HLSC 1F90 Lecture Notes - Lecture 2: Evidence-Based Practice, Evidence-Based Medicine, Health Literacy
19 Sep 2016
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Document Summary
****health literacy - having the skills that enable access, understanding, and use of information of health. The judicious use of the best current evidence, in making decisions about the medical care of the individual patient. integrates clinical expertise take into consideration patient desires, values and needs. An umbrella term that encompasses evidence based practices in all health, medical and allied health fields. ***efficacy - how well the practice works in ideal conditions. ***effectiveness - how well the practice works in real world condition. The conventional hierarchy of evidence emphasizes randomized, controlled trials (rct) as the gold standard of evidence. Rcts are ideal for judging treatment efficacy, but may be inappropriate for assessing other health outcomes such as real world effectiveness, patient satisfaction, cost effectiveness, adherence etc. Rcts compare 2+ randomly assigned groups of individuals to determine treatment efficacy under ideal circumstances. Rcts emphasize the question of causality does the treatment cause a desired outcome.
