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Models of Information Summary, Synthesis, and Dissemination In Clinical Medicine

Models of Information Summary, Synthesis, and Dissemination In Clinical Medicine

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Models of Information Summary, Synthesis, and Dissemination In Clinical Medicine

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  1. Models of Information Summary, Synthesis, and Dissemination In Clinical Medicine Sources and Organization of Evidence-based Knowledge

  2. Evolution of Medical Models of Information Dissemination • Information explosion • Increase in expectations of EBM practice • Improved access to electronic info

  3. 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

  4. Comparing Info Needs in Clinical Medicine and PH Comm. Dis.

  5. Clinical Medical Information Models • Research Reports: • Collections • Summaries • Critiques • Commentaries • Reviews, meta-analyses, guidelines • Comprehensive knowledge sources

  6. Research Reports

  7. Accessing Collections of Research Reports : Search Tools and Alerts • Searching MEDLINE (PubMed): • Simple search • Prepared Filters • Alerts: • Tables of contents • Individualized content alerts

  8. 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]

  9. Research Reports Alerts on Recently Published Literatures

  10. 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

  11. 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

  12. 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

  13. Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines

  14. 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

  15. 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

  16. Systematic Review • Thorough literature review • Explicit criteria for selecting studies • Tables, narrative to summarize findings • Conclusions acknowledge strengths, weaknesses of evidence