Books by Subject

Health Services Research

  • Digital
    Nancy E. Adler, David M. Cutler, Jonathan E. Fielding, Sandro Galea, M. Maria Glymour, Howard K. Koh, and David Satcher.
    Digital2016
    Despite the powerful effects of social and behavioral factors on health, development, and longevity, US health policy has largely ignored them. The United States spends far more money per capita on medical services than do other nations, while spending less on social services. Residents of nations that have higher ratios of spending on social services to spending on health-care services have better health and live longer. The relative underinvestment in social services helps to explain why US health indicators lag behind those of many countries. The best available evidence suggests that a health policy framework addressing social and behavioral determinants of health would achieve better population health, less inequality, and lower costs than our current policies.
  • Digital
    Harry P. Selker, June S. Wasser, editors.
    Digital : Springer2014
    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.
  • Digital
    edited by EM Jones, C Overy and EM Tansey.
    Digital : Wellcome Trust2016
  • Digital
    Boris Sobolev, Lisa Kuramoto.
    Digital : Springer2008
  • Digital
    edited by Xiangdong Wang, Christian Baumgartner, Denis C. Shields, Hong-Wen Deng, Jacques S Beckmann.
    Digital : Springer2016
    The Era of Big Data: From Data-driven Research to Data-driven Clinical Care -- Biostatistics, data mining and computational modeling -- Gene expression and profiling -- The next generation sequencing and applications in clinical research -- Clinical epigenetics and epigenomics -- Proteomic profiling: Data mining and analyses -- Targeted metabolomics: the next generation of clinical chemistry!? -- Clinical bioinformatics for biomarker discovery in targeted metabolomics -- Metagenomic Profiling, Interaction of Genomics with Meta-genomics -- Clinical Epigenetics and Epigenomics -- Integrative Biological Databases -- Standards and Regulations for (Bio)Medical Software -- Clinical applications and systems biomedicine -- Key Law and Policy Considerations for Clinical Bioinformaticians -- Challenges and Opportunities in Clinical Bioinformatics -- Heterogeneity of Hepatocellular Carcinoma.
  • Digital
    Carl V. Asche, editor.
    Digital : Springer2016
    1. Introduction to Comparative Effectiveness Research -- 2. Randomized Controlled Trials -- 3. Observational Studies -- 4. Evaluating Published CER Evidence -- 5. Epidemiological Principles Applied to CER -- 6. The Question of Value -- 7. Medical Decision Making: When Evidence and Medical Culture Clash -- 8. The Value of Prevention.
  • Digital
    Nancy Berlinger.
    Digital : Oxford Medicine Online2016
    How work gets done in complex health care systems is ethically important. When health care professionals and other staff are pressured to improvise, fix structural problems, or comply with competing policies, the uncertainty and distress they experience have potential consequences for patients, families, colleagues, and the system itself. This book presents a new theory of health care ethics that is grounded in the nature of health care work and how it is shaped by the ever-changing conditions of complex systems, in particular, problems of safety and harm. By exploring workarounds and other improvised practices in complex health care systems that are difficult for professionals to talk about openly, yet have unclear effects, including their value or risk to patients, this book offers a realistic look at our changing health care system and how we can improve the way we manage moral problems arising in the care of the sick. Berlinger argues that health care ethics in complex and changing health care systems should reflect the moral complexity of health care work, analyze common ethical challenges with reference to behaviors and pressures driven by the system itself, and support opportunities for health care professionals and staff at all levels to reflect on the problems they face and to take part in social change. The book's chapters include frameworks for looking at ethical challenges in health care as problems of safety and harm with consequences for patients. Are Workarounds Ethical? is designed to support clinician education in medicine, nursing, and interdisciplinary contexts and recommend methods for integrating ethics, safety, and justice in practice. -- Provided by publisher.
  • Digital
    Gabriel Guliš, Odile Mekel, Balázs Ádám, Liliana Cori, editors.
    Digital : Springer2014
    Public 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.
  • Digital
    James Leong, Sam Salek, Stuart Walker ; foreword by Hans-Georg Eichler.
    Digital : Springer2015
    Prologue -- 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.
  • Digital
    Lisa A. Eaton, Seth C. Kalichman, editors.
    Digital : Springer2014
    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.
  • Digital
    editors, Richard Cash, Daniel Wikler, Abha Saxena, Alexander M. Capron ; associate editor, Reva Gutnick.
    Digital : WHO2009
    Print2009
    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.
  • Digital
    edited by Dr. Jo Brown, Dr. Lorraine M. Noble, Dr. Alexia Papageorgiou, Dr. Jane Kidd.
    Digital : Wiley2016
    Clinical Communication in Medicine brings together the theories, models and evidence that underpin effective healthcare communication in one accessible volume. Endorsed and developed by members of the UK Council of Clinical Communication in Undergraduate Medical Education, it traces the subject to its primary disciplinary origins, looking at how it is practised, taught and learned today, as well as considering future directions. Focusing on three key areas-the doctor-patient relationship, core components of clinical communication, and effective teaching and assessment-Clinical Communication in Medicine enhances the understanding of effective communication. It links theory to teaching, so principles and practice are clearly understood. Clinical Communication in Medicine is a new and definitive guide for professionals involved in the education of medical undergraduate students and postgraduate trainees, as well as experienced and junior clinicians, researchers, teachers, students, and policy makers.
  • Digital
    edited by Robert A. Greenes.
    Digital : ScienceDirect2007
    This book examines the nature of medical knowledge, how it is obtained, and how it can be used for decision support. It provides complete coverage of computational approaches to clinical decision-making. Chapters discuss data integration into healthcare information systems and delivery to point of care for providers, as well as facilitation of direct to consumer access. A case study section highlights critical lessons learned, while another portion of the work examines biostatistical methods including data mining, predictive modelling, and analysis. This book additionally addresses organizational, technical, and business challenges in order to successfully implement a computer-aided decision-making support system in healthcare delivery.
  • Digital
    edited by Robert A. Greenes.
    Digital : ScienceDirect2014
    Digital : ClinicalKey2014
    Sect. 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.
  • Digital
    Joe Alper, rapporteur ; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Health and Medicine Division, the National Academies of Sciences, Engineering, Medicine.
    Digital2017User has to register to download.
