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In theory, these EBP guidelines provide a foundation for informed clinical decision-making by creating access to treatment protocols based on the compilation and analysis of relevant scientific research. ...
Utilization management and review, according to a study participant, requires making hard choices that are not reducible to technical issues as spelled out in an EBP guideline manual, so utilization managers frequently end up deciding for themselves what is "relevant" and what clinical information should and should not be considered. ...
Implications for the field
The results of this study call into question the value of third-party utilization management to actually strengthen EBP, which should be the explicit and judicious use of current best evidence when making clinical decisions about a clients behavioral healthcare.
The promotion of EBP should contribute to less subjectivity and politics in clinical decision-making, not more.
Approximate Word count = 1331
Approximate Pages = 5.3
(250 words per page double spaced)
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