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In 1997, the health authorities in the NT developed an integrated life course strategy to address chronic disease (the Preventable Chronic Disease Strategy), with a focus on maternal and child health, underlying determinants of health, lifestyle modification, and improved evidence based clinical practice for prevention, early detection and management of chronic disease[ 12].
Though one participant commented that "information is not used for improved evidence based policy making or improving the management functions" (P6), several described positive examples of organisations working closely with county health departments (CHDs) to look at data trends and plan services accordingly.
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Major areas of impact that were identified included continuity of care, improving evidence based practice care, reducing hospital length of stay, preventing hospital readmissions and promoting patient, family and staff satisfaction.
Another [ 40] intervention sought to improve evidence based practice for women during labour by implementing workshops for obstetric practices for staff.
Adherence to guideline recommendations for adult depression is generally low in primary care e.g. [ 23- 25] even when interventions aiming to improve evidence based care are implemented e.g. [ 26- 28].
Further, qualitative investigation into the attitudes and beliefs of GPs and patients regarding the management of gout as well as awareness and experiences of implementing current guidelines would provide additional information that may highlight barriers to improving evidence based practice.
An improved evidence base on rates and nature of complications in the subacute period after injury is needed for development of international standards.
Finally, allergen immunotherapy has a poor but improving evidence base (notably on sublingual tablets) and its benefits last after treatment ends.
Results showed that the DDM strategy improved evidence-based public health.
It is anticipated that, if proven cost-effective, AIMS can contribute to improved evidence-based counselling guidelines for HIV-nurses and other health care professionals.
Greater knowledge concerning the CV effects of our glucose-lowering therapies is essential for improved evidence-based management of patients with T2DM.
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