Books by Subject
Health Services Research
- This book examines the landmark 2010 Patient Protection and Affordable Care Act (ACA) from the perspective that health policy innovation is translational research directed at improving health. It delineates a new perspective about the creation and potential impact of the ACA and guides the development of health policy that is supported by best evidence that, in turn, transforms into practice, policy, and public benefit. Told by those involved in the creation and implementation of the ACA, the book reviews the history and impact of this ground-breaking legislation and recommends priorities, objectives, and next steps for translational research as the ACA is implemented. Featuring contributions from nationally renowned leaders in healthcare policy, this book adds to the public conversation about the ACA and its role in shaping health policy and contributes to a more realistic, nuanced, and productive understanding of this ground-breaking legislation by physicians, policy makers, and the public. It also provides a framework for next steps in continuing to improve U.S. health policy.
- Assessment of population health risks of policies 2014SpringerPublic health continues to evolve as professionals work not only to prevent disease and promote well-being but also to reduce health disparities and protect the environment. To a greater extent, policy is intimately linked to this process, a reality that is gaining traction in the public health sector.
- Benefit-risk assessment of medicines the development and application of a universal framework for decision-making and effective communication 2015SpringerPrologue -- Preface -- Overview -- Approaches to utilising decision-making framework -- Benefit-risk assessment of medicines by pharmaceutical companies and regulatory authorities -- Development of a universal benefit-risk framework and template -- Implementation of the benefit-risk assessment template by mature agencies -- Implementation of the benefit- risk summary template by a maturing agency: A case study -- Communicating benefit-risk decisions by US FDA, EMA, TGA and Health Canada -- Conclusions and future directions -- References.
- Three decades into the epidemic, a great deal is known about HIV and its transmission, more people are living with the disease, and the virus is no longer seen as a death sentence. But new people continue to be infected with HIV each year, making prevention strategies that are medically effective and behaviorally engaging as urgent a priority as ever. Biomedical Advances in HIV Prevention: Social and Behavioral Perspectives assembles the latest improvements, barriers to implementation, and possibilities for--and challenges to--future progress. Innovations such as pre-exposure prophylaxis (antiretroviral regimens for the high-risk uninfected) and treatment as prevention (early use of ART to reduce infectiousness of new patients) are examined, as are current findings on ongoing prevention and treatment concerns. Contributors illuminate the complex realities entailing adherence, pointing out technological, behavioral, and cultural roadblocks as well as opportunities to significantly reduce infection rates.
- This casebook has been developed as a teaching tool for instructors and workshop leaders rather than as a textbook for students or workshop participants. There is no need for participants to have copies of the casebook: facilitators can provide participants with individual case studies and chapter introductions relevant to the research ethics topic being addressed. Individual case studies and chapter introductions relevant to the research ethics topic being addressed can be photocopied from the print version or downloaded from the WHO web site without additional permission from WHO, unless the planned use is in conjunction with commercial purposes.
- 2014 ClinicalKeySect. 1: Computer-based clinical decision support: overview, status, and challenges. Ch. 1. Definition, scope and challenges / Robert A. Greenes -- Ch. 2. A brief history of clinical decision support / Robert A. Greenes -- Ch. 3. Features of computer-based clinical decision support / Robert A. Greenes -- Ch. 4. The role of quality measurement and reporting feedback as a driver for care improvement / Floyd Eisenberg -- Sect. 2: Experience with CDS development and adoption : case studies, national initiatives, and lessons learned. Ch. 5. Regenstrief medical informatics / Paul Biondich, [et al.] -- Ch. 6. Patients, doctors, and information technology : clinical decision support at Brigham and Women's Hospital and Partners HealthCare / Adam Wright and David W. Bates -- Ch. 7. Computer-based approaches to improving healthcare quality and safety at LDS Hospital / R. Scott Evans -- Ch. 8. International dimensions of clinical decision support / Hamish Fraser and Jeremy Wyatt -- Ch. 9. Current state of CDS utilization / Robert A. Greenes -- Sect. 3: Sources of knowledge for clinical decision support. Ch. 10. Human-intensive techniques / Vimla L. Patel and Edward H. Shortliffe -- Ch. 11. Generation of knowledge for clinical decision support / Michael E. Matheny and Lucila Ohno-Machado -- Ch. 12. Modernizing evidence synthesis for evidence-based medicine / Byron C. Wallace, [et al.] -- Ch. 13. Big data and population-based decision support / Michael A. Krall, Adi V. Gundlapalli and Matthew H. Samore -- Ch. 14. Clinical decision support for personalized medicine / Brandon M. Welch, [et al.]. Sect. 4: The technology of clinical decision support. Ch. 15. Decision rules and expressions / Robert A. Jenders -- Ch. 16. Guidelines and workflow models / Mor Peleg and Arturo González-Ferrer -- Ch. 17. Ontologies, vocabularies and data models / Stanley M. Huff, [et al.] -- Ch. 18. Grouped knowledge elements / Margarita Sordo and Aziz A. Boxwala -- Ch. 19. Infobuttons and point of care access to knowledge / Guilherme Del Fiol, Hong Yu and James J. Cimino -- Ch. 20. Formal representations and semantice web technologies / Alan Rector and Davide Sottara -- Ch. 21. The role of standards / Kensaku Kawamoto and Robert A. Greenes -- Sect. 5: Adoption of clinical decision support. Ch. 22. Cognitive considerations for health information technology / Amy Franklin and Jiajie Zhang -- Ch. 23. Organizational and cultural change / Joan S. Ash and Timothy H. Hartzog -- Ch. 24. Managing the investment in clinical decision support / John Glaser and Tonya Hongsermeier -- Ch. 25. A clinical decision support implementation guide : practical considerations / Donald Levick and Jerome Osheroff -- Ch. 26. Legal and regulatory issues related to the use of clinical software in health care delivery / Steven H. Brown and Randolph A. Miller -- Ch. 27. Consumers and clinical decision support / Nananda Col and Rosaly Correa-de-Araujo -- Sect. 6: The journey to widespread use of clinical decision support. Ch. 28. A clinical knowledge management program / Roberto A. Rocha, [et al.] -- Ch. 29. Integration of knowledge resources into applications to enable CDS / Kensaku Kawamoto, Emory Fry and Robert Greenes -- Ch. 30. Looking ahead : the road to broad adoption / Robert A. Greenes.
