Tele-Care (TC) For Comparative Individual Patient Effectiveness Research (CIPER) In Dentistry
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 3
Abstract
In the context of translational healthcare, the construct of Evidence-Based Dentistry (EBD) consists of two fundamental and intertwined domains. From the viewpoint of research, EBD is driven by the paradigm of comparative effectiveness research, which seeks to uncover the consensus of the best available evidence. From the perspective of dental practice, EBD strives to provide patient-centered, effectiveness-focused and evidence-based treatment intervention. Patient-centered care implies that the best evidence base that serves as the basis of effectivenessfocused intervention must be derived from a process of comparative individual patient effectiveness research (CIPER). Patient-centered care also implies that novel tele-health communication technologies (Tele-Care, TC) must be developed and standardized across dental specialties to distribute the best evidence base to clinicians, patients, caregivers and other stakeholders in real-time. In brief, the next decade will witness significant progress in perfecting EBD by improving TC modalities of distribution of the consensus of the best evidence base obtained through stringent CIPER protocols.We have discussed in depth elsewhere [1] translational research, defined by the National Institutes of Health as the characterization of the patient’s pathology based on biological research of the biopsies obtained from the patient and processed in the laboratory, and the integration of this new knowledge in the clinical decision-making process for treatment. We also discussed the concept of translational effectiveness, defined by the Agency for Healthcare Research and Quality as the performance of comparative effectiveness research designed to elucidate the quantitative and the qualitative consensus of the best evidence base for delivering patient-centered, effectiveness-focused and evidence-based treatment [1]. It is self-evident that translational research and translational effectiveness are two sides of the same coin, that is translational healthcare, which will be, beyond doubt, the choice model of care in the next decade and beyond, across the various division of health care, from dentistry, medicine, epidemiology, clinical psychology, nursing, pharmacy and related allied fields.The domain of translational effectiveness is in and of itself a complex domain, a meta-construct that requires attentive and stringent validation. At its center lays the systematic process by which the consensus of the best evidence base is obtained. That step corresponds to the process of comparative effectiveness research, which we examined in depth elsewhere [2-4], and that proceeds from the research synthesis design, the assessment of the level and the quality of the evidence, the analysis of acceptable sampling, and qualitative and quantitative (i.e., meta-analysis) consensus of the best evidence [1-5].
Authors and Affiliations
Chiappelli Francesco
Keywords
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- EP ID EP569614
- DOI 10.26717/BJSTR.2017.01.000260
- Views 178
- Downloads 0
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