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medicine is defined as: "The conscientious and judicious
use of current best evidence for clinical care research
in the management of individual patients" 1
for Making Systems Changes
This section last updated:
section covers the basic framework needed to implement systems change
and move toward a proactive, long-term model of care for patients
with diabetes. Although every practice or organization will have
its own unique considerations, there are some elements that can
be considered basic.
This section covers evidence-based decision-making and explains
how implementing an evidence-based approach can successfully manage,
reduce or even prevent many of the complications associated with
The rating system used in integrating evidence into clinical decisions
is covered, as are several examples.
Another element that's essential for a proactive model of
care is an accurate and manageable information system. This section
will briefly touch on the core concepts of information management
necessary to providing patients with preemptive care.
A system with a sound skeletal structure makes it possible to address
the patient's behavior, emotional well being and family relationships,
as well as treat the symptoms and complications associated with
to the Top-
Framework: Evidence-Based Decision-Making