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  • 标题:Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices
  • 本地全文:下载
  • 作者:Vinay Prasad ; John PA Ioannidis
  • 期刊名称:Implementation Science
  • 印刷版ISSN:1748-5908
  • 电子版ISSN:1748-5908
  • 出版年度:2014
  • 卷号:9
  • 期号:1
  • 页码:1
  • DOI:10.1186/1748-5908-9-1
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:Abandoning ineffective medical practices and mitigating the risks of untested practices are important for improving patient health and containing healthcare costs. Historically, this process has relied on the evidence base, societal values, cultural tensions, and political sway, but not necessarily in that order. We propose a conceptual framework to guide and prioritize this process, shifting emphasis toward the principles of evidence-based medicine, acknowledging that evidence may still be misinterpreted or distorted by recalcitrant proponents of entrenched practices and other biases.
  • 关键词:Evidence-based medicine ; Reversals ; Divestment ; De-implementation ; Contradiction ; Bias
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