Clinical Data-Mining: Integrating Practice and Research by Irwin Epstein

By Irwin Epstein

Medical Data-Mining (CDM) includes the conceptualization, extraction, research, and interpretation of accessible medical facts for perform knowledge-building, medical decision-making and practitioner mirrored image. based upon the kind of information mined, CDM might be qualitative or quantitative; it truly is quite often retrospective, yet will be meaningfully mixed with unique info assortment. Any learn approach that depends on the contents of case files or info structures facts necessarily has obstacles, yet with right safeguards those could be minimized. between CDM's strengths despite the fact that, are that it truly is unobtrusive, reasonably cheap, offers little chance to analyze matters, and is ethically suitable with practitioner price commitments. whilst performed via practitioners, CDM yields conceptual in addition to data-driven perception into their very own perform- and program-generated questions. This pocket advisor, from a professional practice-based researcher, covers all of the fundamentals of undertaking practitioner-initiated CDM stories or CDM doctoral dissertations, drawing broadly on released CDM reports and accomplished CDM dissertations from a number of social paintings settings within the usa, Australia, Israel, Hong Kong and the uk. additionally, it describes consulting rules for researchers drawn to forging collaborative university-agency CDM partnerships, making it a pragmatic device for beginner practitioner-researchers and veteran academic-researchers alike. As such, this publication is an outstanding consultant either for execs undertaking practice-based examine in addition to for social paintings school looking an evidence-informed method of practice-research integration.

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These rigid applications are denied by EBP activists and are never written about. But they certainly are resentfully talked about by practitioners at my Practice-based Research (PBR) and Clinical Data-Mining (CDM) workshops. None of the foregoing EBP versions involves envisioning practitioners as potential contributors to practice knowledge development. More commonly, practitioners are portrayed as stubborn and malevolent obstacles to research-based practice (Epstein, 2009; Rubin, 2006). The future of EBP in social work is yet to be determined.

So, long before I began using the term or conducting CDM studies, market researchers, pharmaceutical houses, banks, and credit-card companies were already employing extremely sophisticated and occasionally surreptitious techniques of data-acquisition, storage, and analysis for making empirically-based decisions about product-placement in supermarkets, for pushing drugs to doctors based on their “prescription profi les,” and for identifying characteristics of high-risk mortgage applicants and credit-card holders.

Every new research text begins with a similar litany. 26 Terminology and Defining Concepts Notwithstanding these justifications, social work students and practitioners alike have been notoriously and historically labeled as unenthusiastic and unresponsive to the academic muezzin’s call to the ivory tower of research. This probably explains why one of my most persistently cited articles is entitled “Pedagogy of the perturbed: Teaching research to the reluctants” (Epstein, 1987). That article begins as follows: No other part of the social work curriculum has been so consistently received by students with as much groaning, moaning, eye-rolling, bad-mouthing, hyperventilation and waiver-strategizing as the research courses.

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