- Section I. Innovation and process considerations in the role of IS/IT in e-health. -- 1. Improving e-performance management in healthcare using intelligent IT solutions / Fatemeh Hoda Moghimi and Nilmini Wickramasinghe -- 2. An intelligence e-risk detection model to improve decision efficiency in the context of the orthopaedic operating room / Fatemeh Hoda Mogihim, Hossein Zadeh, and Nilmini Wickramasinghe -- 3. Healthcare information systems design : using a strategic improvisation model / Say Yen Teoh and Nilmini Wickramasinghe -- 4. Assimilation of healthcare information systems (HIS) : an analysis and critique / Hidayah Sulaiman and Nilmini Wichramasinghe -- 5. e-health in China : an evaluation / Yu Yun ... [et al.] -- 6. Improving the process of healthcare delivery in an outpatient environment : the case of a urology department / Chris Gonzalez and Nilmini Wickramasinghe -- 7. Adaptations for e-kiosk systems in Germany to develop barrier-free terminals for handicapped persons / Manuel Zwicker, Juergen Seitz, and Nilmini Wichramasinghe -- Section II. Design and organisation designing supportive and collaborative electronic health environments. -- 8. Collaborative approach for sustainable citizen-centered health care / Pirkko Nykänen and Antto Seppäla ̈-- 9. Strategies and solutions in e-health : a literature review / Marco De Marco, Francesca Ricciardi, and Jan vom Brocke -- 10. Online discussion forum as a means of peer support / R. Halonen -- 11. Designing persuasive health behavior change interventions / Tuomas Lehto -- 12. Accessiblility in the web for disabled people / Irene Krebs, Arnim Nethe, and Reetta Raitoharju -- Section III. The importance of people in e-health : lest we forget. -- 13. Knowledge management : often neglected but crucial to ehealth / Juerg P. Bleuer ... [et al.] -- 14. Patient Empowerment : a two way road / Lodewijk Bos -- 15. Citizen empowerment / Amir Hannan -- 16. E-health : focusing on people-centric dimensions / Rajeev K. Bali ... [et al.] -- 17. A model of estimating the direct benefits of implementing electronic data exchange of EMRs and state immunization information systems / Michael L. Popovich and Xiaohui Zhang -- Section IV. Innovation in e-health. -- 18. Business models for electronic healthcare services in Germany / S. Duennebeil, J. Leimeister, and H. Krcmar -- 19. Smart objects in healthcare : impact on clinical logistics / Martin Sedlmayr and Ulli Münch -- 20. Agency theory in e-healthcare and telemedicine : a literature study / Joerg Leukel ... [et al.] -- 21. Cost accounting and decision support for healthcare institutions / L. Waehlert, A. Wagner, and H. Czap -- 22. A comprehensive approach to the IT : clinial practice interface / David Zakim and Mark Dominik Alscher
- Designing clinical research. 4th ed. 2013Ovid"This book provides a practical guide to planning, tabulating, formulating, and implementing clinical research, in an easy-to-use, readable presentation"--Provided by publisher.
- Print Material"When physicians complete their training, they are given a title of "attending" and given full authority to care for patients. Many researchers assume their training process is complete. However, through a sociological ethnographic study of first-year attending at a prestigious pediatric hospital, many unresolved issues emerge: developing a style of doctoring, acquiring an authoritative role, dealing with professional uncertainty, malpractice, balancing work and family life. Understanding the first-year attending's socialization process can help medical educators expand their body of knowledge and improve patient care."
- Employer health benefits 2010 annual survey 2010Kais Fam Found"This annual survey of employers provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and other relevant information. The survey continued to document the prevalence of high-deductible health plans associated with a savings option and included questions on wellness benefits and health risk assessments. The 2010 survey included 3,143 randomly selected public and private firms with three or more employees (2,046 of which responded to the full survey and 1,097 of which responded to an additional question about offering coverage). Researchers at the Kaiser Family Foundation, the National Opinion Research Center at the University of Chicago, and Health Research & Educational Trust designed and analyzed the survey"--Website.
- EQ-5D concepts and methods a developmental history 2005Springer
- Establishing, managing, and protecting your online reputation a social media guide for physicians and medical practicesPrint Material
- Evidence Synthesis: Evolving Methodologies to Optimise Patient Care and Enhance Policy Decisions -- Barriers to Evidence Synthesis -- Systematic Review and Meta-analysis in Clinical Practice -- Diagnostic Tests -- An Introduction to Decision Analysis -- An Introduction to Cost-Effectiveness Analysis -- Evidence Synthesis Using Bayesian Belief Networks -- A Practical Introduction to Meta-analysis -- A Practical Approach to Diagnostic Meta-analysis -- Practical Examples of the Application of Decision Analysis in Healthcare -- A Practical Example of Cost-Effectiveness Analysis -- Exploring Bayesian Belief Networks Using Netica®
- Evidence-based school mental health services affect education, emotion regulation training, and cognitive behavioral therapy 2011SpringerThe challenge of providing mental health services in schools -- Evidence-based tier 1, tier 2, and tier 3 mental health interventions in schools -- Strengthening school-counseling interventions -- Affect education at tiers 1, 2, and 3 -- Importance of emotion regulation training for children and adolescents -- Emotion regulation training at tiers 1, 2, and 3 -- Support for the use of CBT in schools -- Preparing young and/or disabled children to benefit from CBT in school-based settings -- CBT in schools -- Sustainability, current programs, and a look to the future.
