Community-based research - A framework for problem formulation: The case of upper endoscopy for gastroesophageal reflux disease

Medical Decision Making

Volumn 17, Issue 3, 1997, Pages 315-323

  Helfand, Mark ^a,b   Oehlke, Megan A ^a   Lieberman, David A ^a  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b PORTLAND VA MEDICAL CENTER   (United States)

Author keywords

Decision support techniques; Endoscopy; Gastroesophageal reflux; Gastrointestinal; Physician practice patterns; Practice guidelines

Indexed keywords

ARTICLE; DIAGNOSTIC APPROACH ROUTE; ENDOSCOPY; GASTROESOPHAGEAL REFLUX; MEDICAL DECISION MAKING; MEDICAL PRACTICE; MODEL; PRACTICE GUIDELINE;

ADULT; AGED; DECISION SUPPORT TECHNIQUES; DECISION TREES; ENDOSCOPY, DIGESTIVE SYSTEM; EVIDENCE-BASED MEDICINE; FEMALE; GASTROESOPHAGEAL REFLUX; HUMANS; MALE; MIDDLE AGED; PRACTICE GUIDELINES; TREATMENT OUTCOME;

EID: 0030927175     PISSN: 0272989X     EISSN: None     Source Type: Journal    
DOI: 10.1177/0272989X9701700308     Document Type: Article

References (16)

1. Greer AL. The two cultures of biomedicine: can there be consensus? JAMA, 1987;258:2739-40.
2. Backer TE, Liberman RP, Kuehnel TG. Dissemination and adoption of innovative psychosocial interventions. J Consult Clin Psychol. 1986;54:111-8.
3. Greer AL. The state of the art versus the state of the science: the diffusion of new medical technologies into practice. Int J Technol Assess Health Care. 1988;4:5-26.
4. Soumerai SB, McLaughlin TJ, Avorn J. Improving drug prescribing in primary care: a critical analysis of the experimental literature. Milbank Q. 1989;67:268-317.
5. Spechler SJ. Barrett's esophagus. Semin Gastrointest Dis. 1996;7:51-60.
6. Cooper GS. Indications and contraindications for upper gastrointestinal endoscopy. Gastrointest Endosc Clin North Am. 1994;4:439-54.
7. Poses RM, Wigton RS, Cebul RD, Centor RM, Collins M, Fleischli GJ. Practice variation in the management of pharyngitis: the importance of variability in patients' clinical characteristics and in physicians' responses to them. Med Decis Making. 1993;13:293-301.
8. Wennberg J. Improving the medical decision-making process. Health Aff. 1988;7:99-106.
9. Holland RR. Decision tables: their use for the presentation of clinical algorithms. JAMA. 1975;233:455-7.
10. Hurley R. Decision Tables in Software Engineering. New York: van Nostrand Reinhold, 1983.
11. Shiffman RN, Greenes RA. Improving clinical guidelines with logic and decision-table techniques: application to hepatitis immunization recommendations. Med Decis Making. 1994; 14:245-54.
12. Lieberman DA, Oehlke M, Helfand M. Association of duration of reflux symptoms and esophageal pathology in community-based practice: results of a GI consortium (abstr). Am J Gastroenterol. 1994;89:1622.
13. Fennerty MB, Castell D, Fendrick AM, et al. The diagnosis and treatment of gastroesophageal reflux disease in a managed care environment. Suggested disease management guidelines. Arch Intern Med. 1996;156:477-84.
14. Axon AT, Bell CD, Jones RH, Quine MA, McCloy RF. Guidelines on appropriate indications for upper gastrointestinal endoscopy. Working Party of the Joint Committee of the Royal College of Physicians of London, Royal College of Surgeons of England, Royal College of Anaesthetists, Association of Surgeons, the British Society of Gastroenterology, and the Thoracic Society of Great Britain. Br Med J. 1995;310:853-6.
15. Jones J, Hunter D. Consensus methods for medical and health services research. Br Med J. 1995;311:376-80.
16. Shiffman RN. Towards effective implementation of a pediatric asthma guideline: integration of decision support and clinical workflow support. Proc Annu Symp Comput Appl Med Care. 1994;797-801.