Notice bibliographique
Résumé
A number of themes have run through A number of themes have run through health policy initiatives of the two Labour health policy initiatives of the two Labour Governments of the past 5 years: moder-Governments of the past 5 years: modernisation; stigma; inequalities and social nisation; stigma; inequalities and social exclusion; partnerships; involvement of exclusion; partnerships; involvement of users and carers.But perhaps the most users and carers.But perhaps the most important from the point of view of mental important from the point of view of mental health professionals is the initiative to alter health professionals is the initiative to alter the culture within which health care is the culture within which health care is offered from one based on expert knowl-offered from one based on expert knowledge and authority to one founded on the edge and authority to one founded on the principle of evidence-based practice.principle of evidence-based practice.Clinical effectiveness is one of those Clinical effectiveness is one of those self-evidently 'good' things.No one would self-evidently 'good' things.No one would want openly to advocate clinically ineffec-want openly to advocate clinically ineffective treatment approaches (despite the fact tive treatment approaches (despite the fact that in psychiatry relevant data are sparse) that in psychiatry relevant data are sparse) any more than they would wish to argue any more than they would wish to argue against the appropriateness of maternity against the appropriateness of maternity (and paternity) leave.Yet our clinical (and paternity) leave.Yet our clinical decisions are often based more on habit decisions are often based more on habit than on knowledge of what actually works.than on knowledge of what actually works.Clinical governance in the National Clinical governance in the National Health Service (NHS) has charged all Health Service (NHS) has charged all organisations with a statutory duty to seek organisations with a statutory duty to seek quality improvements in the health care quality improvements in the health care that they deliver (Department of Health, that they deliver (Department of Health, 1998 1998b b). There is high-quality research).There is high-quality research evidence to support such an initiative in evidence to support such an initiative in many areas of mental health care.There are many areas of mental health care.There are excellent collections of reviews, guidelines excellent collections of reviews, guidelines and critical appraisals of this evidence, but and critical appraisals of this evidence, but no single comprehensive index covers all no single comprehensive index covers all the relevant information.A relatively recent the relevant information.A relatively recent compilation produced by the School of compilation produced by the School of Health and Related Research (ScHARR) Health and Related Research (ScHARR) (http://www.nettingtheevidence.org.uk)in-(http://www.nettingtheevidence.org.uk)includes a library of relevant articles and a cludes a library of relevant articles and a listing of databases and organisations listing of databases and organisations concerned with evidence-based practice.concerned with evidence-based practice.Turning Research into Practice (TRIP) is a Turning Research into Practice (TRIP) is a resource hosted by the Centre for Research resource hosted by the Centre for Research Support in Wales and it covers a wide range Support in Wales and it covers a wide range of UK and US clinical effectiveness re-of UK and US clinical effectiveness resources and evidence-based guidelines sources and evidence-based guidelines (http://www.tripdatabase.com).It boasts (http://www.tripdatabase.com).It boasts of over 8000 links to resources in 28 differ-of over 8000 links to resources in 28 different centres.A particularly useful source is ent centres.A particularly useful source is Evidence-Based Medicine Reviews Evidence-Based Medicine Reviews (EBMR), which is available via Ovid online (EBMR), which is available via Ovid online (http://www.ovid.com).This is a single, (http://www.ovid.com).This is a single, fully searchable database that integrates fully searchable database that integrates the Cochrane database of systematic re-the Cochrane database of systematic reviews (see below) with Best Evidence views (see below) with Best Evidence (which provides summaries of articles from (which provides summaries of articles from major medical journals along with expert major medical journals along with expert commentaries) and DARE (Database of commentaries) and DARE (Database of Abstracts of Reviews of Effectiveness, a Abstracts of Reviews of Effectiveness, a database of high-quality systematic re-database of high-quality systematic research reviews produced by the NHS search reviews produced by the NHS Centre at the University of York; see Centre at the University of York; see below).Clinical guidelines are summarised below).Clinical guidelines are summarised on another database, at the Centre for on another database, at the Centre for Evidence Based Mental Health (http:// Evidence Based Mental Health (http:// www.cebmh.com).The very richness of www.cebmh.com).The very richness of these sources might discourage some from these sources might discourage some from extended searches.This paper aims to extended searches.This paper aims to provide an impressionistic review of some provide an impressionistic review of some of what there is to read about evidence. of what there is to read about evidence.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,132 | 0,421 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,003 | 0,004 |
| Bibliométrie | 0,008 | 0,008 |
| Études des sciences et des technologies | 0,004 | 0,005 |
| Communication savante | 0,012 | 0,009 |
| Science ouverte | 0,004 | 0,009 |
| Intégrité de la recherche | 0,004 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,077 | 0,007 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».