- Fundamental Implications for Clinical Practice -- Translational Effectiveness in the Context of Translational Science -- Comparative Effectiveness Analysis and Evidence-Based Decisions -- Methodology I: The Best Available Evidence -- Methodology II: Sampling and Assessment of the Evidence -- Methodology III: Systematic Evaluation of the Statistical Analysis: Data Analysis in Research Synthesis -- Optimizing Clinical Practice-Based Patient-Centered Outcomes Research -- Getting and Understanding Data -- Obtaining Data -- Describing and Analyzing Data -- Translational Effectiveness Analysis -- Optimizing Clinical Outcomes by Individualizing Observations -- Evaluation in Patient-Centered Outcomes Research -- Translational Effectiveness in Practice-Based Patient-Centered Outcomes Research.
- Guide to culturally competent health care. Third edition [3rd ed.] 2014STAT!Ref, Limited to 7 simultaneous usersTranscultural diversity and health care -- The Purnell model for cultural competence -- Barriers to culturally competent health care -- People of African American heritage -- People of American Indian/Alaskan Native heritage -- The Amish -- People of Appalachian heritage -- People of Arab heritage -- People of Chinese heritage -- People of Cuban heritage -- People of European American heritage -- People of Filipino heritage -- People of German heritage -- People of Guatemalan heritage -- People of Haitian heritage -- People of Hindu heritage -- People of Hmong heritage -- People of Iranian heritage -- People of Japanese heritage -- People of Jewish heritage -- People of Korean heritage -- People of Mexican heritage -- People of Polish heritage -- People of Puerto Rican heritage -- People of Russian heritage -- People of Somali heritage -- People of Thai heritage -- People of Turkish heritage -- People of Vietnamese heritage.
- Part I Introduction -- Theorizing, empiricizing and analyzing health care utilization in Germany: An introduction -- Part II Theory -- Re-revisiting the Behavioral Model of Health Care Utilization by Andersen: A review on theoretical advances and perspectives -- Health care utilization within the system of statutory sickness funds in Germany -- Part III Methodology -- The problem of repeated surveys: How comparable are their results regarding utilization of medical services? -- Health care utilization research using secondary data -- Health care utilization: Insights from qualitative research -- Part IV Results: Selected determinants -- Gender and utilization of health care -- Socioeconomic status and health care utilization in Germany: A systematic review -- Migration and health care utilization in the European context -- How do socioeconomic factors influence the amount and intensity of services utilization by family caregivers of elderly dependents? -- Part IV b Results: Selected diseases -- Health care utilization by dementia patients living at home and their kins -- Utilization of general practitioners by obese men and women: Review for Germany and results from the MONICA/KORA cohorts S3/F3 and S4/F4 -- Utilization of physiotherapy by patients with rheumatic diseases -- Participation in self-help activities amongst patients with rheumatic diseases -- Part IV b Results: Selected sectors of care -- Social determinants of utilization of psychotherapy in Germany -- Variation in the use of prevention and health promotion services according to gender, age, socioeconomic, and migration status -- Utilisation of an Integrated Care Pilot in Germany: Morbidity, age and sex distribution of Gesundes Kinzigtal Integrated Care membership in 2006-08 -- Part V Extroduction -- Health care utilization: A concluding note on research prospects.
- Health care will not reform itself a user's guide to refocusing and reforming American health care 2009CRCnetBASEHealth care won't reform itself -- Why are health care costs going up? -- Set goals and improve care -- Connectors are magic -- The perfect system -- We need universal coverage -- Risk sharing works quite well, thank you -- Focus, tools, and health -- Health may be the highest priority -- We also need goals to directly reduce costs.
- Health of lesbian, gay, bisexual, and transgender people building a foundation for better understanding 2011ebraryAt a time when lesbian, gay, bisexual, and transgender individuals--often referred to under the umbrella acronym LGBT--are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.
- Health services marketing a practitioner's guide 2008Springer
- Healthcare overview new perspectives 2012Springerpt. I. Healthcare Systems Around the Globe -- pt. II. Female Health/Care -- pt. III. Traditional and Non-Conventional Medicine -- pt. IV. The Role of Laboratory Medicine in Healthcare -- pt. V. Economy of PPPM -- pt. VI. Ethics of PPPM.
- Income is a driving force behind the striking health disparities that many minorities experience. In fact, although blacks and Hispanics have higher rates of disease than non-Hispanic whites, these differences are "dwarfed by the disparities identified between high- and low-income populations within each racial/ethnic group." That is, higher-income blacks, Hispanics, and Native Americans have better health than members of their groups with less income, and this income gradient appears to be more strongly tied to health than their race or ethnicity.
- Introduction to human factors in medicine -- Human cognition and error -- Situation awareness -- Leadership and teamworking -- Personality and behaviour -- Communication and awareness -- Decision-making -- Fatigue and stress -- Key elements in communication : briefing and debriefing -- Organisational culture -- Guidelines, checklists and protocols.
