OP93 Conditional Financing In Health Technology Assessment Practice: The Dutch Experience

2017 ◽  
Vol 33 (S1) ◽  
pp. 42-43
Author(s):  
Amr Makady ◽  
Hugo Nijmeijer ◽  
Ard van Veelen ◽  
Anthonius de Boer ◽  
Hans Hillege ◽  
...  
Keyword(s):  
Decision Making ◽  
Data Collection ◽  
The Netherlands ◽  
Outcomes Research ◽  
Access To Medicines ◽  
Routine Practice ◽  
Assessment Practice ◽  
Scheme Design ◽  
Additional Data Collection ◽  
Research Questions

INTRODUCTION:In 2007, the National Healthcare Institute (ZIN) initiated conditional financing (CF) of expensive hospital drugs as an example of conditional reimbursement schemes (CRS). CF is a 4-year procedure encompassing initial HTA assessment (T = 0) followed by additional data collection via outcomes research (separately assessing appropriate use & cost-effectiveness in routine practice) and re-assessment (T = 4). This study aims to review performance and experiences with CF in the Netherlands to date.METHODS:All dossiers for drugs that underwent the full CF procedure were reviewed. Using a standardized data abstraction form, two researchers independently extracted information on procedural, methodological and decision-making aspects (that is, related to implemented outcomes research, evidence assessment and appraisal). A scoring algorithm was used to assess all three aspects.RESULTS:Fourty-seven candidates were nominated for CF; fourty-four underwent T = 0 assessments and eleven T = 4 assessments. The procedure extended beyond 4 years for 10/11 candidates. For the eleven candidates, applicants clearly defined study designs and data collection methods for outcomes research proposals addressing 16/22 research questions posed in T = 0 reports. ZIN provided discussion points and recommendations regarding research proposals for 18/22 research questions. Applicants implemented recommendations fully in 8/22 cases and partially in 12/22. Sufficient data was available at T = 4 to answer 15/22 research questions posed at T = 0. However, discussion points remained regarding implemented outcomes research for all eleven candidates at T = 4. ZIN advised to continue reimbursement for nine candidates and to stop reimbursement for two. For six of the nine candidates, reimbursement was continued on the basis of conditions relating to additional evidence generation beyond T = 4.CONCLUSIONS:Theoretically, CF provides a valuable option for enabling quick but conditional access to medicines in the Netherlands. However, procedural, methodological and decision-making considerations related to scheme design and implementation may affect its value in decision-making practice.

Indicator of access to medicines in relation to the multiple dimensions of access

2019 ◽  
Vol 8 (12) ◽  
pp. 1027-1041 ◽  
Author(s):  
Marina M Garcia ◽  
Mariana M Barbosa ◽  
Rondineli M Silva ◽  
Edna A Reis ◽  
Juliana Alvares ◽  
...  
Keyword(s):  
Decision Making ◽  
Data Collection ◽  
Public Policies ◽  
Access To Medicines ◽  
Likert Scale ◽  
Pharmaceutical Services ◽  
Single Indicator ◽  
Multiple Dimensions ◽  
Significant Difference ◽  
The Mean

Aim: Creation of a single indicator of access to medicines. Methods: Data collection was performed with individuals who obtained their medication from either public and/or private pharmacies. A Likert scale was used to measure the importance and satisfaction in relation to various access dimensions. Results: A total of 580 individuals were interviewed. Overall, participants attributed very similar importance scores to the dimensions of access to medicines. The results of the mean score of each dimension showed a statistically significant difference according to the type of pharmacy that the participant visited. Conclusion: This developed indicator will enable a review of access to medicines, making comparisons possible as well as improving decision making about public policies in the field of Pharmaceutical Services.

