How to use an article about a clinical utilization review
Article Abstract:
There are many ways to evaluate clinical utilization reviews. The authors should have specified the methods used to select the clinical evidence upon which the criteria are based. They should concentrate on using high-quality clinical reports to develop the criteria, preferably meta-analyses or randomized controlled trials. The criteria must be updated as new evidence is published. The process for choosing a panel of experts to review the data should be determined as well as the process for deciding the worth of different outcomes. It is possible to evaluate how other physicians have applied the criteria. The criteria should be tested in many different settings. They may or may not be applicable to each practice setting, regardless of their validity.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
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Systematic Implementation of an Advance Directive Program in Nursing Homes: A Randomized Controlled Trial
Article Abstract:
Encouraging nursing home patients and their families to make an advance directive can lower health care costs. Advance directives are documents specifying what treatments the patient would not want if he or she become unable to make those decisions in the future. In six nursing homes, researchers tested a program that encouraged patients and their families to make an advanced directive. Health care costs and hospitalization rates were lower in the three nursing homes that participated in the program.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2000
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How to decide on the applicability of clinical trial results to your patient
Article Abstract:
Guidelines are described to help physicians apply the results of randomized controlled trials to their own patients. Often, the results can be generalized to individual patients but this may not be true if the patient belongs to an ethnic group not included in the study. Questions to consider are differences in the patients or their illness that may influence how they respond to the treatment. Physicians must also consider whether they will be able to provide the treatment.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1998
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