>Evidence Based Health Practice
Evidence Based Health Practice
Evidence-based health practice applies the scientific method to use the best available evidence—from physical exams, diagnostic reviews, medical research, and known risks and benefits of treatment options—when making medical decisions. RAND has investigated the impact of adopting evidence-based health practices on patient care and health care policies, and the greater implications of using a national quality measurement and reporting system.
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All Authors All Authors Acosta, Joie D. Adams, Alyce S. Anderson, Johanna Apaydin, Eric Asch, Steven M. Azocar, Francisca Barnes-Proby, Dionne Baxi, Sangita M. Beckett, Megan K. Berdahl, Carl Beroes, Jessica M. Berrebi, Claude Booth, Marika Brook, Robert H. Cannon, Jill S. Chaney, Edmund Chao, Brian Chataway, Joanna Chinman, Matthew Cho, Michelle Chou, Roger Cochrane, Gavin Cohen, Catherine C. Colaiaco, Benjamin Concannon, Thomas W. Corbett, Jennie Coulter, Ian D. Craske, Michelle G. D'Amico, Elizabeth J. Dick, Andrew W. Donohue, Julie M. Duan, Naihua Dy, Sydney Ebener, Patricia A. Eccles, Martin P. Engel, Charles C. Faherty, Laura J. Fahey, Gavin Farley, Donna O. Farmer, Carrie M. Fischer, Shira H. Francois, Taria Frearson, Michael Fremont, Allen Garland, Rena Hasenfeld Garner, Bryan R. Gidengil, Courtney A. Godley, Susan H Graff, Jennifer Grant, Sean Grimshaw, Jeremy M. Han, Bing Harris, Racine Hempel, Susanne Hepner, Kimberly A. Herman, Patricia M. Hickman, Laura J. Hilton, Lara Hunter, Sarah B. Jaycox, Lisa H. Kahan, James P. Kahn, Katherine L. Khodyakov, Dmitry Kilburn, M. Rebecca Kofner, Aaron Kotzias, Virginia Kumar, Krishna B. Lapin, Pauline Lara, Marielena Larkin, Jody MacLean, Catherine Mafi, John N. Maglione, Margaret A. Malone, Patrick S. Mattox, Teryn Mayo-Wilson, Evan McBirney, Samantha Mendel, Peter Meredith, Lisa S. Moen, Shaela Mojica, Walter Montgomery, Paul Morgan Jones, Molly Morton, Sally C. Motala, Aneesa Mulcahy, Andrew W. Newberry, Sydne Ngo, Victoria K. Nolte, Ellen Nowell, Ben Nuckols, Teryl K. Paddock, Susan M. Pedersen, Eric R. Pincus, Harold Alan Raaen, Laura Ramos Valencia, Gilberto Rhodes, Shannon Richmond, Todd A. Ridgely, M. Susan Robinson, Karen A. Roth, Carol P. Roth, Elizabeth Rubenstein, Laurence Rubenstein, Lisa V. Ryan, Gery W. Schneider, Eric C. Schultz, Dana Schünemann, Holger J. Setodji, Claude Messan Shadel, William G. Shanman, Roberta M. Shekelle, Paul G. Sherbourne, Cathy D. Slaughter, Mary Ellen Soper, Bryony Sorbero, Melony E. Stein, Bradley D. Taylor, Stephanie L. Tsugawa, Yusuke Tu, Wenli Van Stolk, Christian Whitley, Margaret D. Woolf, Steven H. Wu, Shin-Yi Yano, Elizabeth
Partnered Evaluation of a Community Engagement Intervention: Use of a Kickoff Conference in a Randomized Trial for Depression Care Improvement in Underserved Communities
This article evaluates a community engagement strategy employed in the Community Partners in Care (CPIC) study, the first randomized controlled trial of the role of community engagement in adapting and implementing evidence-based depression care.
Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria
This report addresses the need for clearer understanding of the evidence base regarding the effectiveness and context-sensitivity of patient safety practices and presents recommendations for future research on this topic.
Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units
To learn how hospital labor and delivery units can achieve effective and sustainable teamwork practices and how much such practices affect staff experiences and patient outcomes, RAND researchers studied five units as they implemented improvements.
Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization
Many depressed patients are receiving recommended psychotherapy but better tools are needed to monitor and improve the quality of usual psychotherapeutic care.
