October 26, 1994

Clinical Effectiveness in Allied Health Practices

Author Affiliations

Medical Education Group American Medical Association Chicago, Ill


compiled by Judith T. Barr (Critical Literature Review), 179 pp, paper, gratis, AHCPR Publication 94-0029, Rockville, Md, US Dept of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1993.

JAMA. 1994;272(16):1300. doi:10.1001/jama.1994.03520160092050

Although health system reform efforts have increased recognition of the important role of allied health care providers in organizing, financing, and delivering services in varied treatment settings, health services research has focused primarily on physicians, nurses, and, very recently, physician assistants. Lack of a comprehensive overview of the literature on the effectiveness of treatment provided by allied health professionals has impeded setting research priorities, undertaking effectiveness studies, and developing clinical practice guidelines. Clinical Effectiveness in Allied Health Practices is the first annotated bibliography of clinical effectiveness articles across multiple professions, and, although limited to physical therapy, respiratory care, and dietetics, it establishes a methodology that could be used to examine other allied health professions.

The author has summarized critical analyses and evaluations of 328 articles prepared by a multidisciplinary team using 22 internal and external validity criteria. The reviewers targeted articles related to health services research, clinical effectiveness of the

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