Methods and Evidence Flashcards
What is the argument for EBM?
Service delivery should be based on the best available evidence in terms of effectiveness and cost-effectiveness
What are some benefits of systematic reviews?
Reduce uncertainty
Highlight issues with scope/quality of research
Help with avoiding bias
What are some critiques of EBM?
Difficult to maintain and create enough good quality systematic reviews
Challenging/expensive
Faith in trial providers (pharma companies)
Ethics of RCTs
Outcomes considered are often mainly biomedical
What are some philosophical critiques of EBM?
Ooh creates blind followers ooh
“Probabalisitc vs. deterministic”??
Professional autonomy
What are some problems with getting evidence into practice?
Drs. don’t know about existing evidence
Drs. know about evidence but choose not to use it
Structures/organisations/systems don’t allow change
Lack of resources
What are quantitative methods?
Collection of numerical data/hypothesis
RCT
Cohort/case-control
Surveys
What are advantages of quantitative methods?
Reliable
Repeatable
Allow comparison
Generalisable
What are qualitative methods?
Observation/ethnography
Interviews
Focus groups
Document/media analysis
What are advantages of qualitative methods?
Understanding relationships
Explaining perspectives
