Premium
EBM in practice: aged care
Author(s) -
Cameron Ian D
Publication year - 2001
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2001.tb143511.x
Subject(s) - disadvantage , older people , psychological intervention , medicine , independence (probability theory) , quality of life (healthcare) , gerontology , clinical trial , evidence based medicine , medical care , population , alternative medicine , family medicine , nursing , environmental health , statistics , mathematics , pathology , political science , law
Clinical trials often exclude older people, and complex interventions are incompletely studied, making it difficult to implement evidence‐based medicine in some areas of aged care. There is good‐quality evidence to guide the treatment of many of the common clinical problems encountered in older people. Use of outcome measures in trials (eg, quality‐adjusted life‐years or disability‐adjusted life‐years) that are normally applied to the general population may disadvantage older people, for whom regaining independence is the chief concern. There is a gap between the availability of evidence and its application in routine provision of medical care for older people.