Contributors vii
Preface to the second edition ix
1 Evidence-based practice in primary care: an introduction 1
Chris Silagy and David Weller
PART 1 – EVIDENCE-BASED HEALTH CARE AND THE
INDIVIDUAL PATIENT
2 Getting started: how to set priorities and define questions 15
Paramjit Gill and Margaret Lloyd
3 Tracking down the evidence 23
Chris Del Mar
4 Critical appraisal 38
Tim Lancaster and Michael Weingarten
5 Applying the evidence with patients 49
Trisha Greenhalgh and Gavin Young
6 Screening and diagnostic tests 67
J André Knottnerus and Ron A G Winkens
7 How to assess the effectiveness of applying the evidence 83
Richard Baker and Richard Grol
PART 2 – STRATEGIES TO DEVELOP A CULTURE OF
EVIDENCE-BASED HEALTH CARE IN PRIMARY CARE
8 An overview of strategies to promote implementation
of evidence-based health care 101
Andrew D Oxman and Signe Flottorp
v
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9 Identifying and using evidence-based guidelines
in general practice 120
Jeremy Grimshaw and Martin Eccles
10 Role of information technology 135
Michael Kidd and Ian Purves
11 Continuing medical education as a means of lifelong learning 142
Dave Davis and Mary Ann O’Brien
12 Integrating research evidence into practice 157
Andrew Haines and Stephen Rogers
Appendix 1 Using MEDLINE to search for evidence
(Ovid software): some background information
and sample searches 175
Barbara Cumbers and Reinhard Wentz
Appendix 2 Some further sources of information and resources that
facilitate evidence-based practice 190
Index 197