    "Research conducted over the past two decades has shown that poor patient understanding of medication instructions is an important contributor to the more than 1 million medication errors and adverse drug events that lead to office and emergency room visits, hospitalizations, and even death. Patients who have limited literacy skills, who have multiple comorbidities, and who are elderly face the greatest risk, and limited literacy skills are significantly associated with inadequate understanding and use of prescription instructions and precautions. The Agency for Healthcare Research and Quality notes that only 12 percent of U.S. adults have proficient health literacy that allows them to interpret a prescription label correctly. Given the importance of health literacy to the proper use of medications, and the apparent lack of progress in improving medication adherence, the Roundtable on Health Literacy formed an ad hoc committee to plan and conduct a 1-day public workshop that featured invited presentations and discussion of the role and challenges regarding clarity of communication on medication. Participants focused on using health literacy principles to address clarity of materials, decision aids, and other supportive tools and technologies regarding risks, benefits, alternatives, and health plan coverage. This publication summarizes the presentations and discussions from the workshop"--Publisher's description.
  • Digital
    Adrian Levy, Boris Sobolev, editors.
    Digital : Springer2016
    Applications of Comparative Effectiveness Research -- Comparative Effectiveness Research and Health Reform in the USA -- Comparative Effectiveness Research and Priority Setting -- Comparative Effectiveness Research in Developing Countries: Example of Brazil -- Comparative Effectiveness Research in Health Technology Assessment -- Comparative Effectiveness Research: Overview -- Comparing Drug and Non-Drug Technologies in Comparative Effectiveness Research -- Costs in Comparative Effectiveness Research -- Coverage with Evidence Development in Comparative Effectiveness Research -- Dissemination of Comparative Effectiveness Research -- Ethical Frameworks and Comparative Effectiveness Research -- Evidence-Based Medicine and Comparative Effectiveness Research -- Implementation Science and Comparative Effectiveness Research -- Incorporating Patient and Public Input for Treatment in Comparative Effectiveness Research -- Indirect Comparisons and Network Meta-Analysis in Comparative Effectiveness Research -- Individualization of Treatment and Comparative Effectiveness Research -- Innovation and Comparative Effectiveness Research -- National Approaches to Comparative Effectiveness Research -- New Statistical Methods of Combining Results in Comparative Effectiveness Research -- Patient-Centred Comparative Effectiveness Research -- Sources of Data for Comparative Effectiveness Research -- Systematic Reviews and Meta-Analysis in Comparative Effectiveness Research -- Traditional and Innovative Study Designs in Comparative Effectiveness Research.
  • Digital
    Allan Hackshaw.
    Digital : Wiley2015
    Fundamental concepts -- Outcome measures, risk factors, and causality -- Effect sizes and regression methods -- Studies based on patient medical records -- Cross-sectional studies -- Case-control studies -- Cohort studies -- Quality of care studies -- Prognostic markers for predicting outcomes -- Systematic reviews and meta-analyses -- Conducting and reporting observational studies.
  • Digital
    Digital2015
    A health impact assessment (HIA) was conducted to inform an update by the U.S. Department of Housing and Urban Development (HUD) of its designated housing rule and to illustrate the potential for incorporating health data into federal agency decisions. The designated housing rule allows housing authorities to allocate certain public housing properties, or a portion of them, for occupancy by senior families, disabled families, or a mixed population of senior and disabled families. HIAs identify the potential health effects of a proposed policy, project, or program to inform policymakers, those affected by the decision, and others with an interest in the outcome, and to offer practical options for maximizing health benefits while minimizing health risks. This particular HIA--which was conducted by the Health Impact Project, a collaboration of the Robert Wood Johnson Foundation and The Pew Charitable Trusts, in partnership with the Oregon Public Health Institute and the Metropolitan Area Planning Council--sought to identify potential health implications that could stem from changes to the designated housing rule. To provide HUD with data to inform the development of an updated rule, the assessment was conducted before the rule-making process began. The HIA examined two scenarios HUD could pursue, developed in consultation with key stakeholders. This assessment was also intended to demonstrate how HIA might be used--in the context of a federal rule-making process--as a tool to advance the National Prevention Council's goals. HUD is a member of the council, a multiagency federal panel charged with working together to improve the health of all Americans, and chose the designated housing rule-making process for this purpose. This document summarizes findings from the assessment. The study team conducted a systematic literature review; quantitative analysis of housing and health data; and qualitative research, including interviews and focus groups with a national sample of public housing residents, property managers, resident service coordinators, community partner organizations, and housing or health administrators. This report also outlines recommended actions, arising from the HIA, that HUD could take to optimize the potential health effects of designated housing rule-making.
  • Digital
    edited by Peter J. Neumann, Gillian D. Sanders, Louise B. Russell, Joanna E. Siegel, Theodore G. Ganiats.
    Digital : OSO2016
    Print2017
    Using cost-effectiveness analysis in health and medicine : experiences since the original panel / Peter J. Neumann [and 6 others] -- Theoretical foundations of cost-effectiveness analysis in health and medicine / David O. Meltzer, Anirban Basu, and Mark J. Sculpher -- Recommendations on perspectives for the reference case -- Designing a cost-effectiveness analysis / Douglas K. Owens, Joanna E. Siegel, Mark J. Sculpher, Joshua A. Salomon -- Decision models in cost-effectiveness analysis / Karen M. Kuntz [and 5 others] -- Identifying and quantifying the consequences of interventions / Joshua A. Salomon, Thomas A. Trikalinos, Gillian D. Sanders, Jeanne S. Mandelblatt -- Valuing health outcomes / David Feeny, Murray Krahn, Lisa A. Prosser, and Joshua A. Salomon -- Estimating costs and valuations of non-health benefits in cost-effectiveness analysis / Anirban Basu -- Evidence synthesis for informing cost-effectiveness analysis / Thomas A. Trikalinos, Louise B. Russell, Gillian D. Sanders -- Discounting in cost-effectiveness analysis / Anirban Basu and Theodore G. Ganiats -- Reflecting uncertainty in cost-effectiveness analysis / Mark J. Sculpher, Anirban Basu, Karen M. Kuntz, David O. Meltzer -- Ethical and distributive considerations / Dan W. Brock, Norman Daniels, Peter J. Neumann, and Joanna E. Siegel -- Reporting cost-effectiveness analyses / Lisa A. Prosser, Peter J. Neumann, Gillian D. Sanders, Joanna E. Siegel.
  • Digital
    edited by Nilmini Wickramasinghe, Rajeev Bali, Reima Suomi, Stefan Kirn.
    Digital : Springer2012
    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
  • Digital
    Stephen B Hulley, Steven R. Cummings, Warren S. Browner, Deborah G. Grady, Thomas B. Newman.
