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Decision Making in Evidence-based Practice in Rehabilitation Medicine: Proposing a Fourth Factor.

07:00 EST 6th March 2020 | BioPortfolio

Summary of "Decision Making in Evidence-based Practice in Rehabilitation Medicine: Proposing a Fourth Factor."

According to the Sackett's model, evidence-based decision making in medicine includes the clinical judgement, scientific evidence and the patient's values and preferences. In rehabilitation medicine, it is well established that according to the International Classification of Functioning, Disability and Health (ICF)-model, contextual factors (environmental and personal factors) influence a person's individual level of functioning. This paper argues that component of the health system (e.g. health insurance coverage, availability of services, treatments and assistive devices) and the service organization (e.g. spectrum and training level of health professionals, availability of diagnostic and treatment devices) have relevant influence on the decision making in the individual case. For that reason, it is proposed to add the health system and service organization as a fourth factor to the model of evidence-based decision making. Taking the influence of it into consideration and to describe it clearly will improve transparency of the decision making-process and the acceptance of health care users. This fourth factor is also relevant for other medical fields. However, the proposed factor and its components need to be discussed and further elucidated scientifically.

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This article was published in the following journal.

Name: American journal of physical medicine & rehabilitation
ISSN: 1537-7385
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Medical and Biotech [MESH] Definitions

Mathematical or statistical procedures used as aids in making a decision. They are frequently used in medical decision-making.

Use of an interactive computer system designed to assist the physician or other health professional in choosing between certain relationships or variables for the purpose of making a diagnostic or therapeutic decision.

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Process of formulating a diagnosis based on medical history and physical or mental examinations, and/or choosing an appropriate intervention.

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