complementary medicine.

Conclusion

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4 Responses

  1. Hope,

    As healthcare organizations strive to meet standards for reimbursement, evidence-based medicine is becoming increasingly more important for improving patient care and safety while decreasing costs. However, a gap still remains in what is known and what should be done in clinical practice, which can lead to costly errors.

    For example, many do not really know what evidence-based medicine actually is – why it’s critical for patient care in an accountable care setting or how to adopt clinical decision support?

    Most importantly, we need to learn how to encourage physician adoption.

    Sheila

    Like

  2. Doctors Call For Evidence-Based Criteria for Elective Procedures

    Many of the most common inpatient surgeries in the United States are performed electively. These surgeries are expected to significantly increase with the enactment of the Affordable Care Act.

    In a new perspectives article, published in the Dec. 27th edition of The New England Journal of Medicine, a team of Weill Cornell Medical College researchers are recommending the nation’s healthcare leaders and medical community join forces to establish evidence-based appropriateness criteria to determine which patients are most in need of elective procedures, such as joint replacement surgery, to slow the projected surge in demand and rising costs.

    Currently, there are no appropriateness criteria for most of the common elective procedures. “The purpose behind establishing criteria is to use evidence-based metrics to prioritize patients most in need,” says lead author Dr. Hassan M.K. Ghomrawi, assistant professor of public health at Weill Cornell and an outcomes research scientist at Hospital for Special Surgery. “We don’t want to sacrifice necessary care when thinking of cost-containment.”

    via PMNews #4,651

    Like

  3. Eminence Based Medicine

    You’ve probably heard of “evidence-based medicine”. It’s the idea that we practice based on research and data.

    But, there’s another way of practicing called “eminence-based medicine.

    Karmine

    Like

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