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Evidence On Mechanisms And Tools For Use Of Health Information For Decision Making
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Book Synopsis Evidence on Mechanisms and Tools for Use of Health Information for Decision-making by : Victoria Blessing
Download or read book Evidence on Mechanisms and Tools for Use of Health Information for Decision-making written by Victoria Blessing and published by World Health Organization. This book was released on 2017-12-06 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: The World Health Assembly in 2005 urged Member States to establish or strengthen knowledge transfer mechanisms to support evidence-informed health policies and health care delivery. The European Health Information Initiative was set up to strengthen the use of evidence information and research for policy-making in the WHO European Region. While good-quality health information is a key component for decision-making it needs to be packaged and communicated in an effective way to policy-makers the end-users. This report describes tools and mechanisms that can help to increase the use of health information in policy development. Packaging tools include synthesis methods such as policy briefs and visualization methods. Application tools include surveillance data and modelling/simulation to explore the behaviour and performance of processes and interventions. Dissemination and communication tools include health information-sharing platforms newsletters and person-to-person communications. Finally linkage and exchange tools such as knowledge networks facilitate the dissemination and refining of health information thus increasing the chance of its translation into policy.
Book Synopsis Evidence on Mechanisms and Tools for Use of Health Information for Decision-making by : Victoria Blessing
Download or read book Evidence on Mechanisms and Tools for Use of Health Information for Decision-making written by Victoria Blessing and published by . This book was released on 2017 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: The World Health Assembly in 2005 urged Member States to establish or strengthen knowledge transfer mechanisms to support evidence-informed health policies and health care delivery. The European Health Information Initiative was set up to strengthen the use of evidence, information and research for policy-making in the WHO European Region. While good-quality health information is a key component for decision-making, it needs to be packaged and communicated in an effective way to policy-makers, the end-users. This report describes tools and mechanisms that can help to increase the use of health information in policy development. Packaging tools include synthesis methods, such as policy briefs, and visualization methods. Application tools include surveillance data and modelling/simulation to explore the behaviour and performance of processes and interventions. Dissemination and communication tools include health information-sharing platforms, newsletters and person-to-person communications. Finally, linkage and exchange tools such as knowledge networks facilitate the dissemination and refining of health information, thus increasing the chance of its translation into policy.
Book Synopsis Disease Control Priorities in Developing Countries by : Dean T. Jamison
Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Book Synopsis Evaluating Evidence of Mechanisms in Medicine by : Veli-Pekka Parkkinen
Download or read book Evaluating Evidence of Mechanisms in Medicine written by Veli-Pekka Parkkinen and published by Springer. This book was released on 2018-07-13 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY license. This book is the first to develop explicit methods for evaluating evidence of mechanisms in the field of medicine. It explains why it can be important to make this evidence explicit, and describes how to take such evidence into account in the evidence appraisal process. In addition, it develops procedures for seeking evidence of mechanisms, for evaluating evidence of mechanisms, and for combining this evaluation with evidence of association in order to yield an overall assessment of effectiveness. Evidence-based medicine seeks to achieve improved health outcomes by making evidence explicit and by developing explicit methods for evaluating it. To date, evidence-based medicine has largely focused on evidence of association produced by clinical studies. As such, it has tended to overlook evidence of pathophysiological mechanisms and evidence of the mechanisms of action of interventions. The book offers a useful guide for all those whose work involves evaluating evidence in the health sciences, including those who need to determine the effectiveness of health interventions and those who need to ascertain the effects of environmental exposures.
