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Aravinthan Coomarasamy Harry Gee Mary Publicover Khalid S. Khan 《Health information and libraries journal》2001,18(4):183-191
Clinical medical journals have not been effective in meeting the information needs of practitioners and bridging the gap between clinical research and practice. The slow adoption of results of clinical research is at least partly due to the failure of clinical journals to disseminate information in a way that would motivate practitioners to change practice. Although implementation is primarily a local process, medical journals are in a unique position to advance implementation by modifying their focus and adjusting their contents. Strategies that may be useful include publication of pre‐appraised evidence summaries and ‘clinical bottom‐lines’ and giving importance to systematic reviews and large evaluative research articles as they represent higher levels of evidence and have greater potential to change practice. Clinical journals should encourage researchers to consider how and by whom the findings will be used and provide information on implications for implementation such as possible strategies that may work, cost‐effectiveness, side‐effects and potential barriers to implementation. Medical journal publishers should explore ways to cooperate so that findings of landmark clinical trials could be shared thus reducing the ‘scatter’ of medical information. Electronic media offers numerous advantages such as quick accessibility and linking of information, and medical journals should capitalize on such innovations. There is a paradigm shift in health care practice as evidence is consciously and explicitly incorporated into individual patient care. Medical journals need to change to reflect this change in practice and provide practitioners with valid and relevant information. 相似文献
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This article reports on a study in progress which is exploring the potential for teaching Key Stage 2 pupils about the grammar and vocabulary of English with materials based on an electronically stored corpus of texts and associated software. It includes examples of the teaching activities used and extracts of discussions between the researcher and two groups of pupils. It illustrates children beginning to explore the distinction between ‘open’ and ‘closed’ classes of words. 相似文献
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Valuing the Arts: A Contingent Valuation Approach 总被引:5,自引:3,他引:2
Eric Thompson Mark Berger Glenn Blomquist Steven Allen 《Journal of Cultural Economics》2002,26(2):87-113
Government funding of the arts has received considerable attention in the United States in recent years. Efforts to cut funding to the National Endowment for the Arts and declining budgets for state arts agencies have raised questions about how much individuals value the arts. This paper applies the contingent valuation method to assess this value, using surveys of random households and of arts patrons. Our analysis estimated a mean willingness to pay (WTP) among all Kentucky households from $6 to$27, depending on the estimation technique used and on whether the scenario discussed is to increase arts performances by 25 per cent, or to avoid a 25per cent or 50 per cent decrease in the number of performances. Among arts patron households, the mean WTP ranges from $61 to $132.Consumer demand for arts performances in large part follows a predictable pattern. The likelihood of respondents agreeing to make the donation that is requested rises as the size of the donation decreases. The likelihood is higher to avoid a 50 per cent decline in performances than to avoid a 25 percent decline in performances. The mean WTP rises with income, and arts patron households have a much higher WTP than all households. WTP rises with on-site use factors such as frequency of attendance. The WTP also rises for arts patrons households with off-site use such as watching arts events on television or reading about the arts in newspapers and magazines. 相似文献
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Military officials continually search for improvements in processes that focus on high‐performance outcomes. This qualitative study investigated process improvements of two departments within the Naval Diving and Salvage Training Center (the Security Department and the Testing Department) by assessing performance levels of the two departments using a combinatorial model from human performance theory and Six Sigma theory. Study findings produced strong empirical evidence with specific recommendations for initiating cost‐effective interventions for improvements. The Behavior Engineering Model was used to identify possible solutions to post‐training performance gaps identified during the evaluation. 相似文献
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