- Improving patient care the implementation of change in health care. Second edition. [2nd ed.] 2013WileyAs innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care.
- pt. 1. Overview -- pt. 2. Clinical practice issues -- pt. 3. Patient and client centric technologies section -- pt. 4. Organizational issues.
- The healing edge / Lyle Berkowitz and Chris McCarthy -- Mad for method / Chris McCarthy and Christi Dining Zuber -- section 1. You have an EHR: now what?!!?!. The inflection navigator / Lyle Berkowitz -- Making "right" easier / Peter Basch -- Prevention every time / James L. Holly -- Logic rules! / John W. Trudel and Lloyd D. Fisher -- "All or none" bundle philosophy / Thomas R. Graf -- Automatically getting better / David C. Stockwell and Brian R. Jacobs -- section 2. Meet you at 01100101. The connected patient / Jonathan S. Wald -- The virtual consult / Erin DeMarce Leff ... [et al.] -- TeleVisit keeps IT local / Ajay Sood ... [et al.] -- Mommy monitor / Steve Huffman and April R. Daugherty -- Every language now / David D. O'Neill, Susan Anthony, and Margaret Laws -- Rise of the ePharmacists / Mark S. Gagnon and Janell Moerer -- section 3. On the edge of edge. The smartest room / Tamra E. Minnier and David T. Sharbaugh -- One EMR to go please / Steve Flammini and James W. Noga -- Real-time, right care / Debra J. Hurd and Brian D. Patty -- Dashboards 2.0 / George Reynolds -- The patient voice amplified / Valerie M. Sue and Karen Tsang -- The gaming edge / Alex Tam, Vivian Distler, and Bradley Kreit.
- Interpreting health benefits and risks a practical guide to facilitate doctor-patient communication 2015SpringerPart I: Setting the Stage -- Shared Decision Making (SDM) -- Decision Aids -- Towards a Universal Decision Aid -- Involving the Patient in Decision Making -- BRCTs -- Part II: Case Studies Health Benefits and Risks -- Breast Cancer Screening: Mammograms -- Colon Cancer Screening with Colonoscopy -- Prostate Cancer Screening -- Screening for Lung Cancer with Spiral CT -- Health Effects of Smoking -- Exercise Stress Tests -- The Use of Warfarin in Atrial Fibrillation -- Aspirin for Prevention of Heart Disease and Stroke -- Screening for Carotid Stenoses in Asymptomatic Patients -- Cholesterol Screening -- Statins, Cholesterol and Coronary Heart Disease -- Annual Exam -- Screening for and Treating Dementia -- Osteoporosis: Bone Density Testing and Drug Treatment -- Osteoporosis: Calcium and Vitamin D -- Estrogen Replacement Therapy -- Vitamins and Supplements -- MRI and Back Pain -- Antibiotics in Sinusitis and Bronchitis -- Final Thoughts.
- Understanding the basics I. The history of health care in the United States pre-1965 / Alexander Ding -- Medicare and its evolution to 2011 / Kevin J. Bozic and Benedict U. Nwachukwu -- Medicaid and the state children's health insurance program / Vasanth Sathiyakumar, Jordan C. Apfeld, and Manish K. Sethi -- Breaking down health care insurance from HMO to PPO and beyond / David Polakoff and Audrey Smolkin -- Understanding quality and cost from a health policy perspective / Jason D. Keune and Bruce Lee Hall -- Understanding the basics II. Prevention and US health care / Heather A. Smith -- The rise of comparative effectiveness research / Michael Hochman and Danny McCormick -- Health information technology : clinical and policy context / Emily R. Maxson and Sachin H. Jain -- Prescription drug and pharmaceutical policy / Phillip A. Choi and Walid F. Gellad -- Health disparities / Neil M. Issar and Manish K. Sethi -- The economics of health care / David A. Rosman and Jordan C. Apfeld -- Understanding systems of health care. The American health-care system : understanding how the pieces come together / Roshan P. Shah and Samir Mehta -- Alternative systems of care and consumer-driven health care / Daniel Guss -- National healthcare systems : a worldview / Benjamin S. Hooe, Perrin T. Considine, and Manish K. Sethi -- Reimbursement : understanding how we pay for health care / Sachin H. Jain and Elaine Besancon -- Understanding the politics in health policy. How health-care policy is made in Washington : understanding the players and the game / Eleby R. Washington IV, Ilisa Halpern Paul, Amy L. Walker, and A. Alex Jahangir -- Government and state agencies : who administrates healthcare on federal and state levels? / Rishin J. Kadakia and Hassan R. Mir -- The 2006 Massachusetts health care reform / Vasanth Sathiyakumar, Jordan C. Apfeld, Cesar S. Molina, Daniel J. Stinner, Andrew Han, and Manish K. Sethi -- The 2010 Patient Protection and Affordable Care Act : what is it and how will it change health care? / Richard Latuska, ALexandra Obremskey, and Manish K. Sethi.
- Adolescent preventive services -- The adolescent patient interview -- Tanner staging -- Normal adolescent development -- Male genitourinary exam -- The pelvic exam and pap smear -- Adolescent dermatology -- Obesity -- Adolescent nutrition, IBD, IBS -- Sports injuries in the adolescent -- Cardiac issues in adolescence -- Menstrual irregularities: amenorrhea -- Menstrual irregularities: abnormal vaginal bleeding -- Basics of hormonal contraception -- Adolescent pregnancy -- Polycystic ovary syndrome -- Sexually transmitted infections in adolescents -- Delayed puberty, short stature, and tall stature -- Adolescent substance abuse -- Adolescent mental health disorders -- Eating disorders -- Adolescent relationship violence in clinical settings: challenges for identification and intervention -- Bullying -- Transition of care -- Erratum to: male genitourinary exam.