Author :Agency for Healthcare Research and Quality/AHRQ Publisher :Government Printing Office ISBN 13 :1587634333 Total Pages :385 pages Book Rating :4.5/5 (876 download)
Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Book Synopsis Evidence-Based Health Informatics by : E. Ammenwerth
Download or read book Evidence-Based Health Informatics written by E. Ammenwerth and published by IOS Press. This book was released on 2016-05-20 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health IT is a major field of investment in support of healthcare delivery, but patients and professionals tend to have systems imposed upon them by organizational policy or as a result of even higher policy decision. And, while many health IT systems are efficient and welcomed by their users, and are essential to modern healthcare, this is not the case for all. Unfortunately, some systems cause user frustration and result in inefficiency in use, and a few are known to have inconvenienced patients or even caused harm, including the occasional death. This book seeks to answer the need for better understanding of the importance of robust evidence to support health IT and to optimize investment in it; to give insight into health IT evidence and evaluation as its primary source; and to promote health informatics as an underpinning science demonstrating the same ethical rigour and proof of net benefit as is expected of other applied health technologies. The book is divided into three parts: the context and importance of evidence-based health informatics; methodological considerations of health IT evaluation as the source of evidence; and ensuring the relevance and application of evidence. A number of cross cutting themes emerge in each of these sections. This book seeks to inform the reader on the wide range of knowledge available, and the appropriateness of its use according to the circumstances. It is aimed at a wide readership and will be of interest to health policymakers, clinicians, health informaticians, the academic health informatics community, members of patient and policy organisations, and members of the vendor industry.
Book Synopsis Fundamentals of Clinical Data Science by : Pieter Kubben
Download or read book Fundamentals of Clinical Data Science written by Pieter Kubben and published by Springer. This book was released on 2018-12-21 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.
Book Synopsis World Report on Knowledge for Better Health by : World Health Organization
Download or read book World Report on Knowledge for Better Health written by World Health Organization and published by World Health Organization. This book was released on 2004-09-02 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book reviews the current state of health research and concludes that: more investment is needed, research need to be managed more effectively to help strengthen health systems and build public confidence in science; stronger emphasis should be placed on translating knowledge into action. There are five sections: learning to improve health, gives an overview and some historical perspective; towards a scientific basis for health systems; strengthening health research systems; linking research to action; and recommendations and an action plan.
Book Synopsis Shared Decision Making in Health Care by : Glyn Elwyn
Download or read book Shared Decision Making in Health Care written by Glyn Elwyn and published by Oxford University Press. This book was released on 2016-08-04 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past decade health care systems around the world have placed increasing importance on the relationship between patient choice and clinical decision-making. In the years since the publication of the second edition of Shared Decision Making in Health Care, there have been significant new developments in the field, most notably in the US where 'Obamacare' puts shared decision making (SDM) at the centre of the 2009 Affordable Care Act. This new edition explores shared decision making by examining, from practical and theoretical perspectives, what should comprise an effective decision-making process. It also looks at the benefits and potential difficulties that arise when patients and clinicians share health care decisions. Written by leading experts from around the world and utilizing high quality evidence, the book provides an up-to-date reference with real-word context to the topics discussed, and in-depth coverage of the practicalities of implementing and teaching SDM. The breadth of information in Shared Decision Making in Health Care makes it an essential resource for policy-makers and health care workers. As health care systems adapt to increasingly collaborative patient-clinician care frameworks, this will also prove a useful guide to SDM for clinicians of all disciplines.
