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Explore the changing landscape of information dissemination in clinical medicine, from increased access to electronic resources to market-driven online platforms. Discover how research reports, summaries, critiques, and commentaries shape evidence-based knowledge sharing. Learn about accessing collections of research reports through search tools and alerts. Delve into systematic reviews, meta-analyses, and evidence-based guidelines in medical and public health contexts.
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Models of Information Summary, Synthesis, and Dissemination In Clinical Medicine Sources and Organization of Evidence-based Knowledge
Evolution of Medical Models of Information Dissemination • Information explosion • Increase in expectations of EBM practice • Improved access to electronic info
Evolution of Medical Models of Information Dissemination • Market forces are driving rapid development of many new online resources to support clinical medical practice • Limited public and foundation funds support public health resources
Clinical Medical Information Models • Research Reports: • Collections • Summaries • Critiques • Commentaries • Reviews, meta-analyses, guidelines • Comprehensive knowledge sources
Accessing Collections of Research Reports : Search Tools and Alerts • Searching MEDLINE (PubMed): • Simple search • Prepared Filters • Alerts: • Tables of contents • Individualized content alerts
PubMed Search on Drug Resistant Salmonella united states[mh] AND (salmonella infections[majr] OR salmonella[majr]) AND drug resistance[majr] AND (prevention and control[subheading] OR prevention OR public health OR disease outbreaks OR population surveillance OR risk factors OR prospective studies OR case-control studies OR follow-up studies OR comparative study OR pilot projects OR retrospective studies OR longitudinal studies OR infection control) AND english[lang] AND human[mh]
Research Reports Alerts on Recently Published Literatures
Research Reports:Summaries, Critiques, and Commentaries • Summary: Structured, reorganization of data and conclusions; just the key points • Critique: Criticism of methods, interpretation of findings, conclusions • Commentary: Puts findings into context of current knowledge and practice
Research Reports:Summaries, Critiques, and Commentaries Medical Examples: • Journal Watch • ACP Journal Club • Annals of Internal Medicine Public health examples: • Journal Watch Infectious Diseases • Evidence-based Health Care
Evidence-based Healthcare covers the following types of studies: • Evaluations of financing and organization of healthcare • Evidence-based patient and public choice • Health economics • Health technology assessment • Managing healthcare • Promotion of evidence-based clinical practice • Public health policy• Purchasing
Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines
Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines Medical examples: • Cochrane Database of Systematic Reviews • National Guideline Clearinghouse • Guide to Clinical Preventive Services • Guidelines authored by medical specialty societies
Systematic Reviews, Meta-Analyses and Evidence-Based Guidelines Public health examples: • Cochrane Public Health topic reviews • National Guideline Clearinghouse • Guide to Community Preventive Services • CDC Prevention Guidelines System
Systematic Review • Thorough literature review • Explicit criteria for selecting studies • Tables, narrative to summarize findings • Conclusions acknowledge strengths, weaknesses of evidence