Evidence-Based Medicine and the Changing Nature of Health Care

Evidence-Based Medicine and the Changing Nature of Health Care

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2008-09-06

Total Pages: 202

ISBN-13: 0309113695

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Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.


Patient Safety and Quality

Patient Safety and Quality

Author: Ronda Hughes

Publisher: Department of Health and Human Services

Published: 2008

Total Pages: 592

ISBN-13:

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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/


Smart Health Choices

Smart Health Choices

Author: Les Irwig

Publisher: Judy Irwig

Published: 2008

Total Pages: 255

ISBN-13: 1905140177

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Every day we make decisions about our health - some big and some small. What we eat, how we live and even where we live can affect our health. But how can we be sure that the advice we are given about these important matters is right for us? This book will provide you with the right tools for assessing health advice.


Exploring Universal Basic Income

Exploring Universal Basic Income

Author: Ugo Gentilini

Publisher: World Bank Publications

Published: 2019-11-25

Total Pages: 325

ISBN-13: 1464815119

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Universal basic income (UBI) is emerging as one of the most hotly debated issues in development and social protection policy. But what are the features of UBI? What is it meant to achieve? How do we know, and what don’t we know, about its performance? What does it take to implement it in practice? Drawing from global evidence, literature, and survey data, this volume provides a framework to elucidate issues and trade-offs in UBI with a view to help inform choices around its appropriateness and feasibility in different contexts. Specifically, the book examines how UBI differs from or complements other social assistance programs in terms of objectives, coverage, incidence, adequacy, incentives, effects on poverty and inequality, financing, political economy, and implementation. It also reviews past and current country experiences, surveys the full range of existing policy proposals, provides original results from micro†“tax benefit simulations, and sets out a range of considerations around the analytics and practice of UBI.


Evidence-based Practice in Action

Evidence-based Practice in Action

Author: Laura Cullen

Publisher: SIGMA Theta Tau International

Published: 2017

Total Pages: 513

ISBN-13: 9781940446943

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"Cover" -- "Praise" -- "Title Page" -- "Copyright Page" -- "Acknowledgments" -- "About the Authors" -- "Table of Contents" -- "Foreword" -- "The Iowa Model Revised" -- "Overview" -- "Chapter 1_Identifying Triggering Issues/Opportunities" -- "Chapter 2_State the Question or Purpose" -- "Chapter 3_Is This Topic a Priority?" -- "Chapter 4_Form a Team" -- "Chapter 5_Assemble, Appraise, and Synthesize Body of Evidence" -- "Chapter 6_Is There Sufficient Evidence?" -- "Chapter 7_Design and Pilot the Practice Change" -- "Chapter 8_Implementation" -- "Chapter 9_Evaluation" -- "Chapter 10_Is Change Appropriate for Adoption in Practice?" -- "Chapter 11_Integrate and Sustain the Practice Change" -- "Chapter 12_Disseminate Results" -- "References" -- "Appendix A_The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care" -- "Appendix B_Implementation Strategies for Evidence-Based Practice" -- "Appendix C_UI Hospitals and Clinics Evidence-Based Practice Publications Reporting Use of the Iowa Model" -- "Appendix D_Select Evidence-Based Practice Process Models" -- "Appendix E_Glossary" -- "Index


Evidence-Based Public Health Practice

Evidence-Based Public Health Practice

Author: Arlene Fink

Publisher: SAGE

Published: 2013

Total Pages: 329

ISBN-13: 1412997445

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Designed for students and practitioners, this practical book shows how to do evidence-based research in public health. As a great deal of evidence-based practice occurs online, it focuses on how to find, use, and interpret online sources of public health information. It also includes examples of community-based participatory research and shows how to link data with community preferences and needs.


Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author: OECD

Publisher: OECD Publishing

Published: 2019-10-17

Total Pages: 447

ISBN-13: 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.


Evidence-Based Policy

Evidence-Based Policy

Author: Ray Pawson

Publisher: SAGE

Published: 2006-04-07

Total Pages: 415

ISBN-13: 1446227839

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In this important new book, Ray Pawson examines the recent spread of evidence-based policy making across the Western world. Few major public initiatives are mounted these days in the absence of a sustained attempt to evaluate them. Programmes are tried, tried and tried again and researched, researched and researched again. And yet it is often difficult to know which interventions, and which inquiries, will withstand the test of time. The evident solution, going by the name of evidence-based policy, is to take the longer view. Rather than relying on one-off studies, it is wiser to look to the ′weight of evidence′. Accordingly, it is now widely agreed the most useful data to support policy decisions will be culled from systematic reviews of all the existing research in particular policy domains. This is the consensual starting point for Ray Pawson′s latest foray into the world of evaluative research. But this is social science after all and harmony prevails only in the first chapter. Thereafter, Pawson presents a devastating critique of the dominant approach to systematic review - namely the ′meta-analytic′ approach as sponsored by the Cochrane and Campbell collaborations. In its place is commended an approach that he terms ′realist synthesis′. On this vision, the real purpose of systematic review is better to understand programme theory, so that policies can be properly targeted and developed to counter an ever-changing landscape of social problems. The book will be essential reading for all those who loved (or loathed) the arguments developed in Realistic Evaluation (Sage, 1997). It offers a complete blueprint for research synthesis, supported by detailed illustrations and worked examples from across the policy waterfront. It will be of especial interest to policy-makers, practitioners, researchers and students working in health, education, employment, social care, criminal justice, regeneration and welfare.


The Philosophy of Evidence-based Medicine

The Philosophy of Evidence-based Medicine

Author: Jeremy H. Howick

Publisher: John Wiley & Sons

Published: 2011-02-23

Total Pages: 248

ISBN-13: 1444342665

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Evidence-based medicine (EBM) has become a required element of clinical practice, but it is critical for the healthcare community to understand the ongoing controversy surrounding EBM. Seeking to address questions raised by critics, The Philosophy of Evidence-based Medicine challenges the over dependency of EBM on randomized controlled trials. This book also explores EBM methodology and its relationship with other approaches used in medicine.


Intervention Research

Intervention Research

Author: Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN

Publisher: Springer Publishing Company

Published: 2012-04-23

Total Pages: 498

ISBN-13: 0826109586

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2012 First Place AJN Book of the Year Award Winner in Nursing Research! "This is a resource for success and should be a part of any researcher's library."--Doody's Medical Reviews This book is a practical, user-friendly guide for health care researchers across multiple disciplines who are involved in intervention research. It provides all of the essential elements needed for understanding how to design, conduct, analyze, and fund intervention studies that are replicable and can withstand the scrutiny of the Institutional Review Board and peer review. Developed from an annual continuing education workshop on intervention studies conducted by Dr. Melnyk, this text is the most comprehensive body of information available on this topic. Contributors address the design of interventions that are ethically considerate and sensitive to culture, race/ethnicity, and gender, minimizing threats to external and internal validity, measurement, and budgeting. The guide explores such implementation issues as subject recruitment and retention, data management, and specialized settings, cost analysis, and explaining intervention effects. The text also guides readers in writing grant applications that fund , and addresses how to move intervention study findings into the real world. A unique addition to the book is the availability of digital examples of progress reports, final reports, and research grant applications that have received funding from the National Institutes of Health and other relevant organizations. This text is a valuable resource for all health care professionals conducting research and for doctoral students in health care studies. Key Features: Presents the essential tools for designing, conducting, analyzing, and funding intervention studies Designed for use by health care professionals conducting intervention research Provides comprehensive, accessible guidelines for doctoral students across all health care disciplines Instructs readers on writing grant applications that fund Includes digital examples of funded research grants, progress reports, and final reports