- TheMassGeneral Hospital for Children Handbook of Pediatric Global Health is a concise resource for the ever-increasing number of health professionals involved in global health, many of whom spend a few weeks to months or even years providing medical care in resource-poor countries. This Handbook provides practical, evidence-based, hands-on guidance for managing and preventing childhood illnesses when resources are limited in low- and middle-income countries. It also offers a setting-specific understanding and management approaches to the major causes of childhood mortality, including pneumonia, diarrhea, birth asphyxia, complications of preterm birth, and neonatal sepsis. The Handbook providesan overview of childhood mortality, health systems, and the various stakeholders that play a role in the global health arena, and also contains chapters focusing on adolescents who are increasingly recognized as a unique population in whom interventions can go a long way in bothconsolidatingthe gains made in childhood and preventing adult disease. Finally, key topics in non-communicable diseases are covered, including trauma and injuries, pediatric mental health, child and adolescent rights, and oral health. Not meant solely for pediatricians, the Handbookis designed for generalists, specialists, doctors, nurses, other health care workers, and those in training. An indispensable reference for health professionals overseas, theHandbookwill also be a useful addition and resource for academic centers and universities in industrialized nations that are creating courses for trainees who will do clinical electives abroad during their training. .
- Medical decision making. 2nd ed. 2013Wiley"This title provides a thorough understanding of the key decision making infrastructure of clinical practice and retains its emphasis on practice and principles of individualized medical decision making"--Provided by publisher.
- "Effectiveness and Comparative Effectiveness Reviews, systematic reviews of existing research on the effectiveness, comparative effectiveness, and comparative harms of different medical tests, are intended to provide relevant evidence to inform real-world health care decisions for patients, providers, and policymakers. In an effort to improve the transparency, consistency, and scientific rigor of the work of the Effective Health Care (EHC) Program, the Agency for Healthcare Research and Quality (AHRQ), the Scientific Resource Center, and the Evidence-based Practice Centers (EPCs), have developed this Methods Guide for Medical Test Reviews (also referred to as the Medical Test Methods Guide). We intend it to serve as a resource for the EPCs as well as for other investigators interested in conducting systematic reviews on medical tests. We hope it will be a practical guide both for those who prepare the systematic reviews and those who use them in clinical practice, research development, and in making policy decisions."
- Mirror, mirror on the wall how the performance of the U.S. health care system compares internationally : 2014 update 2014"The United States health care system is the most expensive in the world, but comparative analyses consistently show the U.S. underperforms relative to other countries on most dimensions of performance. Among the 11 nations studied in this report --Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States -- the U.S. ranks last, as it did in prior editions of Mirror, Mirror. The United Kingdom ranks first, followed closely by Switzerland. Since the data in this study were collected, the U.S. has made significant strides adopting health information technology and undertaking payment and delivery system reforms spurred by the Affordable Care Act. Continued implementation of the law could further encourage more affordable access and more efficient organization and delivery of health care, and allow investment in preventive and population health measures that could improve the performance of the U.S. health care system."--Abstract.
- Highlights -- Introduction and methods -- Effectiveness of care -- Patient safety -- Timeliness -- Patient centeredness -- Care coordination -- Efficiency -- Health system infrastructure -- Access to health care -- Appendixes.
- New papers on health 2013SIEPR
- Objective structured clinical examinations 10 steps to planning and implementing OSCEs and other standardized patient exercises 2013SpringerObjective structured clinical examinations (OSCEs) and other exercises that utilize standardized patients (SPs) can simulate actual clinician-patient encounters with great impact. They are one of the most effective methods for training and assessing competencies across undergraduate, (post)graduate, and continuing health professions education. However, organizing such programs requires strong leadership and the collaboration of many key individuals for planning and implementation. This book, Objective Structured Clinical Exams: 10 Steps to Planning and Implementing OSCEs and other Standardized Patient Exercises, serves as a comprehensive how-to manual and addresses the need for best practice guidelines. It contains a review of relevant literature, pointers for designing OSCE cases, tips on recruiting and training standardized patients, and it describes innovative uses of standardized patients for remediation and assessment in clinical settings. Charts, graphs, and sample forms are included to make this a singular resource for any educator interested in creating or improving OSCEs and other standardized patient programs.
- "Covering conceptual and statistical methods, this book discusses the issues related to measuring and interpreting patient reported outcomes (PROs). It begins with a review and background information and then covers measurement scales, validity and reliability, item response theory, and missing data. The book also describes various statistical analysis techniques, including exploratory, cross-sectional, and longitudinal data analysis, and highlights the practical interpretation and application of the techniques in clinical and pharmaceutical settings. SAS code for all methods is available in an appendix and online"--Provided by publisher.
- The book revisits the causes of persisting undernutrition in India, but moves away from the usual focus on women and children to a broader view of the entire population. It estimates the economic losses resulting from ignoring undernutrition in the adult working population, and questions the current narrow focus of nutrition interventions, suggesting that a family-based approach may provide quicker results and long-term sustainability. It compares the best and worst performing states in the country to glean learnings from both successes and failures and emphasizes the need to hand over the ownership of nutrition outcomes from the state to the community and family for more sustainable results. The book is organized in three sections: Part 1 details the nutrition status of the population, regional variations in nutrition outcomes, and government response in terms of interventions. Part 2 reviews issues and concerns like gender discrimination, poor child nutrition status, ineffective implementation of government programmes in the field, and the possible impacts of emerging issues like climate change. Part 3 seeks solutions from both international and country experiences.
