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Full-Text Articles in Medicine and Health Sciences
What Do You Think Overdiagnosis Means? A Qualitave Analysis Of Responses From A National Community Survey Of Australians?, Ray Moynihan, Brooke Nickel, Jolyn Hersch, Jenny Doust, Alexandra Barratt, Elaine Beller, Kirsten Mccaffery
What Do You Think Overdiagnosis Means? A Qualitave Analysis Of Responses From A National Community Survey Of Australians?, Ray Moynihan, Brooke Nickel, Jolyn Hersch, Jenny Doust, Alexandra Barratt, Elaine Beller, Kirsten Mccaffery
Jenny Doust
Objective: Overdiagnosis occurs when someone is diagnosed with a disease that will not harm them. Against a backdrop of growing evidence and concern about the risk of overdiagnosis associated with certain screening activities, and recognition of the need to better inform the public about it, we aimed to ask what the Australian community understood overdiagnosis to mean. Design, setting and participants: Content analysis of verbatim responses from a randomly sampled community telephone survey of 500 Australian adults, between January and February 2014. Data were analysed independently by two researchers. Main outcome measures: Analysis of themes arising from community responses to …
Identified Health Concerns And Changes In Management Resulting From The Healthy Kids Check In Two Queensland Practices, Rae Thomas, Jenny Doust, Kartik Vasan, Bianca Rajapakse, Leanne Mcgregor, Evan Ackermann, Chris Del Mar
Identified Health Concerns And Changes In Management Resulting From The Healthy Kids Check In Two Queensland Practices, Rae Thomas, Jenny Doust, Kartik Vasan, Bianca Rajapakse, Leanne Mcgregor, Evan Ackermann, Chris Del Mar
Jenny Doust
Objectives: To determine how many children had health problems identified by the Healthy Kids Check (HKC) and whether this resulted in changes to clinical management. Design, setting and participants: A medical records audit from two Queensland general practices, identifying 557 files of children who undertook an HKC between January 2010 and May 2013. Main outcome measures: Child health problems identified in the medical records before, during and after the HKC. Results: Most children in our sample had no problems detected in their medical record (56%), 21% had problems detected during the HKC assessment, 19% had problems detected before, and 4% …
Clinical Decision-Making Tools: How Effective Are They In Improving The Quality Of Health Care?, Lyndal Trevana, Kirsten Mccaffery, Glenn Salkeld, Paul Glasziou, Chris Del Mar, Jenny A. Doust, Tammy Hoffmann
Clinical Decision-Making Tools: How Effective Are They In Improving The Quality Of Health Care?, Lyndal Trevana, Kirsten Mccaffery, Glenn Salkeld, Paul Glasziou, Chris Del Mar, Jenny A. Doust, Tammy Hoffmann
Jenny Doust
Exec Summary Clinical decision-making tools can be considered in two broad categories – those designed to be used by clinicians and those designed to promote shared decision making with the clinician and patient together. The potential effect of computerised clinical decision support systems (CDSS) on variations in practice is not well understood, and CDSS are currently not a recommended means of improving evidence-based practice, or patient outcomes, since the mechanisms of success and failure are not well defined and the potential impact on workflows and adverse events are poorly evaluated. Despite numerous randomised controlled trials, there is poor quality evidence …