    Digital : Ovid2013
    Print2013
    "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
    Alessia Minicozzi.
    Print2009
    Status: Not Checked OutLane Catalog Record
    "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."
  • Digital
    editors, Monique Elseviers, Björn Wettermark, Anna Birna Almarsdóttir, Morten Andersen, Ria Benko, Marion Bennie, Irene Eriksson, Brian Godman, Janet Krska, Elisabetta Poluzzi, Katja Taxis, Vera Vlahović-Palčevski, Robert Vander Stichele.
    Digital : Wiley2016
  • Digital
    Larisa Antonisse, Rachel Garfield, Robin Rudowitz, and Samantha Artiga.
    Digital2016
    Research on the effects of Medicaid expansions under the Affordable Care Act (ACA) can help increase understanding of how the ACA has impacted coverage; access to care, utilization, and health outcomes; and various economic outcomes, including state budgets, the payer mix for hospitals and clinics, and the employment and labor market. These findings also may inform ongoing debates surrounding the Medicaid expansion. This brief reviews and summarizes findings from a total of 61 studies of the impact of state Medicaid expansions under the ACA.
  • Digital
    The Kaiser Family Foundation, Health Research and Educational Trust, [and the National Opinion Research Center].
    Digital : Kais Fam Found2010
    Print2010
    "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.
  • Print
    by Kevin Pho and Susan Gay.
    Print2013
    Status: Not Checked OutLane Catalog Record
  • Print
    edited by Steven S. Coughlin, Tom L. Beauchamp, Douglas L. Weed.
    Print2009
    Status: Not Checked OutLane Catalog Record
    Historical foundations / Steven S. Coughlin -- Moral foundations / Tom L. Beauchamp -- Toward a philosophy of epidemiology / Douglas L. Weed -- Epidemiology and informed consent / Jeffrey P. Kahn and Anna C. Mastroianni -- Privacy and confidentiality in epidemiology : special challenges of using information obtained without informed consent / Ellen Wright Clayton -- Ethical issues in the design and conduct of community-based intervention studies / Karen Glanz, Michelle C. Kegler, and Barbara K. Rimer -- Ethical issues in the interaction with research subjects and the disclosure of results / Andrea Smith and Paul A. Schulte -- Ethical issues in public health practice / Robert E. McKeown and R. Max Learner -- Ethical issues in genetic epidemiology / Laura M. Beskow and Wylie Burke -- Ethics and epidemiology in the age of AIDS / Carol Levine -- Ethical issues in international health research and epidemiology / John D.H. Porter, Carolyn Stephens, and Anthony Kessel -- The institutional review board / Robert J. Levine -- Good conduct in integrity in epidemiologic research / Colin L. Soskolne ... [et al.] -- Ethics curricula in epidemiology / Kenneth W. Goodman and Ronald J. Prineas.
  • Digital
    Wei-Nchih Lee.
    Digital2012
    Entrusted with providing high quality and cost-effective care across the continuum of primary care to quaternary care medicine, health care institutions are turning to electronic medical records to keep pace with the information demands of medicine. The new patient care data collected within electronic medical records provides the computational foundation to build the rapid learning health care system, in which the delivery of health care within an entire institution improves dynamically by transforming the data into knowledge about which clinical practices are most effective. A crucial component to the rapid learning health care system is an understanding of clinical practice variations in medicine. Individual variations in care reflect decision choices of the treating clinician(s). Taken across an entire population, practice variations offer valuable insight on the behaviors and beliefs of an institution. Devising strategies and policies to improve the quality and efficiency of health care would not be possible without the knowledge that studying practice variations provide. Yet, existing methods for measuring clinical practice variations are not designed to handle temporal complexity. They focus on a small set of practices, of limited duration, and with limited scope. With the data that electronic medical records can provide, we have an opportunity to evaluate temporal complexity in medicine by studying patterns of care and entire treatment histories for a population of patients. In this thesis, I present a method, the T3S, for measuring the temporal sequence similarity between two patterns of care. The T3S advances research in temporal data mining by providing methodology that allows for the measurement of complex temporal features in clinical care. Specifically, the T3S measures the similarity of patterns in terms of the temporal ordering, duration, and overlap of its constituent treatments. I implement the T3S in three novel tools that allow population-level clinical practice variations to be studied from electronic medical records. To begin with, I use the T3S with expert derived domain knowledge to match medication treatment data from the medical record to chemotherapy plans so that patterns of care can be abstracted from granular medical data. This automated method for medical record abstraction of treatment information is a crucial first step before clinical data can be analyzed. Next, I use the T3S to find similar patterns of care from an electronic medical record to recommendations from a clinical practice guideline. The evaluation of individual patterns of care against evidence-based guidelines is an important task of health services related outcomes research. Finally, I incorporate the T3S into a new method for discovering patterns of care from a population of treatment histories. I show how this method can be used to summarize the clinical practice patterns within a population cohort and even discover anomalous practice patterns that may be of interest to clinicians and health services researchers. I evaluate each of these methods for its ability to provide clinically meaningful results from the available treatment data. Taken together, the T3S and the methods in which it is implemented offer a novel framework from which temporal complexities in the practice of medicine can be meaningfully explored. Finding and discovering similar patterns of care offers substantial potential in quality of care, outcomes, and comparative effectiveness research. As medicine marches to the digital age of data, measuring temporal similarity will assume a critical role in the development of new informatics methods to address the challenges of population science.
  • Digital
    Gayle L. Macklem.
    Digital : Springer2011
    The 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.
  • Digital
    Thanos Athanasiou, Ara Darzi (Editors).
    Digital : Springer2011
    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®
  • Digital
    The Work Group for Studying the Effects of the Specific Health Checkups and Specific Health Guidance on Health Care Expenditures ; translation by Akiko S. Hosler.
    Digital2015
    Print2015
  • Digital
    Committee on Standards for Systematic Reviews of Comparative Effectiveness Research, Board on Health Care Services, Institute of Medicine of the National Academies ; Jill Eden [and others], editors.
    Digital : NAP2011
    Standards for initiating a systematic review -- Standards for finding and assessing individual studies -- Standards for synthesizing the body of evidence -- Standards for reporting systematic reviews -- Improving the quality of systematic reviews.
  • Digital
    Francesco Chiappelli.
    Digital : Springer2014
    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.
  • Print
    edited by Anup Malani & Michael H. Schill.