- Primer on clinical experience in medicine reasoning, decision making, and communication in health sciences 2013CRCnetBASEWays we see, learn, and practice medicine today : paradigms of what we are doing -- How physicians and other health professionals really (or should) think -- Reasoning in step-by-step clinical work and care : risk, diagnosis, treatment, prognosis -- Clinical and community medicine decision making -- How physicians communicate with themselves, their patients, and others : clinical communication and its vehicles -- Conclusions (with a short recapitulation) : welcome to the world of reasoned and evidence-based medicine.
- An integrated approach to improving health and health care in rural communities -- Quality improvement activities in rural areas -- Human resources -- Finance -- Rural health care in the digital age.
- Reducing racial/ethnic disparities in reproductive and perinatal outcomes the evidence from population-based interventions 2011SpringerIntroduction: challenges in reducing disparities in reproductive and perinatal outcomes through evidence-based public health -- Methodological approach to assessing the evidence -- Evidence-based public health: origins, assumptions, and cautions -- Access to family planning and induced abortion -- Preconceptional health promotion -- Infertility status and infertility treatment: racial and ethnic disparities -- Public health interventions for perinatal HIV and STI screening in pregnancy -- What is the role of prenatal care in reducing racial and ethnic disparities in pregnancy outcomes? -- Current approaches to reducing premature births and implications for disparity elimination -- Prenatal case management of pregnant women: what is the evidence for its contribution to a reduction of disparities in perinatal outcomes? -- Behavioral treatment methods for pregnant smokers: the evidence base for prenatal care programs and professional practice -- Substance abuse in pregnancy: the impact of screening and treatment on improving perinatal outcomes and reducing racial and ethnic disparities -- The evidence for perinatal depression screening and treatment -- Supplemental nutrition programs during pregnancy and the early postnatal period -- Group prenatal care and doula care for pregnant women -- Contemporary childbirth in the United States: interventions and disparities -- Regionalized perinatal care: an evidence-based intervention in development.
- This User's Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure.
- This report is being released in conjunction with the Robert Wood Johnson Foundation's Care About Your Care initiative, which is devoted to improving care transitions when people leave the hospital. It looks at the issue of readmissions in two ways: by the numbers and through the eyes of the people who live them.
- Pharmaceutical companies, academic researchers, and government agencies such as the Food and Drug Administration and the National Institutes of Health all possess large quantities of clinical research data. If these data were shared more widely within and across sectors, the resulting research advances derived from data pooling and analysis could improve public health, enhance patient safety, and spur drug development. Data sharing can also increase public trust in clinical trials and conclusions derived from them by lending transparency to the clinical research process. Much of this information, however, is never shared. Retention of clinical research data by investigators and within organizations may represent lost opportunities in biomedical research. Despite the potential benefits that could be accrued from pooling and analysis of shared data, barriers to data sharing faced by researchers in industry include concerns about data mining, erroneous secondary analyses of data, and unwarranted litigation, as well as a desire to protect confidential commercial information. Academic partners face significant cultural barriers to sharing data and participating in longer term collaborative efforts that stem from a desire to protect intellectual autonomy and a career advancement system built on priority of publication and citation requirements. Some barriers, like the need to protect patient privacy, present challenges for both sectors. Looking ahead, there are also a number of technical challenges to be faced in analyzing potentially large and heterogeneous datasets. This public workshop focused on strategies to facilitate sharing of clinical research data in order to advance scientific knowledge and public health. While the workshop focused on sharing of data from preplanned interventional studies of human subjects, models and projects involving sharing of other clinical data types were considered to the extent that they provided lessons learned and best practices. The workshop objectives were to examine the benefits of sharing of clinical research data from all sectors and among these sectors, including, for example: benefits to the research and development enterprise and benefits to the analysis of safety and efficacy. Sharing Clinical Research Data: Workshop Summary identifies barriers and challenges to sharing clinical research data, explores strategies to address these barriers and challenges, including identifying priority actions and "low-hanging fruit" opportunities, and discusses strategies for using these potentially large datasets to facilitate scientific and public health advances.
- This report sets out to illuminate the different ways people seek health information as well as how people use online social tools to share knowledge with loved ones, fellow patients, and caregivers.
- As America's most populous state goes, so goes the nation. And within that state, the 38 counties comprising South Texas--a highly populated, largelyHispanicarea characterized by high uninsured rates and low numbers of health care providers--are emblematic of nationwide crises in public health. The South Texas Health Status Review: A Health Disparities Roadmapbrings health care disparities to light in instructive detail. Over thirty key health conditions and risk factors, such as breast cancer, diabetes, obesity, tuberculosis, smoking and alcohol use, lead exposure, birth defects, and homicide rates, are analyzed by age, sex, race/ethnicity, and location (urban or rural), and the results compared with the rest of Texas and the nation as a whole. A section on conclusions and recommendations outlines factors contributing to these conditions and offers suggestions for improvement. These important data should stimulate further population studies and provide impetus for targeted public health interventions and community outreach programs to reduce health inequities and advance care access in the state and the U.S. at large. Major health issues covered in the report include: Communicable diseases Cancer incidence and mortality Maternal and child health Chronic diseases Behavioral risk factors in adults Environmental health issues Suicide, homicide, and vehicular mortality The South Texas Health Status Reviewcontains valuable lessons for researchers in health promotion and health disparities, as well as community health professionals. Policymakers involved in reducing health disparities will find it especially useful.
