From 'Cookbook' to Evidence-Based Medicine

Evidence-based clinical practices are better not only for patient outcomes, but for healthcare costs as well. While it remains difficult to gather the large amounts of data necessary for best practices to be developed and refined, technology is leading the way forward.

2 comments on "From 'Cookbook' to Evidence-Based Medicine"
Michael Cadger, CEO (3/7/2011 at 12:37 PM)

Evidence-based outcomes have been discussed for decades with virtually no progress [INVALID] for many reasons but one common theme, the greatest impediment and most absurd myth: adoption requires physician consensus. If evidence-based outcome tools are to be accepted, there must be a re-prioritization of stakeholder "buy-in". Employers pay for all health care costs (either directly or through taxes) so their approval trumps all other stakeholders. In that respect, the ROI to employers of evidence-based outcomes is the key driver to adoption. Make evidence-based outcomes transparent on a provider-specific basis in employer health plans and watch the stampede of consumers flocking to the best value providers as the poor performing providers scurry to improve efficiency and quality. Practice pattern and price disparity will virtually overnight; while quality will improve. Let's eliminate this artificial barrier that stymies evidence-based outcomes. And let full transparency and market forces apply to health care just like every other sector of a free-market economy. Employers, transparency and free-market competition are the answer. Michael Cadger, CEO Monocle Health Data, LLC
Lisa Sams MSN, RNC (3/4/2011 at 6:14 PM)

Clearly technology is an essential tool to speed the adoption of evidence based practice. This article speaks to only one facet of our laggardly use of evidence to improve care for our patients. The environment of care itself is central to how, why and when clinicians adopt innovation. Greenlaugh and team's extensive work with the complexity of organizational cultures offers insights that can aid the success of new tools outlined in this article. Tools will help, but quality clinical care will only be achieved when we learn to work as high functioning interprofessional teams committed to improving outcomes for the people who depend on us...our patients.


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