課程名稱 |
實證物理治療與臨床決策 Evidence-based and clinical decision making for physical therapy practice |
開課學期 |
105-1 |
授課對象 |
醫學院 物理治療學研究所 |
授課教師 |
王淑芬 |
課號 |
PT8044 |
課程識別碼 |
428 D0460 |
班次 |
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學分 |
2 |
全/半年 |
半年 |
必/選修 |
必修 |
上課時間 |
星期三8,9(15:30~17:20) |
上課地點 |
討論室二 |
備註 |
本課程中文授課,使用英文教科書。合授教師:張新儀。
與廖華芳、曹昭懿、湯佩芳、楊銘欽合開 限碩士班以上 總人數上限:5人 |
Ceiba 課程網頁 |
http://ceiba.ntu.edu.tw/1051PT8044_ebpt |
課程簡介影片 |
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核心能力關聯 |
核心能力與課程規劃關聯圖 |
課程大綱
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課程概述 |
In order to ensure quality patient care, physical therapy service should be based on clinically relevant scientific evidences. The purpose of this course is to equip students with the ability to practice with the best available evidence.
This course is given to help students understand the methods for quantitative synthesis in medicine, including system review, meta-analysis, decision analysis and cost-effective analysis.
Patient-centered Evidence Based Practice model with emphasis on
1 Acquiring, appraising and integrating research evidence
2 Understand evidence levels including system review and/or meta-analysis
3 Advanced critical analysis and application of research of evidence;
4 Understanding the methods for quantitative synthesis in medicine, including decision analysis and cost-effective analysis
5 Analysis of cost and the integration of physical therapist practice into the national health care system; administration, budgeting and reimbursement for physical therapist services.
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課程目標 |
At the end of this semester, the students should be able to
1 Understand the scope and define the evidence-based physical therapy in health care system.(跨領域團隊合作Interdisciplinary collaboration and leadership與領導與國際觀Global vision)
2 Execute steps necessary to provide physical therapy service with bestevidences, including forming the questions, searching for evidences, conducting meta-analysis for systematic reviews, evaluate the evidence, etc.(創新與研究Innovation and invention)
3 Exercise evidence-based physical therapy from the aspects of diagnosis,outcome, therapy and harm.(專業與教學能力Professional and teaching skill,創新與研究Innovation and invention)
4 Understand the role of decision analysis and cost-effective analysis in medical(physical therapy) practice.(跨領域團隊合作與領導Interdisciplinary collaboration and leadership)
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課程要求 |
1 Participation in class 20%(跨領域團隊合作與領導與人文關懷與服務倫理)
2 Report a literature on meta-analysis or cost-effective analysis (with power point file) 30%(專業與教學能力,創新與研究)
3 Final paper (meta-analysis or cost-effective analysis) 50%(跨領域團隊合作與領導與國際觀)
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預期每週課後學習時數 |
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Office Hours |
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指定閱讀 |
1 Herbert R. Jamtvedt, G. Hagen KB, Mead J. Practical Evidence-Based Physiotherapy. 2nd ed., Churchill Livingstone, Edinburg, 2011 |
參考書目 |
2 Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-Based Medicine: How to Practice and Teach EBM, 2nd ed. Edinburgh: Churchill Livingstone, 2005. (mandatory)
3 Hammell KW, Carpenter C. Qualitative Research in Evidence-Based Rehabilitation. Edinburgh: Churchill Livingstone, 2004.
4 Petitti DB. Meta-Analysis, Decision Analysis, and Cost-Effectiveness Analysis, 2nd ed. New York: Oxford University, 2000.
5 醫圖實證醫學網路資源含pubmed Endnote線上教學
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評量方式 (僅供參考) |
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週次 |
日期 |
單元主題 |
第1週 |
9/14 |
An introduction of meta-analysis, decision analysis & cost-effective analysis (a map of this course)
健保資料庫可以告訴我們什麼訊息?
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第2週 |
9/21 |
What is Evidence-based healthcare? |
第3週 |
9/28 |
Answerable clinical questions, strategies of online search, 2 Book reading ref |
第4週 |
10/05 |
Critical appraisal of therapy effect |
第5週 |
10/12 |
Critical appraisal of diagnosis and screening Critical appraisal of prognosis and outcome |
第6週 |
10/19 |
Current evidences and clinical guidelines physical therapy |
第7週 |
10/26 |
Meta-analysis, statistical tool |
第8週 |
11/02 |
Using qualitative evidence as a basis for evidence-based practice |
第9週 |
11/09 |
Meta-analysis article appraisal |
第10週 |
11/16 |
Mid-term report |
第11週 |
11/23 |
Cost effective analysis |
第12週 |
11/30 |
Decision analysis: probability & preference |
第13週 |
12/07 |
Cost estimation |
第14週 |
12/14 |
Cost-effective article journal report |
第15週 |
12/21 |
ICF model and client management model |
第16週 |
12/28 |
Oral report I |
第17週 |
1/04 |
Oral report II |
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