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2. Opening of the Austrian Cochrane Branch - Marcus Muellner

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Professor Marcus Müllner of the Austrian Agency for Health and Food Safety (AGES) presents "Does evidence-based decision making exist?" at the opening of the Austrian Cochrane Branch on December 14th, 2010 in Krems.

Publicada em: Saúde e medicina
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2. Opening of the Austrian Cochrane Branch - Marcus Muellner

  1. 1. Does Evidence Based Decision Making exist? Examples from Austria and the EU Marcus Müllner Austrian Medicines & Medical Devices Agency (AGES PharmMed )
  2. 2. Is Evidence Based Decision Making possible? <ul><li>Are we wired to work with evidence? </li></ul>Yes, but … no, but … yes, but … no, but …
  3. 3. Is Evidence Based Decision Making possible? <ul><li>Do we have enough evidence? </li></ul>Can we ever have enough valid evidence?
  4. 4. Is Evidence Based Decision Making possible? <ul><li>Do we have enough evidence? </li></ul>Can we ever have enough valid evidence? <ul><li>Efficacy of homoeopathics? </li></ul><ul><li>Efficacy & effectiveness of generics </li></ul><ul><li>Safety of vaccinations … </li></ul>
  5. 5. Two stories (1a) USA 75% 30% in 2009 70% in 2010
  6. 6. Two stories (1b) <ul><li>Efficacy & effectiveness of generics </li></ul>„ Der unkontrollierte Einsatz von Generika … würde … ein nicht einschätzbares Risiko … bedeuten!
  7. 7. Two stories (1c) <ul><li>Efficacy & effectiveness of generics </li></ul>CMAJ 2005 Kesselheim JAMA 2008
  8. 8. Two stories (2) <ul><li>Efficacy of hyaluronic acid for osteoarthrosis </li></ul>CMAJ 2005
  9. 9. Is Evidence Based Decision Making possible? Theoretically yes
  10. 10. What do we need for (more) Evidence Based Decision Making? <ul><li>A typical example for public health … </li></ul><ul><li>Ensure availability of vaccinations </li></ul><ul><li>or </li></ul><ul><li>(b) no action? </li></ul>
  11. 11. What do we need for (more) Evidence Based Decision Making? <ul><li>We need … </li></ul><ul><li>The best evidence available </li></ul><ul><li>Those who know where to find and how to interprete it </li></ul><ul><li>Bridges and (transparent) leaps of faith to deal with uncertainty </li></ul><ul><li>Good and proactive communication </li></ul>
  12. 12. What do we need for (more) Evidence Based Decision Making? <ul><li>We need … </li></ul><ul><li>The best evidence available </li></ul><ul><li>Those who know where to find and how to interprete it </li></ul><ul><li>Bridges and (transparent) leaps of faith </li></ul><ul><li>Good and proactive communication </li></ul>
  13. 13. What do we need for (more) Evidence Based Decision Making? On bridges, (transparent) leaps of faith and good communication http://www.alpbach.org/fileadmin/user_upload/PDFs/Weitere_Veranstaltungen/Medizin_und_Ethik_2010/GIGERENZER_GERD.pdf
  14. 14. What do we need for (more) Evidence Based Decision Making? <ul><li>We need … </li></ul><ul><li>The best evidence available </li></ul><ul><li>Those who know where to find and how to interprete it </li></ul><ul><li>Bridges and (transparent) leaps of faith to deal with uncertainty </li></ul><ul><li>Good and proactive communication </li></ul>

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