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Comparison of evidence-based therapeutic intervention between community- and hospital-based primary care clinics

Title
Comparison of evidence-based therapeutic intervention between community- and hospital-based primary care clinics
Authors
Lee H.Y.Ahn H.S.Jang J.A.Lee Y.M.Hann H.J.Park M.S.Ahn D.S.
Ewha Authors
한후재
SCOPUS Author ID
한후재scopus
Issue Date
2005
Journal Title
International Journal of Clinical Practice
ISSN
1368-5031JCR Link
Citation
vol. 59, no. 8, pp. 975 - 980
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
The purpose of this study was to compare the proportion of therapeutic interventions that is supported by scientific evidence between hospital-based and community-based primary care clinics. The study setting is a primary care clinic in university-affiliated tertiary hospital and community-based primary care clinic in a region in Seoul. A retrospective review of patients' medical records was done according to the primary diagnosis and treatment for 890 patients in community-based clinic and 307 in hospital-based clinic. The evidence for the intervention was searched for in Medline (1966-2001) and other evidence-based databases. The evidence was then classified as one of the three categories (i) evidence from randomised controlled trials (RCTs); (ii) convincing non-experimental evidence; and (iii) interventions without substantial evidence. In the hospital-based clinics, out of 356 primary diagnosis and treatment pairs, 59.6% were supported by evidence from at least one RCTs, and 19.4% were supported by convincing non-experimental evidence. In the community-based clinics, 47.1% out of 893 pairs and 10.5% fell into each category. As a result, the proportion of interventions in community settings that were based on evidence meeting our criteria was significantly lower than that of the hospital-based settings. To facilitate evidence-based practice, supportive activity should be focused on the primary care settings based on community where medical practices are less evidence-based. © 2005 Blackwell Publishing Ltd.
DOI
10.1111/j.1368-5031.2005.00579.x
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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