According to Ledger (2010), evidence based management entails the use of research information or data that is used critical as the foundation of management decisions. Management relies on the principle of best practice to make decisions, but evidence based management values the evaluation of the data. The foundation of evidence based management in the healthcare system is the decisions making process, which when based on sound data, will likely provide the anticipated results. The same results can be generalized and availed to all organizations for a primary platform on which healthcare policies can be maintained. The evidence that is used and collected is considered objective and thus applicable.
Evidence based medicine as stated by Masic et al. (2008) is the consistent modern use of data in deciding on the care and treatment of individual patients. Data collection and management enables the user to be in the continuous process of improvement which in turn raises accountability levels. The use of data in decision making makes it easier to monitor progress and develops in an organization the sense of communal progression. The data collected should be fact based, detailed and current. The user system should eliminate wastage of tools and offer the decision makers a chance to be swift and efficient in response to any management decisions (Masic et al., 2008).The medical practitioner knowledge and clients values are integrated with available scientifically researched data for an overall care treatment that is aimed at achieving high-quality clinical decision making patterns. The application of scholarly research mandates unearthing the correct diagnosis, prognosis and if needed therapy. It is to be noted that evidence based medical application is not to be considered the cookbook of medicine but it is to be used as an application methodology through which reduced cost, and better health care is promoted (Masic et al., 2008).
Scientific medicine according to Sur & Dahm (2011), was a concept that was introduced by Dr.Guyatt in the year 1990 which was the teaching of medicine based on bedside theory. The foundation of scientific medicine was the Dr.David Sackett who had raised the critical appraisal methodology which applied to the bedside approach. In the year 1991, the term evidence based medicine was introduced, and core guidelines lay in the evidence based management models. Historically the use of experts whose opinion was based on experience and rigid statements were the basis of decision making in the health care industry. During the early 1960s lack of scientific basis for clinical care was the foundation on which evidence based medicine started (Sur & Dahm, 2011). The use of basic science on the bedside proved to be a bonus through which epidemiology and medical research were combined with the inclusion of personal conversation and individual values in patient care was added.
The complexity involved in decision making coupled with ever evolving health care environment calls for a process through which a patient is offered the best care (Ledger, 2010). Managers are the decisionmakers, and in health care, the decisions should be based on evidence from research. Evidence based medicine calls for analytical decision making which should be in tandem with the organization's objectives. The need to ask the right question is the first step towards the use of evidence based management (Ledger, 2010). The questions should lead to the researching of proof which is then appraised and if correct the evidence is acted upon. The final act should be the evaluation of the medical practice which will determine if the process was successful or not.
Ledger, J. (2010).The gold standard of management?Evidence-based management and healthcare delivery. London journal of primary care, 3(2), 93-97.
Masic, I., Miokovic, M., &Muhamedagic, B. (2008). Evidence based medicinenew approaches and challenges. ActaInformaticaMedica, 16(4), 219.
Sur, R. L., &Dahm, P. (2011).History of evidence-based medicine. Indian journal of urology: IJU: journal of the Urological Society of India, 27(4), 487.
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