Evidence-based medicine, critical pathways, practice guidelines, and managed care : Reflection on the preventive and care of stroke : The Neurologist and Managed Care.

Evidence-based medicine, critical pathways, practice guidelines, and managed care : Reflection on the preventive and care of stroke : The Neurologist and Managed Care.

Réf. 133761 Article - En anglais

ARCHIVES OF NEUROLOGY, vol. 53, n° 9, 1996, pages 867-871, 48 réf., ISSN 0003-9942, USA

RINGEL (S.P.), HUGHES (R.L.)

Department of Neurology. University of Colorado Health Science Center. Denver. USA

Because managed care plans are exerting enormous pressure to reduce the cost of medical care, neurologists need to enhance their skills at identifying appropriate, high-quality, and cost-effective care for patients with neurological disorders.
A variety of health services research methods are available that foster evidence-based decisions and deemphasize intuition in decision making.
Despite imperfect data and a lack of familiarity with some of these methods, we have found them useful in developing guidelines and pathways for the prevention and management of stroke.
Neurologists should become more familiar with the pragmatic benefits, limitations, and obstacles that hinder acceptance and implementation of these approaches.
If we wish to continue to influence the medical decision process, we must focus on the provision of quality neurological care and not on the managed care plan.

Mots-clés BDSP : Accident cérébrovasculaire, Gestion, Soins, Economie santé, Etats Unis, Amérique, Prévention, Thérapeutique, Homme, Système nerveux [pathologie], Vaisseau sanguin encéphale [pathologie], Appareil circulatoire [pathologie]

Mots-clés Pascal : Accident cérébrovasculaire, Gestion, Soin, Economie santé, Etats Unis, Amérique du Nord, Amérique, Prévention, Traitement, Homme, Arbre décision, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie

Mots-clés Pascal anglais : Stroke, Management, Care, Health economy, United States, North America, America, Prevention, Treatment, Human, Decision tree, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease

Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique

Cote : 96-0441454
Code Inist : 002B17C. Création : 10/04/1997.

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