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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

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Published on: April 14, 2016

A multi-dimensional model of clinical utility.

¹Bath Spa University, Sociology, Bath, UK. a.smart@bathspa.ac.uk

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care

|September 5, 2006

Summary

Clinical utility in healthcare needs a clearer definition beyond just clinical effectiveness. This study proposes a multi-dimensional model including appropriateness, accessibility, practicability, and acceptability for a comprehensive view.

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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Health Services Research
Clinical Decision Making
Healthcare Management

Background:

The concept of clinical utility is frequently used in healthcare.
However, a universally agreed-upon formal definition or conceptualization is lacking.
Current usage often equates clinical utility with clinical effectiveness or economic evaluations.

Purpose of the Study:

To critically examine the current understanding and application of clinical utility.
To argue for a broader conceptualization that incorporates practical aspects of healthcare delivery.
To propose a new multi-dimensional model for assessing clinical utility.

Main Methods:

Conceptual analysis of the term 'clinical utility'.
Review of existing literature on clinical effectiveness and economic evaluations.
Development of a multi-dimensional model based on practitioners' judgments.

Main Results:

The term 'clinical utility' is often used narrowly, as a synonym for clinical effectiveness and economic evaluations.
A broader definition is needed to encompass factors relevant to everyday clinical practice.
A four-factor model of clinical utility is proposed: appropriateness, accessibility, practicability, and acceptability.

Conclusions:

The current definition of clinical utility is insufficient for capturing its full meaning in healthcare.
A comprehensive model of clinical utility must include practical considerations beyond efficacy and cost.
The proposed multi-dimensional model offers a framework for a more robust understanding and application of clinical utility in practice.