    Print2015
    In the years since the passage of the Patient Protection and Affordable Care Act (PPACA, or colloquially Obamacare), most of the discussion about it has been political. But as the politics fade and the law's many complex provisions take effect, a much more interesting question begins to emerge: How will the law affect the American healthcare regime in the coming years and decades? This book brings together fourteen leading scholars from the fields of law, economics, medicine, and public health to answer that question. Taking discipline-specific views, they offer their analyses and predictions for the future of healthcare reform. By turns thought-provoking, counterintuitive, and even contentious, the essays together cover the landscape of positions on the PPACA's prospects. Some see efficiency growth and moderating prices; others fear a strangling bureaucracy and spiraling costs. The result is a deeply informed, richly substantive discussion that will trouble settled positions and lay the groundwork for analysis and assessment as the law's effects become clear. -- from dust jacket.
  • Digital
    David William Hutton.
    Digital2010
    Hepatitis B (HBV) is a vaccine-preventable viral disease that, if untreated, can lead to death from liver disease in 25 percent of patients. Infection with HBV is a major global public health problem, particularly in Asian populations. In an era of limited healthcare budgets, mathematical models can be useful tools to identify cost-effective programs and to support policymakers in making informed decisions. This dissertation describes research on public health policies related to screening, vaccination, and treatment for HBV. It also describe contributions to the theoretical literature on when to stop catch-up vaccination for chronic infectious diseases. In the United States as many as 10% of Asian and Pacific Islander adults are chronically infected with HBV, and up to two thirds are unaware that they are infected. Using Markov models of infection, treatment and disease, I find that screening programs for HBV among Asian and Pacific Islander adults are likely to be cost effective and have clinically significant benefits from identifying chronically infected persons for medical management. Liver disease associated with childhood-acquired HBV is a leading cause of death among adults in China. Approximately 20% of children under age 5 years and 40% of children aged 5 to 19 years remain unprotected from HBV. Using a Markov model of infection and disease progression I find that HBV catch-up vaccination for children and adolescents in China would improve the health of the population and save costs over the long term. Although the 20th century has seen incredible development of safe and effective vaccines, many people remain susceptible to vaccine-preventable diseases. "Catch-up vaccination" for age groups beyond infancy can be an attractive and effective means of immunizing people who were missed earlier. However, as vaccination rates increase, catch-up vaccination may become less attractive. This chapter addresses the question of when to discontinue catch-up vaccination programs as immunization rates increase. I use a cost-effectiveness framework: I consider the cost per quality-adjusted life year gained of catch-up vaccination efforts, as a function of immunization rates over time and consequent disease prevalence and incidence. I illustrate the results with the example of HBV catch-up vaccination in China. I contrast results from a dynamic modeling approach with an approach that ignores the impact of vaccination on disease incidence.
  • Digital
    Larry D. Purnell.
    Digital : STAT!Ref2014Limited to 7 simultaneous users
    Transcultural 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.
  • Digital
    Elizabeth Morrow, Annette Boaz, Sally Brearley, Fiona Ross.
    Digital : Wiley2012
    Perspectives and expectations of involvement -- Principles of involvement -- Designing involvement -- Working relationships -- Patients, clients & carers -- Involvement over the life course -- Seldom-heard groups -- Service user-led involvement -- Quality -- Impact -- International perspectives.
  • Digital
    edited by Christian Janssen, Enno Swart, Thomas von Lengerke.
    Digital : Springer2014
    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.
  • Digital
    George C. Halvorson.
    Digital : CRCnetBASE2009
    Health 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.
  • Digital
    Monica O'Mullane.
    Digital : OSO2015
  • Digital
    Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities, Board on the Health of Select Populations, Institute of Medicine of the National Academies.
    Digital : ProQuest Ebook Central2011
    At 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.
  • Digital
    Richard K. Thomas.
    Digital : Springer2008
  • Digital
    Charlotte A. Weaver, Marion J. Ball, George R. Kim, Joan M. Kiel, editors.
    Digital : Springer2016
    1. Clinical decision support: history and basic concepts -- 2. Electronic health record features, functions, and privileges that clinicians need to provide safe and effective care for adults and children -- 3. The journey to usability: a vendor's perspective -- 4. Snapshot at mid-stride: current state of EHRs and their use by clinicians from a CMIO's perspective -- 5. The evolution of EHR-S functionality for care and coordination -- 6. Great promises of healthcare information technology deliver less -- 7. Ten reasons why interoperability is difficult -- 8. The evolution of health information technology policy in the United States -- 9. Usability: making it real from concepts to implementation and end-user adoption -- 10. Incorporating patient generated health data into chronic disease management: a human factors approach -- 11. Transformed roles for a transformed healthcare system: where do clinical informaticists fit in now? -- 12. Emerging roles in health and healthcare -- 13. Impact of the digital age on transforming healthcare -- 14. Health information crossroad: an opportunity to deliver real measurable outcomes for better health and well being -- 15. Health IT"s essential role in the patient-centered medical home and practice-based population health management -- 16. Patient-interactive healthcare management, a model for achieving patient experience excellence -- 17. The patient of the future: participatory medicine and enabling technologies -- 18. Data driven patient safety and clinical information technology -- 19. Simulation: a view into the future of education -- 20. The health record banking model for health information infrastructure -- 21. Next generation wellness: a technology model for personalizing healthcare -- 22. Wearable technologies and telehealth in care management for chronic illness -- 23. The role of big data and analytics in health payer transformation to consumer-centricity -- 24. Interoperability: E pluribus unum -- 25. Privacy and data security: HIPAA and HITECH -- 26. Building a reliable and affordable system fo medical care -- 27. Engineering the next generation of health systems -- 28. Emerging clinical decision support technology for the twenty first century -- 29. Beyond current HIMS: future visions and a roadmap -- 30. Big data analytical technologies and decision support in critical care -- 31. Data driven analytics for personalized healthcare -- 32. Cognitive computing for electronic medical records -- 33. Health information systems 2025.
  • Digital
    Vincenzo Costigliola, Editor.
    Digital : Springer2012
    pt. 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.
  • Digital
    Digital : Cambridge2009
    Print2009
  • Digital
    Steven H. Woolf [and others].
    Digital2015
    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.
  • Digital
    Mark A. Hall and Michael J. McCue.
