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Evidence and the drivers of variation in orthopaedic surgical work : a mixed method systematic review
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Grove, Amy L., Johnson, Rebecca E., Clarke, Aileen and Currie, Graeme (2016) Evidence and the drivers of variation in orthopaedic surgical work : a mixed method systematic review. Health Systems and Policy Research, 3 (1). ISSN 2254-9137.
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Official URL: http://www.hsprj.com/health-maintanance/evidence-a...
Abstract
The increasing demands on orthopaedic services brought about by the aging population and rising incidence of arthritis, together with the financial constraints in the healthcare system mean that orthopaedic departments have to deliver more for less. This is coupled with
patterns of variation in current practice and provision of orthopaedic surgery which are not justified by variation in patient needs. Researchers and policymakers set out to develop evidence-based guidelines, interventions, and recommendations to address the balance and ensure that services are both clinically and cost-effective whilst being high quality, safe and equitable. However, it is not clear to what extent these external sources of evidence and guidelines are accepted and implemented in orthopaedic practice.
Item Type: | Journal Article | ||||||||
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Subjects: | H Social Sciences > H Social Sciences (General) R Medicine > R Medicine (General) R Medicine > RC Internal medicine R Medicine > RD Surgery |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Social Sciences > Warwick Business School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Evidence-based medicine, Clinical medicine--Decision making, Orthopedics , Systematic reviews (Medical research) , Mixed methods research | ||||||||
Journal or Publication Title: | Health Systems and Policy Research | ||||||||
Publisher: | Insight Medical Publishing | ||||||||
ISSN: | 2254-9137 | ||||||||
Official Date: | 9 March 2016 | ||||||||
Dates: |
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Volume: | 3 | ||||||||
Number: | 1 | ||||||||
Number of Pages: | 14 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||
Date of first compliant deposit: | 24 March 2016 | ||||||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||||||
Grant number: | DRF-2013-06-064 (NIHR) | ||||||||
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