The State of Best Practices in Indian Country- A Concept Paper published in Healthy Indian Country Initiative Promising Practice Guide 2010
Authors: Bigfoot, D.S., Bartgis, J
Publication Year: 2010
Last Updated: 2010-07-12 10:59:33
Journal: National Indian Health Board
Keywords: Evidence Based Practices, Practice Based Evidence, Effectiveness, cultural competency, best practices, Native American, American Indian, Delores BigFoot, Jami Bartgis
Short Abstract:
In a national effort towards accountability and effectiveness of health care, the use of evidence-based practices (EBP) is becoming the standard for clinical care. Every health discipline has examples of historical treatment approaches (i.e., we've always done it this way) without real evidence that it works. The same trend is occurring in the area of prevention as the United States begins the shift from high cost interventions to preventative care. Unfortunately, the historical treatment and prevention approaches are not always effective and have, at times, resulted in no-improvement at best in some cases and fatalities at worst. The move toward demonstrating evidence or research-base of the effectiveness of prevention, treatment and intervention approaches were a step toward ensuring the best possible care for patients and their community. However, as the pendulum swings toward the sole use of clinical practices with formalized research base, new challenges and limitations have emerged, especially for ethnic minority populations and the historically underserved groups of people.
Abstract:
In a national effort towards accountability and effectiveness of health care, the use of evidence-based practices (EBP) is becoming the standard for clinical care. Every health discipline has examples of historical treatment approaches (i.e., we've always done it this way) without real evidence that it works. The same trend is occurring in the area of prevention as the United States begins the shift from high cost interventions to preventative care. Unfortunately, the historical treatment and prevention approaches are not always effective and have, at times, resulted in no-improvement at best in some cases and fatalities at worst. The move toward demonstrating evidence or research-base of the effectiveness of prevention, treatment and intervention approaches were a step toward ensuring the best possible care for patients and their community. However, as the pendulum swings toward the sole use of clinical practices with formalized research base, new challenges and limitations have emerged, especially for ethnic minority populations and the historically underserved groups of people.
File Download:
Source: Link to Original Article.
Funding:
Code: 0
Source:
