Evidence based practice for resources

How do you know as a user that a tool works? How do you show that tools do what they have to do? That they are effective and cost-effective in terms of insurers and policymakers? So, how does proof work with tools?

When deploying and measuring results of the use of medical devices, you look at things other than medicines. A tool mainly contributes to resolving a functional disorder.

For example: a stoma bag does not help to solve the medical cause or deviation of the bowel or bladder, but it does make it possible that you can function without being in the toilet all day, a hearing aid ensures that you can communicate with you again. People, can understand them again. Incontinence material ensures that your urine is collected at times when it is necessary and desirable, you do not suffer from it and it does not smell or feels. Compression stockings provide better blood circulation, but do not solve the problem with the vessels in the legs.

All these medical devices do not solve the medical cause, but can contribute to the healing process. Even more important; they ensure that you as a human being, patient or user can (continue to) function better, so that you can do things that you otherwise could not do because of your illness or condition. See medical product development.

Is subjective assessment

How do you then prove that they work, that they solve what they are meant for? Evidence is obtained on the basis of the user experiences and assessment by the expert practitioner. You look at the results in daily practice that are tested against the expectation. What difference does the use of that resource solution make for that user? How does the user experience this? Is that user satisfied does he accept the solution; are there no complications or imperfections? This way you can evaluate and measure results. Thus, the burden of proof is obtained in the most objective manner. Collecting data is essential, but it is based on the right starting points, based on evidence-based practice.

Customization

In the case of device care, you, as a user, will therefore assess together with the therapist whether the device is working properly. This can only be assessed when careful and careful consideration is given to the functioning of the user in own environment. At the same time, the choice of a certain resource solution is overhauled each time and tested for changes. These can take place in the environment of the user, the way he is active or in the circumstances of that user. Think of the occurrence of a complication of disease / disorder, or after other medication is prescribed.

Standardization of selection process

Tool care is tailor-made and that is not for nothing. And yes, it is also partly subjective. Every person is different and functions differently. We should never forget that in tool care. The question that every user and practitioner asks himself when evaluating whether a tool works: Can I hear / see / feel / walk / work / laugh / sleep / sit / lie and so on, using something that I do without or otherwise solution (less or) not good? That experience, that experience can be very different for one user than for another user with the same solution. The healthcare professional and the patient together are really the experts to determine whether a tool actually delivers what was expected. And yes, gathering of evidence, data is needed. But you must never exclude the objective therapist / prescriber who, together with the user, look specifically at the specific resource solution. Standardization based on the burden of proof with the large numbers therefore does not work with device care.

Evidence based medicine or evidence-based practice

So you assess aids in a different way than medicines. We know that medicines can only be prescribed and used in patients if they are proven safe and do what they promise based on results in large numbers of patients. Appraisal of tools requires a different approach to evidence what it does (and delivers) than a drug. Nevertheless, there is an increasingly louder call to also assess medical devices in the same way as medicines. A complete utopia and lacks all the functions and functions of medical devices.

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Created on May 20th 2019 02:40. Viewed 577 times.

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