Commentary

Evidence-Based Practice in School-Based Consultation Research

Authored by: Amanda M. VanDerHeyden

Handbook of Research in School Consultation

Print publication date:  April  2014
Online publication date:  April  2014

Print ISBN: 9780415501200
eBook ISBN: 9780203133170
Adobe ISBN: 9781136478444

10.4324/9780203133170.ch6

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Abstract

In the last century, U.S. health care has been revolutionized with rapid emergence of medical treatments, many of which have been highly effective at decreasing mortality and morbidity. Evidence-based practice began in medicine (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996) in this context of rapidly emerging treatments. In medicine, evidence-based practice recognizes that some treatments are more effective than other treatments and that all treatments have costs associated with their use. Proponents of evidence-based practice in medicine argued that physicians should recommend treatments based on their measured effects and costs, and this idea resonated with consumers who wanted to reliably derive benefit and avoid side effects from their chosen treatments. Effects could be measured in reduced risk of continued or worsening symptoms. Costs could be measured tangibly (e.g., cost of medicine or treatment) and intangibly (e.g., delays to symptom resolution, painful or uncomfortable side effects). Thus, advocates of evidence-based practice emphasize the outcomes of efficacy and efficiency and assert that both outcomes are measurable and should be integrated into clinical decision making.

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