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Clinical reasoning and population health : decision making for an emerging paradigm of health care

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dc.contributor.authorEdwards, I.C.
dc.contributor.authorRichardson, B.
dc.date.issued2008
dc.description.abstractChronic conditions now provide the major disease and disability burden facing humanity. This development has necessitated a reorientation in the practice skills of health care professions away from hospital-based inpatient and outpatient care toward community-based management of patients with chronic conditions. Part of this reorientation toward community-based management of chronic conditions involves practitioners understanding and adoption of a concept of population health management based on appropriate theoretical models of health care. Drawing on recent studies of expertise in physiotherapy, this article proposes a clinical reasoning and decision-making framework to meet these challenges. The challenge of population and community-based management of chronic conditions also provides an opportunity for physiotherapists to further clarify a professional epistemology of practice that embraces the kinds of knowledge and clinical reasoning processes used in physiotherapy practice. Three case studies related to the management of chronic musculoskeletal pain in different populations are used to exemplify the range of epistemological perspectives that underpin community-based practice. They illustrate the link between conceptualizations of practice problems and knowledge sources that are used as a basis for clinical reasoning and decision making as practitioners are increasingly required to move between the clinic and the community.
dc.identifier.citationPhysiotherapy Theory and Practice, 2008; 24(3):183-193
dc.identifier.doi10.1080/09593980701593797
dc.identifier.issn0959-3985
dc.identifier.issn1532-5040
dc.identifier.urihttps://hdl.handle.net/1959.8/65285
dc.language.isoen
dc.publisherTaylor & Francis
dc.rightsCopyright 2008 Informa Healthcare
dc.source.urihttps://doi.org/10.1080/09593980701593797
dc.subjectdisability
dc.subjectpopulation health
dc.subjectphysiotherapy practice
dc.subjectclinical reasoning
dc.titleClinical reasoning and population health : decision making for an emerging paradigm of health care
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12142964980001831 13142963760001831 9915914141001831_53109905420001831.pdf
ror.mmsid9915914141001831

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