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Explore the evolution of clinical medical information dissemination models in response to the information explosion and market forces driving online resource development. Learn about accessing research reports, alerts, summaries, critiques, and commentaries. Discover examples from medical and public health fields and systematic reviews, meta-analyses, and evidence-based guidelines.
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Models of Information Summary, Synthesis, and Dissemination In Clinical Medicine Sources and Organization of Evidence-based Knowledge
Evolution of Medical Models of Information Dissemination • Information explosion • Increase in expectations of EBM practice • Improved access to electronic info
Evolution of Medical Models of Information Dissemination • Market forces are driving rapid development of many new online resources to support clinical medical practice • Limited public and foundation funds support public health resources
Clinical Medical Information Models • Research Reports: • Collections • Summaries • Critiques • Commentaries • Reviews, meta-analyses, guidelines • Comprehensive knowledge sources
Accessing Collections of Research Reports : Search Tools and Alerts • Searching MEDLINE (PubMed): • Simple search • Prepared Filters • Alerts: • Tables of contents • Individualized content alerts
PubMed Search on Drug Resistant Salmonella united states[mh] AND (salmonella infections[majr] OR salmonella[majr]) AND drug resistance[majr] AND (prevention and control[subheading] OR prevention OR public health OR disease outbreaks OR population surveillance OR risk factors OR prospective studies OR case-control studies OR follow-up studies OR comparative study OR pilot projects OR retrospective studies OR longitudinal studies OR infection control) AND english[lang] AND human[mh]
Research Reports Alerts on Recently Published Literatures
Research Reports:Summaries, Critiques, and Commentaries • Summary: Structured, reorganization of data and conclusions; just the key points • Critique: Criticism of methods, interpretation of findings, conclusions • Commentary: Puts findings into context of current knowledge and practice
Research Reports:Summaries, Critiques, and Commentaries Medical Examples: • Journal Watch • ACP Journal Club • Annals of Internal Medicine Public health examples: • Journal Watch Infectious Diseases • Evidence-based Health Care
Evidence-based Healthcare covers the following types of studies: • Evaluations of financing and organization of healthcare • Evidence-based patient and public choice • Health economics • Health technology assessment • Managing healthcare • Promotion of evidence-based clinical practice • Public health policy• Purchasing
Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines
Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines Medical examples: • Cochrane Database of Systematic Reviews • National Guideline Clearinghouse • Guide to Clinical Preventive Services • Guidelines authored by medical specialty societies
Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines Public health examples: • Cochrane Public Health topic reviews • National Guideline Clearinghouse • Guide to Community Preventive Services • CDC Prevention Guidelines System
Systematic Review • Thorough literature review • Explicit criteria for selecting studies • Tables, narrative to summarize findings • Conclusions acknowledge strengths, weaknesses of evidence