- Spine classifications and severity measures 2009Thieme1. Spine classification systems to spine disease severity measures : a paradigm shift -- 2. Method for identifying and evaluating spine severity measures -- 3. What makes a quality severity measure? -- 4. How the severity measures are displayed in this book -- 5. Spine disease severity measures -- 6. Spine trauma severity measures -- 7. Going beyond classification systems : new horizons for adolescent idiopathic scoliosis.
- Spine outcomes measures and instruments 2007ThiemeOutcomes instruments that attempt to assess the function and quality of life in patients suffering from various spine conditions are on the increase. This book sets out to evaluate and summarize over 100 outcomes instruments for the spine and its associated diseases.
- Statistical analysis for decision makers in healthcare understanding and evaluating critical information in changing times. 2nd ed. 2009CRCnetBASEScientific method : the language of statistical studies -- Experimentation : the foundation of scientific studies -- Numbers good and bad : how to judge the quality of data -- Samples and surveys : how numbers should be collected -- Descriptive statistics : the foundation of comparisons -- Inferential statistics : studies of differences -- Relational statistics : studies of relationships -- Explanatory statistics : studies of causality.
- Strategic ICT planning in pathology 2013Springer
- Strategic urban health communication 2014SpringerStrategic Urban Health Communication Charles C. Okigbo, editor People are bombarded with messages continuously and sorting through them constantly. In this milieu, critical ideas about health promotion and illness prevention are forced to compete with distracting, conflicting, even contradictory information. To get vital messages through, communication must be effective, targeted, artful-in a word, strategic. Strategic Urban Health Communication provides a road map for understanding strategy, enhancing strategic planning skills, and implementing strategic communication campaigns. Deftly written chapters link the art and science of strategic planning to world health goals such as reducing health inequities and eradicating diseases. Flexibility is at the heart of these cases, which span developed and developing countries, uses of traditional and digital media, and chronic and acute health challenges. And the contributors ground their dispatches in the larger context of health promotion, giving readers useful examples of thinking globally while working locally. Included in the coverage: Urbanization, population, and health myths: addressing common misconceptions. Integrating HIV/family planning programs: opportunities for strategic communication. The role of sports in strategic health promotion in low-income areas. The Internet as a sex education tool: a case study from Thailand. Advertising and childhood obesity in China. Health communication strategies for sustainable development in a globalized world. Balancing depth of understanding of audiences and methods of reaching them, Strategic Urban Health Communication is a forward-looking resource geared toward professionals and researchers in urban health, global health, and health communication.
- The need for college recovery services / Richard P. Wiebe, H. Harrington Cleveland, and Kitty S. Harris -- Collegiate recovery communities : what they are and how they support recovery / Kitty S. Harris, Amanda Baker, and H. Harrington Cleveland -- Facilitating identity development in collegiate recovery : an Eriksonian perspective / Matthew Russell, H. Harrington Cleveland, and Richard P. Wiebe -- Characteristics of collegiate recovery community members / H. Harrington Cleveland, Amanda Baker, and Lukas R. Dean -- Maintaining abstinence in college : temptations and tactics / Richard P. Wiebe, H. Harrington Cleveland, and Lukas R. Dean -- Daily lives of young adult members of a collegiate recovery community / H. Harrington Cleveland and Allison Groenendyk -- How membership in the collegiate recovery community maximizes social support for abstinence and reduces risk of relapse / H. Harrington Cleveland, Richard P. Wiebe, and Jacquelyn D. Wiersma -- Building support for recovery into an academic curriculum : student reflections on the value of staff run seminars / Ann M. Casiraghi and Miriam Mulsow -- Establishing college-based recovery communities : opportunities and challenges encountered / Amanda Baker.
- Success in Academic Surgery: Health Services Research is a unique handbook which will help researchers and surgeons in obtaining National Institutes of Health funding and other grants, as well as breaking through the barriers to developing a career in academic surgery. Aimed at surgical residents and young surgical faculty, Success in Academic Surgery: Health Services Research is written by expert authors from around the world who are members of the Association for Academic Surgery, and it offers a practical and personal insight on working in academic surgery.
- Why are some societies more successful than others at promoting individual and collective well-being? This book integrates recent research in social epidemiology with broader perspectives in social science to explore why some societies are more successful than others at securing population health. It explores the social roots of health inequalities, arguing that inequalities in health are based not only on economic inequalities, but on the structure of social relations. It develops sophisticated new perspectives on social relations, which emphasize the ways in which cultural frameworks as well as institutions condition people's health. It reports on research into health inequalities in the developed and developing worlds, covering a wide range of national case studies, and into the ways in which social relations condition the effectiveness of public policies aimed at improving health.
- As we consider ways to improve our nation's overall health, we must consider options that will improve opportunities for all, with special emphasis on lifting up low-income children and those who are in danger of being left behind. A stronger, healthier America hinges on our ability to build a sustainable foundation for generations to come.