    Digital2016
    Starting in 2014, the Affordable Care Act transformed the market for individual health insurance by changing how insurance is sold and by subsidizing coverage for millions of new purchasers. Insurers, who had no previous experience under these market conditions, competed actively but faced uncertainty in how to price their products. This issue brief uses newly available data to understand how health insurers fared financially during the ACA's first year of full reforms. Overall, health insurers' financial performance began to show some strain in 2014, but the ACA's reinsurance program substantially buffered the negative effects for most insurers. Although a quarter of insurers did substantially worse than others, experience under the new market rules could improve the accuracy of pricing decisions in subsequent years.
  • Digital
    Advanced Life Support Group ; edited by Peter-Marc Fortune, Mike Davis, Jacky Hanson, Barbara Phillips.
    Digital : Wiley2013
    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.
  • Digital
    David H. Peters, Nhan T. Tran, Taghreed Adam.
    Digital2013
    Print2013
  • Digital
    Committee on Diagnostic Error in Health Care ; Erin P. Balogh, Bryan T. Miller, and John R. Ball, editors ; Board on Health Care Services, Institute of Medicine, The National Academies of Sciences, Engineering, and Medicine.
    Digital : NAP2015User has to register to download.
    Digital : NAPVideo
    Getting the right diagnosis is a key aspect of health care -- it provides an explanation of a patient's health problem and informs all subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors -- inaccurate or delayed diagnoses -- persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors can lead to negative health outcomes, psychological distress, and financial costs. If a diagnostic error occurs, inappropriate or unnecessary treatment may be given to a patient or appropriate (and potentially lifesaving) treatment may be withheld or delayed.Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err is Human: Building a Safer Health System (2000) and Crossing the Quality Chasm: A New Health System for the 21st Century (2001) finds that diagnosis -- and, in particular, the occurrence of diagnostic errors -- has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety
  • Digital
    edited by Richard Grol, Michel Wensing, Martin Eccles and David Davis.
    Digital : Wiley2013
    As 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.
  • Digital
    Anicham P. Kumarasamy.
    Digital2012
    This dissertation is composed of three essays that analyze incentive problems concerning the health care of end stage renal disease (ESRD) in the United States. The first essay is concerned with the unintended consequences of a proposed change to the system for allocating kidneys to patients on the transplant waiting list. In particular, policymakers in the United States have recently proposed to modify the kidney allocation system by assigning higher priority to patients who are on dialysis longer. The essay examines how this change may create an incentive for physicians to start their patients on dialysis prematurely and investigates how to mitigate this unintended behavior. The second essay investigates physician behavior directly from data, analyzing why the kidney function at which patients start dialysis has been rising over time in the United States. That is, why do patients seem to be starting dialysis earlier and earlier over time? The third essay is concerned with the quality of care of profit-maximizing dialysis providers. In particular, Medicare recently restructured its reimbursement system and publicly released previously confidential data on the quality of care of dialysis facilities. The essay analyzes how such policy changes influence the quality of care decisions of profit-maximizing dialysis providers. On the whole, this dissertation is intended to help policymakers as they make difficult decisions about kidney allocation policies, ESRD-related spending, dialysis reimbursement, and disclosing dialysis facility performance information.
  • Digital
    Naakesh Dewan, John Luo, Nancy M. Lorenzi, editors.
    Digital : Springer2011
    pt. 1. Overview -- pt. 2. Clinical practice issues -- pt. 3. Patient and client centric technologies section -- pt. 4. Organizational issues.
  • Digital
    Lyle Berkowitz, Chris McCarthy, editors.
    Digital : Springer2013
    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.
  • Digital
    Committee on the Role of Institutional Review Boards in Health Services Research Data Privacy Protection, Division of Health Care Services, Institute of Medicine.
    Digital : NAP2000
  • Digital
    Erik Rifkin, Andrew Lazris.
    Digital : Springer2015
    Part 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.
  • Digital
    Manish K. Sethi, William H. Frist, editors.
    Digital : Springer2013
    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.
  • Digital
    Lulu Zhang, Meina Li, Feng Ye, Tao Ding, Peng Kang.
    Digital : Springer2016
    Part I Pandect -- Background -- Chinese Public Hospital Reform Investigation -- Basic Information of the Survey of Large Public Hospital Reform -- Part II Series Survey Reports of Large Public Hospital Reform -- Investigation on Public Welfare of Public Hospital -- Satisfaction Survey of Outpatients in Large Public Hospital -- Investigation of Health Seeking in Large Public Hospital Patients -- Research on Welfare of Doctors in Large Public Hospitals -- Study of Two-way referral of large public hospital -- The Survey of Multi-sited License in Major Public Hospitals -- Part III Comparative Analysis of Basic Situation of Large Public Hospital Reform -- Comparative Analysis of Basic Situation of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Personnel Situation of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Medical Business Volume of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Service Efficiency of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Medical Quality of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Talents of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Research Situation of Large Public Hospital between Beijing and Shanghai -- Comparative Analysis of Research Situation of Large Public Hospital between Beijing and Shanghai -- Comparative< Analysis of Research Result with "the Fourth National Health Service Survey Report" -- Part IV Conclusions -- Overall Assessment and Policy Recommendations.
  • Digital
    edited by Sharon E. Straus, Jacqueline Tetroe, Ian D. Graham.
    Digital : Wiley2009
    Chapter 1. Introduction / Sharon E. Straus, Jacqueline Tetroe and Ian D. Graham, p. 1-9 -- Chapter 2. Knowledge Creation / Sharon E. Straus, Jennifer Tetzlaff, Andrea C. Tricco, David Moher, Melissa C. Brouwers, Dawn Stacey, Annette M. O'Connor, K. Ann McKibbon and Cynthia Lokker, p. 11-55 -- Chapter 3. The Knowledge-to-Action Cycle / Sharon E. Straus, Alison Kitson, Margaret B. Harrison, Ian D. Graham, Béatrice Fervers, France Légaré, Barbara Davies, Nancy Edwards and Sumit R. Majumdar, p. 57-181 -- Chapter 4. Theories and Models of Knowledge to Action / Ian D. Graham, Jacqueline Tetroe, Alison Hutchinson, Carole A. Estabrooks, Jean-Louis Denis, Pascale Lehoux and Anne Sales, p. 183-232 -- Chapter 5. Knowledge Exchange / Michelle Gagnon, p. 233-245 -- Chapter 6. Evaluation of Knowledge to Action / Onil Bhattacharyya, Merrick Zwarenstein, Deborah J. Kenny, Evelyn Cornelissen and Craig Mitton, p. 247-266.
