HLST 4330 Study Guide - Midterm Guide: Smoking Cessation, Harm Reduction, Marginal Cost
29 Mar 2017
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Document Summary
Evidence-based medicine: incorporates patient values, clinical expertise, research evidence; used to fill the gap between research and clinical practice. Grade: high to moderate to low to very low. Levels of evidence: i (strong evidence from systemic reviews), ii (strong evidence at least one published properly designed randomized trial), iii (evidence without randomization). Iv (evidence from well designed non-experimental studies), v (opinions of respected authorities) Evidence pyramid: top of pyramid (meta-analyses)-----> bottom of pyramid (non-clinical studies), higher up you go on pyramid you get fewer studies (n=1) and better evidence. Clinical practice guidelines: evidence/consensus based best practices for diagnosing assessing, and treating clinical conditions. Advantages: best for patient pop. , inform the standard of care, do not replace the professional judgement. Disadvantages: not necessarily best for individual patient, not inflexible protocols, quality varies based on how well the guidelines are developed. Who develops cpgs? medical or health organization e. g. who), professional society (ontario college of.
