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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
Total Pages: 447
Release: 2019-10-17
Genre:
ISBN: 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.


The Clinical Journal

The Clinical Journal
Author:
Publisher:
Total Pages: 438
Release: 1901
Genre: Clinical medicine
ISBN:

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Contemporary Clinical Practice

Contemporary Clinical Practice
Author: Ellen Ruderman
Publisher: Springer Science & Business Media
Total Pages: 124
Release: 2012-12-09
Genre: Social Science
ISBN: 1461441242

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Contemporary Clinical Practice: The Holding Environment Under Assault is devoted to the examination of contemporary social problems and their impact on the clinical process. State-of-the-art psychodynamic theories will be applied to the understanding of how war, terrorism, politics, government regulations, and other environmental problems influence interactions between clinicians and their patients.


Trends in Gastroenterology and Hepatology

Trends in Gastroenterology and Hepatology
Author: H. Asakura
Publisher: Springer Science & Business Media
Total Pages: 560
Release: 2011-06-28
Genre: Medical
ISBN: 4431678956

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Recent advances in gastroenterology and hepatology as well as new findings in biliary and pancreatic diseases are presented in the proceedings of the 86th annual congress of the Japanese Society of Gastroenterology. From the hundreds of papers delivered at the congress, 70 were selected for inclusion here. Opening with special lectures on gastroenterology in the new millennium, ulcerative colitis-pathophysiology and therapy, and life style-related diseases and gastroenterology, the volume is divided into sections reflecting the major concerns of researchers in the science of digestive diseases in Japan today: apoptosis in digestive organs, nitric oxide, transcription factors in digestive organs, antigen-presenting cells, pathology of inflammatory bowel disease, NSAID-induced gastric lesions, microcirculation in digestive diseases, hepatic regeneration, and hepatic fibrosis.


Coronary Microvascular Dysfunction

Coronary Microvascular Dysfunction
Author: Filippo Crea
Publisher: Springer Science & Business Media
Total Pages: 263
Release: 2013-08-15
Genre: Medical
ISBN: 8847053676

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In the past two decades a number of studies have shown that abnormalities in the function and structure of coronary microcirculation can be detected in several cardiovascular diseases. On the basis of the clinical setting in which it occurs, coronary microvascular dysfunction (CMD) can be classified into four types: CMD in the absence of any other cardiac disease; CMD in myocardial diseases; CMD in obstructive epicardial coronary artery disease; and iatrogenic CMD. In some instances CMD represents an epiphenomenon, whereas in others it represents an important marker of risk or may contribute to the pathogenesis of myocardial ischemia, thus becoming a possible therapeutic target. This book provides an update on coronary physiology and a systematic assessment of microvascular abnormalities in cardiovascular diseases, in the hope that it will assist clinicians in prevention, detection and management of CMD in their everyday activity.


Clinical Practice Guidelines We Can Trust

Clinical Practice Guidelines We Can Trust
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 217
Release: 2011-06-16
Genre: Medical
ISBN: 030921646X

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Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.


Clinical Prediction Models

Clinical Prediction Models
Author: Ewout W. Steyerberg
Publisher: Springer
Total Pages: 558
Release: 2019-07-22
Genre: Medical
ISBN: 3030163997

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The second edition of this volume provides insight and practical illustrations on how modern statistical concepts and regression methods can be applied in medical prediction problems, including diagnostic and prognostic outcomes. Many advances have been made in statistical approaches towards outcome prediction, but a sensible strategy is needed for model development, validation, and updating, such that prediction models can better support medical practice. There is an increasing need for personalized evidence-based medicine that uses an individualized approach to medical decision-making. In this Big Data era, there is expanded access to large volumes of routinely collected data and an increased number of applications for prediction models, such as targeted early detection of disease and individualized approaches to diagnostic testing and treatment. Clinical Prediction Models presents a practical checklist that needs to be considered for development of a valid prediction model. Steps include preliminary considerations such as dealing with missing values; coding of predictors; selection of main effects and interactions for a multivariable model; estimation of model parameters with shrinkage methods and incorporation of external data; evaluation of performance and usefulness; internal validation; and presentation formatting. The text also addresses common issues that make prediction models suboptimal, such as small sample sizes, exaggerated claims, and poor generalizability. The text is primarily intended for clinical epidemiologists and biostatisticians. Including many case studies and publicly available R code and data sets, the book is also appropriate as a textbook for a graduate course on predictive modeling in diagnosis and prognosis. While practical in nature, the book also provides a philosophical perspective on data analysis in medicine that goes beyond predictive modeling. Updates to this new and expanded edition include: • A discussion of Big Data and its implications for the design of prediction models • Machine learning issues • More simulations with missing ‘y’ values • Extended discussion on between-cohort heterogeneity • Description of ShinyApp • Updated LASSO illustration • New case studies


