MGT 620
Evidence Based Medicine
MHA 620: Health Policy Analyses
Explain the process of evidence-based analysis
In the world will live today it is almost impossible to think of a modernized healthcare
system that ignores the importance of evidence-based medicine (EBM). Evidence-based
medicines as a concept relies on three key pillars; best research available, individual clinical
expertise and the desires values of the patient. David Sackett and his colleagues are considered
the pioneers of EBM the concept which has revolutionized clinical practice, they defined EBM as
“the conscientious, explicit, and judicious use of current best evidence in making decisions about
the care of individual patients”. Over the past two and half decades EBM has reshaped the
medical practice field despite the concept being constantly evolving. EBM involves the
integration of the best available external clinical evidence research with individual’s expertise.
(Evidence based medicine and policy 2010). Additionally, while giving and receiving care, both
physicians and patients need to develop a more close and personalized relationship that is
inclined towards meeting specific needs for the patients (McLaughlin & McLaughlin).
The Major Players and Their Roles in EBM policy
The use of EBM in individual care decision making is therefore very important and
reasonable in a modern clinical setting. It has been proven that each patient has unique
characteristic and each patient react precisely to different medication or treatment. Therefore
evidence-base clinical research becomes the most definitive foundation for clinical provision of
quality healthcare and therapy in the most cost effective and convenient manner (Lohr, Eleazer &
Mauskopf). EBM is only achievable when there is a close knit integration of multidimensional
, office managers’ supervisors who ensure smooth transition of the process, financial experts,
logistic and supply chain department involved in drug delivery, ethics and community
committees and all interdisciplinary units involved in healthcare and therapy provisions (John
Hopkins Medicine, 2017).
Levels of Evidence
The following steps key to the practice of evidence-based medicine analysis. 1)
Formulating answerable clinical question 2) systematic finding and retrieval the best evidence; 3)
accessing level of evidence validity or critical appraisal of the evidence; and (4) applying the
evidence to the treatment of patients, 5) evaluating the performance of new clinical response.
The first step in evidence-base medicine analysis process involves formulating
answerable clinical question or problem. In this step a question is developed which is derived
from a healthcare setting usually diseases diagnostics, healthcare economics, treatment, and
healthcare quality framework. According to Isaksen (2017), four approaches are involved in this
stage while formulating the research question. The first approach is the identification of the
question. First approach is the identification of the relevant research subject. Two is the
identification of areas of practice and the knowledge for relevant research. Thirdly is establishing
the connection between the scientific research knowledge to required field of practice. The final
approach in question formulation is focusing on the research approach (Isaksen, 2017).
Step two in the process is systematic finding of best available evidence. This step
involves extensive gathering and classification of the analysis of the research data extensive
gathering and classification of research is done by the use of a search plan to obtain the results
from each scientific research question formulated (Abrams, Khoury & Grant, 2007). This part
Evidence Based Medicine
MHA 620: Health Policy Analyses
Explain the process of evidence-based analysis
In the world will live today it is almost impossible to think of a modernized healthcare
system that ignores the importance of evidence-based medicine (EBM). Evidence-based
medicines as a concept relies on three key pillars; best research available, individual clinical
expertise and the desires values of the patient. David Sackett and his colleagues are considered
the pioneers of EBM the concept which has revolutionized clinical practice, they defined EBM as
“the conscientious, explicit, and judicious use of current best evidence in making decisions about
the care of individual patients”. Over the past two and half decades EBM has reshaped the
medical practice field despite the concept being constantly evolving. EBM involves the
integration of the best available external clinical evidence research with individual’s expertise.
(Evidence based medicine and policy 2010). Additionally, while giving and receiving care, both
physicians and patients need to develop a more close and personalized relationship that is
inclined towards meeting specific needs for the patients (McLaughlin & McLaughlin).
The Major Players and Their Roles in EBM policy
The use of EBM in individual care decision making is therefore very important and
reasonable in a modern clinical setting. It has been proven that each patient has unique
characteristic and each patient react precisely to different medication or treatment. Therefore
evidence-base clinical research becomes the most definitive foundation for clinical provision of
quality healthcare and therapy in the most cost effective and convenient manner (Lohr, Eleazer &
Mauskopf). EBM is only achievable when there is a close knit integration of multidimensional
, office managers’ supervisors who ensure smooth transition of the process, financial experts,
logistic and supply chain department involved in drug delivery, ethics and community
committees and all interdisciplinary units involved in healthcare and therapy provisions (John
Hopkins Medicine, 2017).
Levels of Evidence
The following steps key to the practice of evidence-based medicine analysis. 1)
Formulating answerable clinical question 2) systematic finding and retrieval the best evidence; 3)
accessing level of evidence validity or critical appraisal of the evidence; and (4) applying the
evidence to the treatment of patients, 5) evaluating the performance of new clinical response.
The first step in evidence-base medicine analysis process involves formulating
answerable clinical question or problem. In this step a question is developed which is derived
from a healthcare setting usually diseases diagnostics, healthcare economics, treatment, and
healthcare quality framework. According to Isaksen (2017), four approaches are involved in this
stage while formulating the research question. The first approach is the identification of the
question. First approach is the identification of the relevant research subject. Two is the
identification of areas of practice and the knowledge for relevant research. Thirdly is establishing
the connection between the scientific research knowledge to required field of practice. The final
approach in question formulation is focusing on the research approach (Isaksen, 2017).
Step two in the process is systematic finding of best available evidence. This step
involves extensive gathering and classification of the analysis of the research data extensive
gathering and classification of research is done by the use of a search plan to obtain the results
from each scientific research question formulated (Abrams, Khoury & Grant, 2007). This part