Book Synopsis Helping people share decision making by : Debra de Silva
Download or read book Helping people share decision making written by Debra de Silva and published by The Health Foundation. This book was released on 2012 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309671035 Total Pages :317 pages Book Rating :4.3/5 (96 download)
Book Synopsis Social Isolation and Loneliness in Older Adults by : National Academies of Sciences, Engineering, and Medicine
Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Book Synopsis A Framework for Conceptualizing Evidence Needs of Health Systems by : Karen M. Schoelles
Download or read book A Framework for Conceptualizing Evidence Needs of Health Systems written by Karen M. Schoelles and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: To develop a framework for understanding the evidence needs of health systems to inform the AHRQ EPC Program future efforts. DATA SOURCES: Three data sources were used: (a) peer-reviewed literature from a systematic search of English-language publications in MEDLINE from January 2007-April 2017, (b) original data from four programs serving health system requests for evidence syntheses, and (c) input during a face-to-face meeting at AHRQ in June 2017 from health system stakeholders and EPC investigators. METHODS: Data were synthesized narratively and thematically. We developed an initial framework to guide discussion and qualitative analysis. We built consensus around themes and refinement of the framework through weekly phone conferences, electronic communications, and a face-to-face meeting of workgroup members and health systems experts. RESULTS: From the literature review, we found that health systems seek evidence to inform decisions about acquiring new or emerging medical technologies; implementation or expansion of service offerings; and selection of governance, finance or delivery system models. Studies emphasize a preference for rapidly completed, succinct and easily understood evidence syntheses with layered information presentations. Studies of tools for promoting health system use of evidence describe methods for clarifying how the evidence applies to the local and operational context and how evidence intersects with other considerations in decisionmaking. Data from the four evidence synthesis programs illustrate a breadth of questions addressed and report types used by health systems. Discussions with health system experts highlighted the importance of trustworthiness of the process for synthesizing published literature; trustworthiness of the evidence itself; mechanisms for integrating internally generated data with evidence from published literature; and evaluation, feedback and updating mechanisms facilitated by transforming the published literature into machine executable knowledge for use by decisionmakers. CONCLUSIONS: We identified several domains to facilitate interaction between health systems and evidence synthesis producers. Successful engagement will require specifying the type of decision or question of the health system; type of evidence synthesis to best address the question(s) of interest; tools to promote the use of evidence; and a feedback or auditing mechanism to determine the impact of evidence integration into health system decisions. Both the trustworthiness of the evidence synthesis process and communication of the trustworthiness of the evidence are additional key domains. Partnerships with health systems are critical for understanding their evidence needs and establishing trust.
Book Synopsis Health Care Comes Home by : National Research Council
Download or read book Health Care Comes Home written by National Research Council and published by National Academies Press. This book was released on 2011-06-22 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.
Book Synopsis European Health Report 2018: More Than Numbers - Evidence for All by : Centers of Disease Control
Download or read book European Health Report 2018: More Than Numbers - Evidence for All written by Centers of Disease Control and published by World Health Organization. This book was released on 2019-02-11 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the half-way point in the implementation period of Health 2020 having been crossed this report reflects on the effect that the policy has had on the Region. Like its predecessors in 2012 and 2015 the 2018 report is an essential resource for the 53 Member States of the WHO European Region to report on progress towards the Health 2020 targets outlining areas that may be unfinished by 2020 and beyond. Lessons learned from across the Region on action taken by the WHO Regional Office for Europe and Member States to improve the health and well-being of their populations are presented. The report also addresses the new public health challenges that have emerged in recent years. To respond effectively to these challenges new forms of evidence are essential to measure health and well-being in different cultural and subjective contexts. This is particularly important in the context of the 2030 Agenda for Sustainable Development and the Sustainable Development Goals whose health indicators overlap significantly with those for Health 2020. The report will be a useful source of information for policy-makers throughout the Region helping them identify areas that need further assessment and policy action at the national level. It should inspire Member States and other stakeholders to contribute to the work under the umbrella of the WHO European Health Information Initiative: a collaboration between the Regional Office European institutions and Member States aimed at improving the information that underpins policy. Only through broad international cooperation and bold strides in the way evidence is used in the 21st century will evidence fully inform health policy-making for the benefit of all.
Book Synopsis Finding What Works in Health Care by : Institute of Medicine
Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Book Synopsis Evidence-Based Public Health by : Ross C. Brownson
Download or read book Evidence-Based Public Health written by Ross C. Brownson and published by Oxford University Press. This book was released on 2010-12-03 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are at least three ways in which a public health program or policy may not reach stated goals for success: 1) Choosing an intervention approach whose effectiveness is not established in the scientific literature; 2) Selecting a potentially effective program or policy yet achieving only weak, incomplete implementation or "reach," thereby failing to attain objectives; 3) Conducting an inadequate or incorrect evaluation that results in a lack of generalizable knowledge on the effectiveness of a program or policy; and 4) Paying inadequate attention to adapting an intervention to the population and context of interest To enhance evidence-based practice, this book addresses all four possibilities and attempts to provide practical guidance on how to choose, carry out, and evaluate evidence-based programs and policies in public health settings. It also begins to address a fifth, overarching need for a highly trained public health workforce. This book deals not only with finding and using scientific evidence, but also with implementation and evaluation of interventions that generate new evidence on effectiveness. Because all these topics are broad and require multi-disciplinary skills and perspectives, each chapter covers the basic issues and provides multiple examples to illustrate important concepts. In addition, each chapter provides links to the diverse literature and selected websites for readers wanting more detailed information. An indispensable volume for professionals, students, and researchers in the public health sciences and preventative medicine, this new and updated edition of Evidence-Based Public Health aims to bridge research and evidence with policies and the practice of public health.