A Collaborative Approach to Identifying Effective Incentives for Mental Health Clinicians to Improve Depression Care in a Large Managed Behavioral Healthcare Organization
Giving incentives to mental health clinicians in managed behavioral health organizations to provide evidence-based care is feasible, but administrative barriers and limited clinical data may make implementation challenging.
Reducing Inequities Among Children with Asthma in the Island of Puerto Rico: Experiences of a Community-Based, Trans-Sectoral Effort
This project has implemented successful interventions to improve the quality of life and reduce disparities for children with asthma in Puerto Rico.
Strengthening Prevention Performance Using Technology: A Formative Evaluation of Interactive Getting to Outcomes®
This article reports on a formative evaluation of efforts to build community-based prevention capacity in two states (Tennessee and Missouri) using an Internet-based system known as interactive Getting To Outcomes® (iGTO).
A Social Marketing Approach to Implementing Evidence-Based Practice in VHA QUERI: The TIDES Depression Collaborative Care Model
This study found that social marketing, which applies marketing techniques to promote behavioral change, is a promising approach for promoting implementation of evidence-based interventions in integrated healthcare systems.
Health Research Observatory brochure
This brochure describes the Health Research Observatory, whose mission is to provide insights to support evidence-based decision making in the policy and practice of health research through identifying and assessing international evidence.
Interventions in Organizational and Community Context: A Framework for Building Evidence on Dissemination and Implementation in Health Services Research
The effective dissemination and implementation of evidence-based health interventions within community settings is an important cornerstone.
The Getting to Outcomes Demonstration and Evaluation: an Illustration of the Prevention Support System
Communities are increasingly being required by state and federal funders to achieve outcomes and be accountable, yet are often not provided the guidance or the tools needed to successfully meet this challenge.
Rigorous Development Does Not Ensure That Guidelines Are Acceptable to a Panel of Knowledgeable Providers
Guideline acceptability should be independently and formally evaluated before dissemination.
Using Existing Systematic Reviews in Complex Systematic Reviews
Drawing from their collective experience, the authors outline a series of steps that can help reviewers reach reasoned decisions about the incorporation of existing systematic reviews and enumerate potential hazards to consider in doing so.
Providing Evidence-Based Practice to Ethnically Diverse Youths: Examples from the Cognitive Behavioral Intervention for Trauma in Schools (CBITS) Program
Discusses implementing evidence-based treatments for ethnically diverse youths.
The Adoption and Implementation of an Evidence Based Practice in Child and Family Mental Health Services Organizations: A Pilot Study of Functional Family Therapy in New York State
Numerous challenges persist in providing evidence-based treatments to children and families in community-based settings.
The Cumulative Effects of Quality Improvement for Depression on Outcome Disparities Over 9 Years: Results from a Randomized, Controlled Group-Level Trial
Quality improvement (QI) programs for depression can improve outcomes of care and reduce outcome disparities.
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III (2004-2005)
Evaluates progress of the patient safety initiative led by the Agency for Healthcare Research and Quality (AHRQ), focusing on assessment of health information technology projects and dissemination of improved patient safety practices.
Hospital-Based Integrative Medicine: A Case Study of the Barriers and Factors Facilitating the Creation of a Center
Presents the results of a five-year study of a hospital-based center for integrative medicine.
Teaching Systems-Based Practice to Primary Care Physicians to Foster Routine Implementation of Evidence-Based Depression Care
The authors believe the best way to enhance effectiveness is to build education into the system rather than rely on a separate system for education.
Putting the Practice Into Evidence-Based Dentistry and Health Services Research
For dentistry to enter into the new world of evidence-based practice, it will require some rethinking of the research enterprise in the profession.
RAND Topic:
Topic Synonyms:
EBP;
Researcher Spotlight
Lisa V. Rubenstein
Adjunct Physician Policy Researcher
Lisa V. Rubenstein is an adjunct physician policy researcher at the RAND Corporation and professor emeritus of medicine and public health at the University of California, Los Angeles (UCLA). She is a former Robert Wood Johnson Clinical Scholar, past president of the Society of…
Nicole K. Eberhart
Senior Behavioral Scientist
Nicole Eberhart is a senior behavioral scientist at the RAND Corporation and a licensed clinical psychologist. Her research focuses primarily on mental health. More specifically, her work focuses on evaluation of behavioral health programs, programs that integrate primary and behavioral health…
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