Mark J. Dobrow

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Evidence-based decision-making is centred on the justification of decisions. In the shift from an individual-clinical to a population-policy level, the decision-making context becomes more uncertain, variable and complex. To address this we have developed a conceptual framework for evidence-based decision-making, focusing on how context impacts on what(More)
Should the same evidence lead to the same decision outcomes in different decision-making contexts? In order to improve comprehension of this issue, this study considers how context influences evidence utilization in the development of health policy recommendations. We used an embedded multiple case study design to study how four expert groups formulated(More)
The multidisciplinary cancer conference (MCC) provides an outlet for contributors in cancer care collectively to evaluate diagnosis and treatment options and to provide optimal patient care. The prevalence and perceived benefits of MCCs in Canada have not previously been described. Between February and March 2007, the Cancer Services Integration Survey,(More)
BACKGROUND Multimodal cancer care requires collaboration among different professionals in various settings. Practice guidelines provide little direction on how this can best be achieved. Research shows that collaborative cancer management is limited, and challenged by numerous issues. The purpose of this research was to describe conceptual models of(More)
OBJECTIVE To review published frameworks that included criteria for the assessment of external validity, applicability and transferability in their assessment of health research. METHODS Five databases were searched for articles relating to the assessment of external validity or applicability and transferability in health research. A coding framework was(More)
BACKGROUND In research, diagrams are most commonly used in the analysis of data and visual presentation of results. However there has been a substantial growth in the use of diagrams in earlier stages of the research process to collect data. Despite this growth, guidance on this technique is often isolated within disciplines. METHODS A multidisciplinary(More)
Colorectal cancer is a significant health burden. Several screening options exist that can detect colorectal cancer at an early stage, leading to a more favourable prognosis. However, despite years of knowledge on best practice, screening rates are still very low in Canada, particularly in Ontario. The present paper reports on efforts to increase the(More)
INTRODUCTION Jurisdictions are increasingly focusing on appropriate use of healthcare services and interventions as a means to improve health system performance. Our objectives were to conduct a scoping review to (a) map Canadian research and related activity on system-level appropriateness of care and (b) create a resource database that could be used to(More)
BACKGROUND This paper assesses interviewee transcript review (ITR) as a technique for improving the rigour of interview-based, qualitative research. ITR is a process whereby interviewees are provided with verbatim transcripts of their interviews for the purposes of verifying accuracy, correcting errors or inaccuracies and providing clarifications. ITR, in(More)