The Journal for Nurse Practitioners
Volume 8, Issue 1 , Pages 51-55, January 2012

Making Evidence-based Health Care Relevant for Patients

  • Jill Muhrer, FNP-C

      Affiliations

    • Jill Muhrer, MSN, FNP-C, practices as an adult nurse practitioner at CAMcare Health Corporation in Camden, NJ, and an adjunct clinical instructor at Widener University in Chester, PA. In compliance with national ethical guidelines, the author reports no relationships with business or industry that would pose a conflict of interest.

Abstract 

Evidence-based health care provides clinicians with the scientific data necessary to provide high-quality care to patients with specific diseases, while pay-for-performance initiatives reward clinicians for adhering to performance guidelines in managing these diseases. Although these guidelines provide the best treatment for a given disease, they don't necessarily determine the optimal treatment for individuals because they don't address patients with comorbidities, nor do they consider patient preferences. In order to improve outcomes, clinicians and patients should collaborate to formulate a treatment plan that incorporates both evidence-based data and patient preferences within the context of each patient's specific clinical situation.

Keywords:  clinical practice guidelines , evidence-based health care , motivational interviewing , patient-centered care , pay for performance , payoff time

 

PII: S1555-4155(11)00362-X

doi:10.1016/j.nurpra.2011.07.026

The Journal for Nurse Practitioners
Volume 8, Issue 1 , Pages 51-55, January 2012