  • Digital
    edited by Sharon E. Straus, Jacqueline Tetroe, Ian D. Graham.
    Digital : Wiley2013
  • Digital
    by Saul J. Weiner, Alan Schwartz.
    Digital : Oxford Medicine Online2016
    Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care. The result is measurably harmful to individuals and costly to society. 'Listening for What Matters' covers 10 years of empirical research based on hundreds of recorded doctor visits by patients and undercover actors alike, which revealed a widespread disregard of patients' individual circumstances and needs resulting in inappropriate care. This book tells the stories of patients whose care was compromised by inattention to individual context, and introduces novel methods for assessing the magnitude of the problem.
  • Digital
    T. Tompson, J. Benz, J. Agiesta, D. Junius, K. Nguyen, and K. Lowell.
    Digital2013
    Overall, the idea of getting older is something that 3 in 10 Americans 40 years or older would rather not think about at all. Another 32 percent are somewhat comfortable thinking about getting older and 35 percent report being very comfortable. Being older, more educated, and in better health are associated with greater levels of comfort thinking about aging. Sixty-two percent of those 40-54 years old are somewhat or very comfortable thinking about getting older; the percentage increases to 75 percent for those 65 or older. Nearly half of those 65 and older, 47 percent, report being very comfortable thinking about getting older.
  • Digital
    John Holahan, Linda J. Blumberg, and Erik Wengle.
    Digital2016
    This paper provides detailed data on marketplace premiums and enrollment by insurer (and by plan when available) and plan tier (bronze, silver, gold, and platinum) in California, Rhode Island, New York, Maryland, and Connecticut; sufficient data are not yet available for other states. It also finds that individuals' choices, both in choosing silver or bronze plans and in selecting the lowest-cost plans within those tiers, are heavily determined by price. But considerable evidence suggests that significant numbers of consumers choose plans based on other factors, such as previous coverage with insurers, name recognition, perceptions of customer service, and perceived breadth of provider networks.
  • Digital
    Mark A. Goldstein, editor.
    Digital : Springer2011
    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.
  • Digital
    Nupur Gupta, Brett D. Nelson, Jennifer Kasper, Patricia L. Hibberd, editors.
    Digital : Springer2014
    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. .
  • Digital
    Harold C. Sox, Michael C. Higgins, Douglas K. Owens.
    Digital : Wiley2013
    "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.
  • Digital
    Ana Johnson, Thérèse A. Stukel, editors.
    Digital : Springer2016
    Disparities in Medical Practices -- Introduction to Medical Practice Variations and Outcomes Research -- Knowledge Translation Case Studies in Health Services Research -- Medical Practice Variation Methods -- Medical Practice Variations in Acute Care Hospitalization -- Medical Practice Variations in Acute Myocardial Infarction -- Medical Practice Variations in Cancer Surgery -- Medical Practice Variations in Diabetes Mellitus -- Medical Practice Variations in Elective Surgery -- Medical Practice Variations in Emergency Services -- Medical Practice Variations in End-of-Life Care -- Medical Practice Variations in Heart Failure -- Medical Practice Variations in Joint Replacement in Patients with Osteoarthritis -- Medical Practice Variations in Mental Health and Addictions Care -- Medical Practice Variations in Pediatric Care -- Medical Practice Variations in Primary Care -- Medical Practice Variations in Reproductive, Obstetric and Gynaecological Care -- Medical Practice Variations in Stroke -- Medical Practice Variations: Theory of Local Standards -- Practice Guidelines and Practice Variation: Diagnostic Technology in Maternity Care -- Shared Decision-Making for Medical Practice Variations in Elective Surgeries and Tests -- Strategies and Tools to Manage Variation in Regional Governance Systems -- Variations in Healthcare Spending and Quality among Institutions.
  • Print
    Michael F. Drummond, Mark J. Sulpher, Karl Claxton, Greg L. Stoddart, George W. Torrance.
    Print2015
    Status: Not Checked OutLane Catalog Record
  • Digital
    edited by Stephanie M. Chang, David B. Matchar [and others].
    Digital2012
    DigitalNCBI
    "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."
  • Digital
    Karen Davis, Kristof Stremikis, David Squires, and Cathy Schoen.
    Digital2014
    "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.
  • Digital
    Sabrina Corlette, Sandy Ahn, Kevin Lucia, and Hannah Ellison.
    Digital2016
    The federally facilitated health insurance marketplace (FFM) is attempting to improve consumers' ability to make plan-to-plan comparisons during the 2017 open enrollment season by encouraging insurers to offer standardized benefit designs. In doing so, the FFM is following the path of several state-based marketplaces (SBMs) that require insurers to offer standardized health plans, although the FFM and most SBMs also allow insurers to offer nonstandardized options. Through an analysis of policy guidance, consumer-facing marketplace websites, and interviews with state officials and key stakeholders, this paper explores the experiences of SBMs in Connecticut, Massachusetts, New York, and Oregon that have required participating insurers to offer standardized plans. The authors find that although broad consensus exists among state officials and stakeholders that the primary goal of health plan standardization is to facilitate "apples-to-apples" plan comparisons, these states' policy choices and website interfaces have curtailed their ability to achieve these stated goals. In particular, by allowing insurers to offer nonstandardized options in addition to standardized options and failing to use web-based decision support tools to differentiate between plan options, consumers in these SBMs have limited ability to conduct the plan-to-plan comparisons as originally envisioned by policymakers.
  • Digital
    Digital : Cambridge1999
  • Digital
    Digital2003-13.
    Digital2012
    Digital2011
    Digital2010
    Digital2009
    Digital2008
    Digital2007
    Digital2006
    Digital2005
    Digital2004
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    Digital2014-
  • Digital
    Digital2003-13.
    Digital2012
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  • Digital
    Victor R. Fuchs.
    Digital : SIEPR2013
  • Digital
    Sondra Zabar, Elizabeth Krajic Kachur, Adina Kalet, Kathleen Hanley, editors.
    Digital : Springer2013
    Objective 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.
  • Digital
    Lauren Elizabeth Cipriano.
    Digital2013
    Mathematical models of health systems and disease can provide important information to decision makers when direct experimentation is impossible, impractical, or unethical, and when there are many possible decision alternatives. When costs or benefits of a medical or health policy decision are in the distant future (perhaps decades away) or are borne by other members of society, mathematical models may be the only practical way to fully evaluate the costs and consequences of policy alternatives. Through modeling, the decision maker can develop a deeper understanding of which factors have the greatest impact on the outcome of interest and explicitly explore decision uncertainty. This dissertation applies and extends the use of mathematical models in the application area of health policy -- specifically to applications of human immunodeficiency virus (HIV) and hepatitis C virus (HCV) screening in injection drug users (IDUs) and the general population.
