Health Policy Flashcards

1
Q

When did evidence based medicine come about?

A

1997

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2
Q

What is evidence based medicine?

A

The conscientious explicit, and judicious use of current best evidence in making decisions about the care of individual patients

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3
Q

Where was evidence based medicine founded?

A

Canada

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4
Q

What is in the evidence based medicine triad?

A

Patient values and expectations
Individual clinical expertise
Best external evidence

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5
Q

Most common type of study to test drugs?

A

Randomised controlled trials

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6
Q

Levels of evidence? (Lowest to highest)

A
In vitro
Animal research
Ideas, editorials, opinions
Case reports
Case series
Case controlled studies
Cohort studies
Randomised controlled double blind studies
Systematic reviews and meta-analysis
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7
Q

What are the five steps of evidence-based medicine?

A

1) ask a clinical question
2) acquire the best evidence
3) appraise the evidence
4) apply the evidence
5) assess performance

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8
Q

Types of none research scientific evidence?

A
Case report
Technical note
Pictorial essay
Review
Commentary
Editorial
Letter to the editor
Others
Non-scientific material
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9
Q

Types of secondary research papers?

A

systematic review

Meta-analysis

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10
Q

Difference between systematic review and meta-analysis?

A

Meta-analysis is a type of systematic review that uses quantitative methods to summarise results

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11
Q

What is level 1 evidence?

A

conditions for which there is evidence and/or general agreement that a given therapy is beneficial, useful and effective

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12
Q

What is level of the 2 evidence?

A

Conditions for which there is conflicting evidence and/or divergence of opinion about the usefulness/efficacy of a therapy

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13
Q

What is level 2a evidence?

A

weight of evidence/opinion is in favour of its usefulness/efficacy

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14
Q

What is level 2b evidence?

A

Usefulness/efficacy is less well established by evidence/opinion

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15
Q

What is level 3 evidence?

A

conditions for which there is evidence and/or general agreement that a therapy is not useful/effective and, in some cases, may be harmful

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16
Q

What is grade A of recommendation?

A

data derived from multiple randomised clinical trials or meta-anaylses

17
Q

What is grade B of recommendation?

A

data derived from a single randomised clinical trial or large non-randomised studies

18
Q

What is grade C of recommendation?

A

Only concensus of opinions of experts, case studies or standard of care

19
Q

What is a case report?

A

Description of a single case with unique features

20
Q

What is a commentary?

A

a short article that describes the author’s personal experience of a specific topic

21
Q

What is a technical note?

A

a description of a specific technique or procedure, modification of an existing technique or new equipment available

22
Q

What is an editorial?

A

most often, a short review or critique of original articles accepted for publication in the same journal, a brief description of a subject that does not warrant a full review or to draw attention to very recent innovations or of interest to readers

23
Q

What is a pictorial essay?

A

A teaching article that relies on the quality of its images. Text is usually limited

24
Q

What is a letter to the editor?

A

Letters are usually short can be of any subject of interest to the journal reader. Authors are typically invited to make a written response

25
Q

IMRAD acronym?

A
Introduction
Methods
Results
And
Discussion