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PubMed2004

Evidence-based medicine breaking the borders--a working model for the European Union to facilitate evidence-based health care.

The promotion of evidence-based health care to improve quality of care has become an important political agenda worldwide. In April 2003 the European Commission acknowledged the lack of evidence-based health care in the European Union. Nevertheless, neither the new eHealth 2005 Action Plan nor the Public Health Program 2003 explicitly state the facilitation of evidence-based health care as a goal. This article proposes a working model for a network of institutions and databases within the European Union to facilitate evidence-based health care. The model strives to adapt existing U.S. examples of institutions in the field of evidence-based medicine, like Evidence-based Practice Centers, and the National Guideline Clearinghouse to the heterogeneous and legally restrictive environment of the European Union, particularly Article 152 of the European Union Treaty. In addition to increasing efficiency and decreasing redundancy, coordinating national efforts in best practice will also facilitate information sharing and knowledge transfer. The establishment of databases in native languages could also break down one of the main barriers existing between care providers and evidence-based medicine while adhering to the overall concepts of eHealth 2005.

Databases as Topic↗
PubMed1987

Need for and approaches to integrated population, human resource and development planning.

The authors discuss the nature of an integrated approach to the treatment of population variables in the socioeconomic planning exercises of developing countries and describe the obstacles that must be overcome in order to achieve meaningful integration. The nature of the system linking demographic and socioeconomic processes is described, and a distinction is made between the roles of population-influencing and population-responsive policies. The types of studies needed to provide an effective analytical framework for integrated population and development planning are set forth and discussed in ascending order, from inventories of demographic and related socioeconomic data to demographic/economic planning models. The need for establishing some form of a population planning unit within the governmental structure is assessed, and the functions which might be undertaken by such a unit are described. Finally, a classification scheme is proposed which would divide countries into broad categories according to their major characteristics and problems, and a scheme for providing each type of country with technical assistance in population and development planning is proposed. In their concluding remarks, the authors note there is a need to promote a transition from simple awareness of the interrelationships and then to integrated planning. This transition, they maintain, will require a continuous and cumulative commitment of countries and an effective co-ordination and collaboration among the agencies which provide technical assistance in this field.

Data Collection↗