  • Digital
    Jessica H. McCoy.
    Digital2012
    The "last mile" of a supply chain is the final step of that supply chain before the product reaches the end consumer. In humanitarian and health delivery supply chains, the last mile represents the final leg of the journey for health care or other assistance to reach beneficiaries, and is a critical bottleneck contributing to the acutely inadequate health care access in resource-limited regions. Operations research methodology can be used to evaluate, lessen, and ultimately overcome this bottleneck. In this dissertation, we present four models developed for this context. First, we develop an inventory model to analyze the interaction between a stockpile and a downstream relief operation for large humanitarian organizations such as the United Nations High Commissioner for Refugees. Second, we present an optimization model that explicitly includes treatment adherence when integrating a clinic's capacity decisions with population health outcomes. Our final two models investigate the effectiveness, then the efficiency and equity, of fleet management programs for health worker vehicles (e.g., nonprofit Riders for Health) in places like rural sub-Saharan Africa. Health access challenges are fundamentally supply chain problems, and these models are a first step in using operations research tools to improve health delivery in resource-limited regions. Humanitarian organizations must use their financial resources wisely to carry out their mandates, and models such as these can help organizations make the best use of their limited response resources.
  • Digital
    Joseph C. Cappelleri, Kelly H. Zou, Andrew G. Bushmakin, Jose Ma. J. Alvir, Demissie Alemayehu, Tara Symonds.
    Digital : CRCnetBASE2014
    "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.
  • Digital
    Nira Ramachandran.
    Digital : Springer2014
    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.
  • Digital
    Erin Bagalman and Angela Napili.
    Digital2015
    This report briefly describes the methodology and selected findings of three large federally funded surveys that provide national prevalence estimates of diagnosable mental illness : the National Comorbidity Survey Replication (NCS-R), the National Comorbidity Survey Replication Adolescent Supplement (NCS-A), and the National Survey on Drug Use and Health (NSDUH). This report presents prevalence estimates of any mental illness and serious mental illness based on each survey and ends with a brief discussion of how these prevalence estimates might inform policy discussions.
  • Digital
    Milos Jenicek.
    Digital : CRCnetBASE2013
    Ways 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.
  • Digital
    edited by Catherine Pope, Nicholas Mays.
    Digital : Wiley2006
    Qualitative methods in health research / Catherine Pope, Nicholas Mays -- Qualitative interviews / Nicky Britten -- Focus groups / Jenny Kitzinger -- Observational methods / Catherine Pope, Nicholas Mays -- Conversation analysis / Sarah Collins, Nicky Britten -- Ethical issues / Dawn Goodwin -- Analysing qualitative data / Catherine Pope, Sue Ziebland, Nicholas Mays -- Quality in qualitative health research / Nicholas Mays, Catherine Pope -- Combining qualitative and quantitative methods / Alicia O'Cathain, Kate Thomas -- Case studies / Justin Keen -- Action research / Julienne Meyer -- Consensus development methods / Nick Black -- Synthesising qualitative research / Catherine Pope and Nicholas Mays.
  • Digital
    Peter M. Fayers and David Machin.
    Digital : Wiley2016
    Principles of measurement scales -- Developing a questionnaire -- Scores and measurement : validity, reliability, sensibility -- Multi-item scales -- Factor analysis and structural equation modelling -- Item response theory and differential item functioning -- Item banks, item linking, and computer-adaptive tests -- Choosing and scoring questionnaires -- Clinical trials -- Samples sizes -- Cross-sectional analysis -- Exploring longitudinal data -- Modelling longitudinal data -- Missing data -- Practical and reporting issues -- Death and quality-adjusted survival -- Clinical interpretation -- Biased reporting and response shift -- Meta-analysis.
  • Digital
    Arden Handler, Joan Kennelly, Nadine Peacock, editors.
    Digital : Springer2011
    Introduction: 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.
  • Digital
    Robert A. Berenson, Suzanne F. Delbanco, Stuart Geterman, Michael E. Chernew, Paul B. Ginsburg, Divvy K. Upadhyay and Roslyn Murray.
    Digital2016
    The Health Care Payment Learning and Action Network (LAN) Framework paper's typology of payment methods represents a useful continuum for describing a range of payment models. However, this continuum works less well for actually judging which payment methods deserve priority emphasis for the following reasons: Because all payment models have strengths and weaknesses, the impact of any particular one depends crucially on the specific payment design adopted--including not only the structure of the payment method but also the relative and absolute levels of payment provided; Operational issues related to coding accuracy, availability of reliable and relevant quality measures, and other practical requirements for proper payment need to be addressed; Broad-based testing will be needed in a variety of provider settings to assess the actual impact of new payment methods before they can be adopted nationally in the Medicare program; and The highest value might be delivered in hybrid payment models that combine the strengths of various payment methods while mitigating their weaknesses, rather than by relying on the pure payment methods that make up the LAN continuum.
  • Digital
    prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Outcome Sciences, Inc., ; senior editors, Richard E. Gliklich, Nancy A. Dryer ; editor, Michelle B. Leavy.
    Digital2014
    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.
  • Digital
    Digital : WHO2010
    Print2010
    "This overview outlines the statutory background for WHO's research, identifies the milestones in health research over five decades, and discusses issues of both process and programs. This report also includes accounts of regional efforts in health research"--Publisher's description. African region; Eastern Mediterranean region; European region; South East Asia region; Western Pacific region; Pan American Health Organization
  • Digital
    Sabina Stefania Alistar.