Journal Article Writing and Publication

Journal Article Writing and Publication
Author: Sharon A. Gutman
Publisher: Taylor & Francis
Total Pages: 176
Release: 2024-06-01
Genre: Medical
ISBN: 1040141463

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The ability to demonstrate that a specific health care profession provides valuable and effective services that meet society’s health needs is a major objective for all health care academicians and researchers. Such skills are critical to ensure service reimbursement from an increasingly small pool of health care dollars. Demonstrating clinical effectiveness depends on the reporting of written research results through journal publication so that the health care community and larger society will be able to access and read evidence supporting health care services. Today, several clinical reporting standard guidelines have been created by researchers to enhance the ability of readers to evaluate the quality and value of studies. Journal Article Writing and Publication is the first text to compile those clinical research reporting standards in one source and helps educators and novice researchers to better understand the skills needed for journal publication. Health care researchers must begin using these reporting standards in order to write manuscripts that are both correctly formatted and transparently convey all critical study strengths and limitations. Educators must teach these reporting standards to students who must evaluate research reports as consumers and possible future contributors to the literature through their own writing. Journal Article Writing and Publication by Dr. Sharon A. Gutman (a former editor of the American Journal of Occupational Therapy) provides specific guidelines, based on the most commonly accepted reporting standards, for the preparation and writing of general research studies, intervention effectiveness studies, instrument development and testing studies, and case reports. A section is devoted to helping authors understand the rules governing the reporting of statistical data in text and tables. Separate sections help authors understand the manuscript preparation and submission process, the revision process, and the etiquette guiding communication with editors and reviewers. Guidelines for the preparation of scholarly discussion papers and editorials are also provided. Journal Article Writing and Publication also features a section that aims to help doctoral students and newly minted faculty turn academic work and dissertations into publishable journal articles. Suggestions are provided to help clinicians turn clinical data into research databases that could serve as the foundation for pilot studies. Finally, information is provided to help authors better understand the ethical considerations of publication including plagiarism, dual submissions, inappropriate authorship, copyright, and conflict of interest.


The Clinical Journal

The Clinical Journal
Author:
Publisher:
Total Pages: 426
Release: 1895
Genre: Clinical medicine
ISBN:

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Implementation Science

Implementation Science
Author: Frances Rapport
Publisher: Taylor & Francis
Total Pages: 343
Release: 2022-06-07
Genre: Medical
ISBN: 1000583457

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This accessible textbook introduces a wide spectrum of ideas, approaches, and examples that make up the emerging field of implementation science, including implementation theory, processes and methods, data collection and analysis, brokering interest on the ground, and sustainable implementation. Containing over 60 concise essays, each addressing the thorny problem of how we can make care more evidence-informed, this book looks at how implementation science should be defined, how it can be conducted, and how it is assessed. It offers vital insight into how research findings that are derived from healthcare contexts can help make sense of service delivery and patient encounters. Each entry concentrates on an important concept and examines the idea’s evidence base, root causes and effects, ideas and applications, and methodologies and methods. Revealing a very human side to caregiving, but also tackling its more complex and technological aspects, the contributors draw on real-life healthcare examples to look both at why things go right in introducing a new intervention and at what can go wrong. Implementation Science: The Key Concepts provides a toolbox of rich, contemporary thought from leading international thinkers, clearly and succinctly delivered. This comprehensive and enlightening range of ideas and examples brought together in one place is essential reading for all students, researchers, and practitioners with an interest in translating knowledge into practice in healthcare.