Author :U. S. Department of Health and Human Services Publisher :Createspace Independent Pub ISBN 13 :9781484133378 Total Pages :790 pages Book Rating :4.1/5 (333 download)
Book Synopsis Enabling Health Care Decisionmaking Through Clinical Decision Support and Knowledge Management by : U. S. Department of Health and Human Services
Download or read book Enabling Health Care Decisionmaking Through Clinical Decision Support and Knowledge Management written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-04-16 with total page 790 pages. Available in PDF, EPUB and Kindle. Book excerpt: Efforts to improve the quality and value of health care increasingly emphasize a critical role for the meaningful use of clinical decision support systems (CDSSs) and electronic knowledge management systems (KMSs). For the purpose of this review, a clinical decision support system is defined as “any electronic system designed to aid directly in clinical decisionmaking, in which characteristics of individual patients are used to generate patient-specific assessments or recommendations that are then presented to clinicians for consideration.” Examples of electronic CDSSs include alerts, reminders, order sets, drug-dosage calculations, and care-summary dashboards that provide performance feedback on quality indicators or benchmarks. In contrast, a knowledge management system is defined as a tool that selectively provides information relevant to the characteristics or circumstances of a clinical situation but which requires human interpretation for direct application to a specific patient. Examples of electronic KMSs include information retrieval tools and knowledge resources that consist of distilled primary literature on evidence-based practices. An information retrieval tool is defined as an electronic tool designed to aid clinicians in the search and retrieval of context-specific knowledge from information sources based on patient-specific information from a clinical information system to facilitate decisionmaking at the point of care of for a specific care situation. A knowledge resource is defined as an electronic resource comprising distilled primary literature that allows selection of content that is germane to a specific patient to facilitate decisionmaking at the point of care or for a specific care situation. The objective of a CDSS is to apply clinical knowledge in the context of patient-specific information to aid clinicians in the process of making decisions. Electronic KMSs can further support decisionmaking in any care situation by providing a range of strategies and resources to create, represent, and distribute knowledge for application by a human in clinical practice. As a form of health information technology, CDSSs and KMSs can serve as information tools to align clinician decisionmaking with best practice guidelines and evidence-based medical knowledge at the point of care as well as assist with information management to support clinicians' decisionmaking abilities. This evidence report is part of a three-report series focusing on the strategic goals of the Agency for Healthcare Research and Quality's (AHRQ's) health information technology portfolio. This report specifically explores facilitating health care decisionmaking through health information technology. Supporting health care decisionmaking is a core element of the meaningful use criteria for EHRs. As the expected level of sophistication of EHRs increases in the evolving definitions of meaningful use, the need for more sophisticated CDSSs/KMSs is imperative, as is the need for better operational use of these systems. This increasing importance of CDSSs/KMSs acknowledges that EHRs alone are not an end but are instead a tool to augment the delivery of safe, evidence-based, high-quality health care through more consistent and sound decisionmaking. The goals of this report were to summarize the available evidence related to CDSSs and KMSs, highlight the limitations of the evidence, and identify areas for future research. The key questions considered in this review were: KQ 1: What evidence-based study designs have been used to determine the clinical effectiveness of electronic knowledge management and CDSSs? KQ 2: What contextual factors/features influence the effectiveness or success of electronic knowledge management and CDSSs? KQ 3: What is the impact of introducing electronic knowledge management and CDSSs? KQ 4: What generalizable knowledge can be integrated into electronic knowledge management and CDSSs to improve health care quality?
