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The government implemented rollout of ART, initiated in 2004, has endorsed the World Health Organization's (WHO) simplified approach with the provision of standardised first and second line regimens provided along standardised clinical practice guidelines.
We therefore propose to determine which treatment is most cost-effective, thus facilitating a cost-effective and standardised clinical practice in The Netherlands.
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The enthusiasm for standardised measures in clinical practice, consistency among professionals in therapeutic interventions, and gold standards of clinical science reflect a medical logic that prefers abstracted measure over individualised history and pathology.
Interest is increasing in the application of standardised outcome measures in clinical practice.
This paper explores the challenges faced by multidisciplinary teams in allocating scores on standardised outcome measures in clinical practice.
For example, the Quality Outcomes Framework linked payments for primary care to indices derived from the electronic medical record, 83 and in doing so both standardised codes and altered clinical practice in the UK.
Thus, revisions and adjustments to the scores and negotiations about meaning are integral to the process of using and interpreting standardised outcome measures in clinical practice, rather than merely sources of error.
In summary, the application of a sextant method, assessing only wear defects on the coronal smooth surfaces, and estimating severity by the diameter and depth (regardless of dentine involvement) of wear, may be considered for the development of a simple and standardised index acceptable for clinical practice and epidemiological studies.
Thus, our findings suggest that the application of standardised outcome measures in clinical practice may depart in important ways from the ways in which they are applied in the relatively controlled studies in which the psychometric properties of the measure are established and in which the measure is then used to evaluate the effectiveness of treatments in research studies.
This study adopts Colquhoun and colleagues' [ 7] recent definition of routine outcome measurement as: "the systematic use of a standardised outcome measure(s) in clinical practice with every patient as a part of a standardised assessment practice guideline" (p.49).
Furthermore, response evaluation with high individual precision may facilitate individualised therapy rather than standardised treatment regimen in daily clinical practice.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com