    Digital2012
    Operations research and mathematical modeling can play a key role in informing high-cost, high-impact health policy decisions. This dissertation describes my research on resource allocation for infectious disease control. Resource allocation is especially difficult in this context because epidemics are nonlinear (preventing one infection now may prevent scores of future infections); interventions usually do not have additive effects; the relationship between investment and outcomes is generally nonlinear and epidemics vary across settings in terms of transmission modes and key risk groups. Hence, the problem of resource allocation for epidemic control is complex and cannot be solved by intuition alone. Decision makers have little guidance in choosing investment portfolios that will provide the maximum health benefits for their particular setting. In Chapter 1, I discuss the gap between the theory and the practice of resource allocation for epidemic control, and identify the key features necessary for a model to be useful in practice. In theoretical work presented in Chapter 2, I address the gap between epidemiological measures and the resource allocation decision. I present a new theoretical framework that quantifies the effects of investment in treatment and prevention interventions on a key epidemiological parameter, the reproductive rate of infection, which measures an outbreak's potential for becoming an epidemic. The approach uses production functions to account for nonlinearities of intervention scale-up effects. I develop analytical results characterizing the optimal solution and present illustrative examples with data for Uganda and Russia. I also present a simple structural estimation technique for evaluating the shape of production functions based on real-world data. In Chapter 3 I develop a dynamic compartmental model of interventions for HIV control in mixed HIV epidemics. I apply the model to analyze the tradeoffs between scaling up methadone substitution therapy for injection drug users and antiretroviral treatment for HIV-infected individuals in Ukraine, a representative case. I show that methadone is an economically attractive option for HIV control, and that excluding drug users from HIV programs significantly limits the benefits that can be obtained by scaling up these interventions. In Chapter 4 I describe a spreadsheet-based planning tool I have created in collaboration with the Joint United Nations Programme on HIV/AIDS (UNAIDS). The REACH (Resource Allocation for Control of HIV) model is designed for use by planners around the world in evaluating investment portfolios for HIV control. The tool is easy to use, includes optimization capability, and accounts for non-additive and nonlinear effects of interventions. I present illustrative implementation of the model for three settings (Uganda, Ukraine and Saint Petersburg, Russia). I also describe my ongoing work with UNAIDS decision makers to test and implement the model for regional and country-level HIV resource allocation. I conclude in Chapter 5 with remarks on the significance of the work and directions for future research.
  • Digital
    Digital2013
    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.
  • Digital
    Walter Merkle, editor.
    Digital : Springer2016
    Why do we wrong, although we want to do right?- Current view of German Authorities -- Human behavior in process management -- Successful strategies to detect and avoid failures -- Risk management in aviation -- Risk management in medicine ? principles -- Risk management in the US medicine -- Systemic coaching of staff as risk management tool -- CIRS (Critical Incident Reporting System) -- OTAS (Observational Teamwork Assessment for Surgery) -- FMEA (Failure Mode and Effects Analysis) -- TTO (Team Time Out) -- Peer-Review.- CRM (Crew Ressource Management).- Law aspects-Germany -- Law aspects -- Europe -- Law Aspects -- USA -- Insurances problems -- Implementation of risk management in hospitals -- Economic aspects of risk management -- ISO in medical risk management.
  • Digital
    Charles Vincent, René Amalberti.
    Digital : Springer2016
    Progress and challenges for patient safety -- The ideal and the real -- Approaches to safety: one size does not fit all -- Seeing safety through the patient?s eyes -- The consequences for incident analysis -- Strategies for safety -- Safety strategies in hospitals -- Safety strategies for care in the home -- Safety strategies in primary care -- New challenges for patient safety -- A compendium of safety strategies and interventions -- Managing risk in the real world.
  • Print
    John E. Brush, Jr., MD.
    Print2015
    Chapter 1. Uncertainty in clinical medicine -- Chapter 2. The logic of medicine -- Chapter 3. Probability: uncertainty quantified -- Chapter 4. Decision making: making choices -- Chapter 5. Solving unstructured problems -- Chapter 6. Therapeutic decision making -- Chapter 7. Evidence-based medicine -- Chapter 8. Improving the quality of care -- Chapter 9. Common fallacies -- Chapter 10. Putting this book into practice -- Appendix 1. More on probability curves -- Appendix 2. More on likelihood ratios -- Appendix 3. The minimum Bayes factor and likelihood ratios.
  • Digital
    MIT Critical Data.
    Digital : Springer2016
    Introduction to the Book -- Objectives of secondary analysis of EHR data -- Review of clinical database -- Challenges and opportunities -- Secondary Analysis of EHR Data Cookbook -- Overview -- Step 1: Formulate research question -- Step 2: Data extraction and preprocessing -- Step 3: Exploratory Analysis -- Step 4: Data analysis -- Step 5: Validation and sensitivity analysis -- Missing Data -- Noise vs. Outliers -- Case Studies -- Introduction -- Predictive Modeling: outcome prediction (discrete) -- Predictive Modeling: dose optimization (regression) -- Pharmacovigilance (classification) -- Comparative effectiveness: propensity score analysis -- Comparative effectiveness: instrumental variable analysis -- Decision and Cost Effectiveness Analysis: Hidden Markov models and Monte Carlo simulation -- Time series analysis: Gaussian processes (ICP modelling) -- Time series analysis: Bayesian inference (Motif discovery in numerical signals) -- Time Series analysis: Optimization techniques for hyperparameter selection -- Signal processing: analysis of waveform data -- Signal processing: False alarm reduction.
  • Digital
    Steve Olson and Autumn S. Downey, rapporteurs ; Forum on Drug Discovery, Development, and Translation, Forum on Neuroscience and Nervous System Disorders, National Cancer Policy Forum, Roundtable on Translating Genomic-Based Research for Health, Board on Health Sciences Policy, Board on Health Care Services, Institute of Medicine of the National Academies.
    Digital2013
    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.
  • Digital
    Susannah Fox.
    Digital2011
    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.
  • Digital
    edited by Jeff French.
    Digital : Oxford Medicine Online2017
    The case for social marketing in public health / Jeff French -- Key principal, concepts, and techniques of social marketing / Jeff French -- Social marketing planning / Jeff French -- Evaluation of social marketing programmes / Adam Crosier and Dominic McVey -- Social marketing and public health strategy / Jeff French -- Behaviour and how to influence it / Jeff French -- Generating insight and building segmentation models in social marketing / Dominic McVey and Adam Crosier -- Commissioning social marketing / Jeff French -- Social marketing on a small budget / Jeff French -- Building social programme coalitions / Jeff French -- Ethical issues in social marketing / Lynne Eagle, Stephan Dahl, and David Low -- Using digital and social media platforms for social marketing / Melissa K. Blair -- Social franchising: Strengthening health systems through private sector approaches / Julie McBride, Kim Longfield, Dana Sievers, and Dominic Montagu.
  • Digital
    edited by Amelie G. Ramirez, Ian M. Thompson, Leonel Vela.
    Digital : Springer2013
    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.
  • Digital
    [edited by] Jens R. Chapman, Joseph R. Dettori, Daniel C. Norvell.
    Digital : Thieme eNeurosurgery2009
    1. 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.

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