- Recent research in health decision making has shown that many patients, even those with a college education, have difficulties grasping a host of numerical concepts, including percentages and probabilities. Yet, basic numeracy and graph literacy are essential for understanding information relevant to making decisions about health, such as the incidence and prevalence of different diseases, risk reductions from medical screenings and treatments, and risk increases from side effects of treatments and unhealthy behaviors. Patients who have problems understanding such numerical concepts are often prone to errors in risk perception and medical choices. Importantly, informed medical decision making, heavily reinforced these days by the legal requirement for informed consent, depends critically on communication of quantitative medical information. Meeting the challenge of effectively communicating medical information to patients with different levels of numeracy and graph literacy has become more important than ever. Transparent Communication of Health Risks describes a series of cross-cultural studies investigating how people in countries with different medical and educational systems understand numerical and graphical information, what they know about existing medical treatments and screenings, which presentation formats help them better understand the relevant information, and how they use the data to make medical decisions. Focusing on the careful measurement of necessary knowledge and skills, the book also includes validated numeracy and graph literacy scales in English, Spanish, and German. Some of the topics covered in the book are:numeracy and graph literacy for health;measuring risk comprehension in educated samples;communicating information about medical treatment and screening;reducing the effect of framed messages about health;the effect of individual differences on shared decision making; andtransparent health information in the media.Transparent Communication of Health Risks emphasizes the importance and value of working toward the development of tailored risk communication interventions and clarifies the tasks ahead for health psychologists, public health professionals, pharmaceutical and medical education companies, medical physicists, and nurses.
- Treatment of metastatic non-small cell lung cancer a systematic review of comparative effectiveness and cost-effectiveness 2012Lung cancer is the leading cause of cancer death in both men and women in the United States, and male Veterans seeking care at VA hospitals have a much higher age-specific incidence of lung cancer than males in the general population. The personal and economic significance of lung cancer has led to a vast research endeavor to try and identify new and more effective treatments. Most patients with lung cancer are diagnosed when the cancer is already advanced (stage IIIB or IV), and they are no longer candidates for surgical resection. Small cell lung cancer and non-small cell lung cancer (NSCLC) are different diseases in terms of treatment. Until recently, all therapies for advanced NSCLC were based on their cytotoxic properties. In the last few years, several novel agents aimed at specific molecular targets have been developed. This review was requested to evaluate the current evidence on the effectiveness and cost-effectiveness of treatments for advanced lung cancer.
- Treatment planning for person-centered care shared decision making for whole health. Second edition. [2nd ed.] 2014ScienceDirectSection I: Land of Opportunity -- The health care landscape -- Introduction -- Person-centered care -- Whole health -- Shared decision making -- Wagner care model -- Health care reform -- Medical necessity -- Integrated care -- Workforce changes -- Trauma-informed care -- DSM-5TM -- Ready to go -- Section II: Getting Started -- Assessment -- Stating the case -- Creating the solution -- Making it happen -- Understanding needs: the integrated summary -- Stating the case -- Creating the solution -- Making it happen -- Section III: On the Road -- Setting goals -- Stating the case -- Creating the solution -- Making it happen -- Focusing on change: identifying barriers and specifying objectives -- Stating the case -- Creating the solution -- Making it happen -- Interventions -- Stating the case -- Creating the solution -- Making it happen -- Journey's End: The Destination -- Evaluating the process -- Stating the case -- Creating the solution -- Making it happen.
- "The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage"--Publisher's description.
- Understanding military workforce productivity effects of substance abuse, health, and mental health 2014SpringerFrom the stresses of repeated deployments to the difficulties of re-entry into civilian life, we are just beginning to understand how protracted conflicts, such as those in Iraq and Afghanistan, are affecting service members. Issues such as risky health behaviors and chemical dependence raise productivity concerns as they do with all organizations, but they also have a profound impact on the safety and readiness of troops--and by extension, the military as a whole--in life-or-death situations. Understanding Military Workforce Productivity cuts through the myths and misconceptions about the health and resilience of today's active-duty armed forces. This first-of-its-kind volume presents up-to-date findings across service branches in core health areas including illness and injury, alcohol and drug abuse, tobacco use, obesity, and mental health. The short- and long-term implications discussed relate to the quality of the lives of service members and their families, the quality and preparedness of the military as a workforce, and prevention and intervention efforts.
- Usability testing of medical devices 2011CRCnetBASE"Informative, practical, and engaging, this handbook covers how to conduct usability tests of medical devices. Recognizing that the intended readers, including marketers, engineers, and regulatory affairs specialists, are busy and disinclined to read lengthy textbooks, this book has been carefully designed to be concise and visual, allowing readers to read it all in one sitting or jump from one section to another as needed. The book provides a general understanding of usability testing and reviews key concepts. It highlights the challenges of validating that protects against dangerous errors that could lead to patient injury and death"--Provided by publisher.
- "Variation in Health Care Spending investigates geographic variation in health care spending and quality for Medicare beneficiaries as well as other populations, and analyzes Medicare payment policies that could encourage high-value care. This report concludes that regional differences in Medicare and commercial health care spending and use are real and persist over time. Furthermore, there is much variation within geographic areas, no matter how broadly or narrowly these areas are defined. The report recommends against adoption of a geographically based value index for Medicare payments, because the majority of health care decisions are made at the provider or health care organization level, not by geographic units. Rather, to promote high value services from all providers, Medicare and Medicaid Services should continue to test payment reforms that offer incentives to providers to share clinical data, coordinate patient care, and assume some financial risk for the care of their patients."--Publisher's description.
- WHO QualityRights tool kit assessing and improving quality and human rights in mental health and social care facilities 2012WHO
- Harrison's Principles of Internal Medicine
- AAP Red Book Online
- Robbins & Cotran Pathologic Basis of Disease
- Sabiston Textbook of Surgery
- Nelson's Textbook of Pediatrics
- Surgical Exposures in Orthopaedics
- Mandell, Douglas, & Bennett's Principles & Practice of Infectious Diseases
- Red Book Online
- ICU Book
- Primary Care Medicine
- Campbell-Walsh Urology
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