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Bringing together values-based and evidence-based medicine : UK Department of Health initiatives in the ‘personalization’ of care
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Fulford, K. W. M. (2011) Bringing together values-based and evidence-based medicine : UK Department of Health initiatives in the ‘personalization’ of care. Journal of Evaluation in Clinical Practice, Volume 17 (Number 2). pp. 341-343. doi:10.1111/j.1365-2753.2010.01578.x ISSN 1356-1294.
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Official URL: http://dx.doi.org/10.1111/j.1365-2753.2010.01578.x
Abstract
Rationale
Person-centred medicine depends on combining best research evidence with the unique values (including the preferences, concerns, needs and wishes) of individual patients and their families.
Aims and objectives:
The paper gives a brief introduction to values-based practice as a new approach to incorporating patients' values into clinical decision making alongside best research evidence as derived from evidence-based practice.
Method:
The role of values-based practice as a partner to evidence-based practice is illustrated through a series of policy, training and service development initiatives in mental health from the UK Department of Health in London.
Results:
These initiatives have supported person-centred developments in key areas of mental health practice including, (1) the use of involuntary treatment; and (2) a shared approach of assessment. Early moves are underway to extend values-based practice to other areas of health care beyond mental health.
Conclusion:
Values-based practice offers a new approach to incorporating patients' unique values into clinical decision making that is complementary to evidence-based practice as a resource for person-centred medicine.
| Item Type: | Journal Article | ||||
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| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Social Sciences > Philosophy Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Medical care -- Great Britain, Involuntary treatment -- Great Britain, Mental illness -- Diagnosis -- Great Britain, Medical policy -- Great Britain, Evidence-based medicine, Medical protocols -- Great Britain, Clinical medicine -- Decision making, Physician and patient | ||||
| Journal or Publication Title: | Journal of Evaluation in Clinical Practice | ||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||
| ISSN: | 1356-1294 | ||||
| Official Date: | April 2011 | ||||
| Dates: |
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| Volume: | Volume 17 | ||||
| Number: | Number 2 | ||||
| Page Range: | pp. 341-343 | ||||
| DOI: | 10.1111/j.1365-2753.2010.01578.x | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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