An Introduction to Evidence-Based Management of Health Care

  • Thomas T. H. Wan


In recent years there has been an explosion of evidence-based medicine/practice. It has been the direct result of several factors: the aging of the population, the increase in patient expectations and professional expectations, the proliferation of new information technologies, and the growth of disease management modeling. Massive amounts of clinical and administrative data have been gathered and have been managed in relational databases to generate information for improving health care processes and outcomes. That information is a systematic repertory of knowledge, used often by providers, administrators, patients, and others (see Figure 1). Used properly and consistently, such evidence-based knowledge, will give users a competitive edge in the health care marketplace.


Knowledge Management Tacit Knowledge Data Warehouse Health Care Management Implicit Knowledge 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Berry, M.J.A. (1999). Mastering Data Mining: Art and Science of Customer Relationship Management. N.Y.: John Wiley and Sons.Google Scholar
  2. Breshnahan, J. (June 15, 1997). A delicate operation. CIO Magazine.Google Scholar
  3. Brockman E., Simmonds, P. (1997). Strategic decision making: the influence of CEO experience and use of tacit knowledge. Journal of Managerial Issues 9 (4): 454–468.Google Scholar
  4. Cranford, S. (May, 1998). Knowledge through data mining. DM Review.Google Scholar
  5. Ellrodt, G., Cook, D., Lee, J., Cho, M., Hunt, D., Weingarten, S. (1997). Evidence-based disease management. Journal of American Medical Association 278:1687–1692.CrossRefGoogle Scholar
  6. Gray, J.A.M. (1997). Evidence-Based Health Care: How to Make Health Policy and Management Decisions. London, Churchill Livingstone.Google Scholar
  7. Kimball, R. (1998). The Data Warehouse Lifecycle Toolkit: Expert Methods for Designing, Developing and Deploying Data Warehouses. N.Y.: John Wiley and Sons.Google Scholar
  8. Kerkri, E.M., Quantin, C, Allaert, F.A., Cottin, Y., Charve, Ph., Jouanot, F., Yétongnon, (2001). An approach for integrating heterogeneous information sources in a medical data warehouse. Journal of Medical Systems 25(3): 167–176.CrossRefGoogle Scholar
  9. Libowitz, J. (1999). Building Organizational Intelligence: A Knowledge Management Primer. N.Y.:CRC Press.Google Scholar
  10. Malhotra, Y. (1994). On Science, Scientific Method and Evolution of Scientific Thought: A Philosophy of Science Perspective of Quasi-Experimentation [WWW document]. URL:’science.htmGoogle Scholar
  11. Malhotra, Y. (1998). Knowledge Management, Knowledge Organizations & Knowledge Workers: A View from the Front Lines [WWW document]. URL:
  12. Sackett, D.L., Rosenberg, W.M., Gray, J.A., Hanes, R.B., Richardson, W.S. (1996). Evidence-based medicine: What it is and what it isn’t. British Medical Journal 312:71–72.CrossRefGoogle Scholar
  13. Shortell, S.M., Zazzali, J.L., Burns, L.B., Alexander, J.A., Gillies, R.R., Budetti, P.P., Waters, T.M., Zuckerman, H.S. (2001). Implementing evidence-based medicine: the role of market pressures, compensation incentives, and culture in physician organizations. Medical Care 39(7): 162–178.Google Scholar
  14. Stern, L., Bell, L., McEachern, C. (1998). Data warehousing in the health care industry—three perspectives. DM Review. March.Google Scholar
  15. Thomsen, E. (1999). Microsoft OLAP Solutions. New York: John Wiley and Sons. A Definition of Data Warehousing [WWW document] URL: Google Scholar
  16. Getting Started with Data Warehousing [WWW document] URL:
  17. Putting Metadata to Work in the Warehouse [WWW document] URL:
  18. The Case for Data Warehousing [WWW document] URL:

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • Thomas T. H. Wan
    • 1
  1. 1.Virginia Commonwealth UniversityUSA

Personalised recommendations