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You Are Here: AHRQ Home > Clinical Information > Evidence-based Practice > Putting Evidence Into Practice

Putting Evidence Into Practice

This edition of Health Affairs, sponsored by the Agency for Healthcare Research and Quality (AHRQ), provides a variety of perspectives on the challenges and potential rewards of building and using a stronger evidence base for health care decisions.

Articles in this edition review the history and context of evidence-based decisionmaking; they describe the challenges of developing the most relevant evidence for different clinical and policy decisions. They discuss obstacles and opportunities for practitioners and policymakers seeking to implement evidence-based decisions.

Accessibility Notice: Each article is linked to a PDF file. These files are not resident on a Government Web site and do not comply with the requirements for Federal information resources under Section 508 of the Rehabilitation Act.

Copyright © 2005, Health Affairs January-February 2005 (1). Linked with permission. Institutions with subscriptions to this journal should be able to access the full text of articles. Individuals without subscriptions may only be able to access the abstracts.

Contents

From the Editor
The New Imperative: Producing Better Evidence Exit Disclaimer

History & Context
PROLOGUE: Evidence-Based Medicine: History and Context Exit Disclaimer
Evidence-Based Medicine: A Unified Approach Exit Disclaimer
   David M. Eddy
The Promises and Pitfalls of Evidence-Based Medicine Exit Disclaimer
   Stefan Timmermans and Aaron Mauck
Evidence, Politics, and Technological Change Exit Disclaimer
   Annetine C. Gelijns, Lawrence D. Brown, Corey Magnell, Elettra Ronchi, and Alan J.Moskowitz

Case Studies
PROLOGUE: Evidence-Based Medicine Case Studies Exit Disclaimer
Evidence-Based Medicine and Policy: The Case of the Implantable Cardioverter Defibrillator Exit Disclaimer
   Mark A. Hlatky, Gillian D. Sanders, and Douglas K. Owens
PERSPECTIVE: Implantable Cardioverter Defibrillators: An Excellent Case Study Exit Disclaimer
   Marshall S. Stanton
Evidence, Economics, and Emphysema: Medicare's Long Journey with Lung Volume Reduction Surgery Exit Disclaimer
   Scott D. Ramsey and Sean D. Sullivan
Surrogate Endpoints and FDA's Accelerated Approval Process Exit Disclaimer
   Thomas R. Fleming

Evaluating Evidence
PROLOGUE: Evaluating Evidence Exit Disclaimer
Evidence Based? Caveat Emptor! Exit Disclaimer
   Earl P. Steinberg and Bryan R. Luce
When Is Evidence Sufficient? Exit Disclaimer
   Karl Claxton, Joshua T. Cohen, and Peter J. Neumann
Making Policy When the Evidence Is in Dispute Exit Disclaimer
   David Atkins, Joanna Siegel, and Jean Slutsky
Evidence of Evidence-Based Health Policy: The Politics of Systematic Reviews in Coverage Decisions Exit Disclaimer
   Daniel M. Fox
PERSPECTIVE: Using Evidence Reports: Progress and Challenges In Evidence-Based Decision Making Exit Disclaimer
   Mark Helfand
PERSPECTIVE: Comparative Effectiveness: Asking the Right Questions, Choosing the Right Method Exit Disclaimer
   Steven M. Teutsch, Marc L. Berger, and Milton C.Weinstein
PERSPECTIVE: Evidence-Based Medicine in the United States—De Rigueur or Dream Deferred? Exit Disclaimer
   Dan Mendelson and Tanisha V. Carino

Implementing Evidence
PROLOGUE: Implementing Evidence Exit Disclaimer
Evidence-Based Quality Improvement: The State of the Science Exit Disclaimer
   Kaveh G. Shojania and Jeremy M. Grimshaw
Evidence-Based Decision Making: Global Evidence, Local Decisions Exit Disclaimer
   Carolyn M. Clancy and Kelly Cronin
Evidence-Based Practice as Mental Health Policy: Three Controversies and a Caveat Exit Disclaimer
   Sandra J. Tanenbaum
PERSPECTIVE: Evidence-Based Guidelines as a Foundation for Performance Incentives Exit Disclaimer
   Alan M. Garber
PERSPECTIVE: A Clinical Research Strategy To Support Shared Decision Making Exit Disclaimer
   Sean R. Tunis

Internet Citation:

Putting Evidence Into Practice. Articles from Health Affairs, Jan-Feb 2005. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/healthaff.htm

 
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