scholarly journals USING STIMULATED RECALL METHOD IN UNDERSTANDING TEACHER INTERACTIVE DECISION MAKING

2018 ◽  
Vol 14 (2) ◽  
pp. 22-31
Author(s):  
Risna Saswati
Keyword(s):  
Decision Making ◽  
Data Collection ◽  
Accurate Information ◽  
Thought Processes ◽  
Collection Method ◽  
Data Collection Method ◽  
Dissertation Writing ◽  
Stimulated Recall ◽  
Interactive Decision Making ◽  
Research Questions

This study sheds lights on whether Stimulated Recall (SR) as data collection method can gain accurate information if the recall is not conducted immediately after the task is completed. This study emerges from a research conducted previously about teacher decision making regarding their language use which is a dissertation writing and is not published yet. This paper is to investigate whether it is applicable to recall thought processes of teacher interactive decision making. This study applies interpretative method which uses documents of classroom observation video transcription and post observation interview transcription as data. The result is it is beneficial to use SR as data collection method since it can gain information accurately to recall the thought processes of teacher interactive decision making. It can work well to collect the data if SR is conducted based on the recommendations proposed by Gass and Mackay (2000) which are time, strong stimulus, good training for the research participants, and consistency with research questions.

scholarly journals Building on Strengths: Collaborative Intergenerational Health Research with Urban First Nations and Métis Women and Girls

2019 ◽  
Vol 14 (1) ◽  
pp. 107-125
Author(s):  
Elizabeth Cooper ◽  
S Michelle Driedger ◽  
Josée Lavoie
Keyword(s):  
Decision Making ◽  
Data Collection ◽  
First Nations ◽  
Self Esteem ◽  
Important Research ◽  
Health And Wellbeing ◽  
Women And Girls ◽  
Research Questions ◽  
Rich Data ◽  
Memory Game

Little research has focused on how Indigenous girls and their familial female caregivers negotiate issues pertaining to wellbeing and decision-making practices. To address this gap, we employed a novel intergenerational Indigenous partnership methods using various decolonizing action and arts-based activities, to allow participants to guide and modify the direction of the research throughout data collection. We report on three separate activities: a physical game to address concepts of wellness, a memory game that focused on harm reduction and an art project that explored self-esteem. Within each of these activities, female family members and girls worked together to unpack issues of importance within their lives. We conclude that a flexible participatory research design within an intergenerational setting can meet not only the proposed research objectives, but participants’ ever-changing questions and concerns pertaining to health and wellbeing, while still producing rich data to answer important research questions.

scholarly journals Planning Qualitative Research: Design and Decision Making for New Researchers

2020 ◽  
Vol 19 ◽  
pp. 160940692096717
Author(s):  
Lesley Eleanor Tomaszewski ◽  
Jill Zarestky ◽  
Elsa Gonzalez
Keyword(s):  
Decision Making ◽  
Qualitative Research ◽  
Data Collection ◽  
Qualitative Approach ◽  
Qualitative Research Design ◽  
Qualitative Approaches ◽  
Data Collection And Analysis ◽  
Starting Point ◽  
Research Questions

For students and novice researchers, the choice of qualitative approach and subsequent alignment among problems, research questions, data collection, and data analysis can be particularly tricky. Therefore, the purpose of this paper is to provide a concise explanation of four common qualitative approaches, case study, ethnography, narrative, and phenomenology, demonstrating how each approach is linked to specific types of data collection and analysis. We first introduce a summary and key qualities of each approach. Then, using two common research contexts, we apply each approach to design a study, enabling comparisons among approaches and demonstrating the internal consistency within each approach. Given the nuance and complexity of qualitative research, this paper provides an accessible starting point from which novice researchers can begin their journey of learning about, designing, and conducting qualitative research.

scholarly journals The HSN and the Netherlands Indies: Challenge and Promise

2021 ◽  
Vol 10 ◽  
pp. 41-45
Author(s):  
Ulbe Bosma
Keyword(s):  
Life Cycle ◽  
Data Collection ◽  
The Netherlands ◽  
Military Service ◽  
Country Of Birth ◽  
Migration Experience ◽  
Netherlands Indies ◽  
Current Article ◽  
Research Questions

In 2000 Kees Mandemakers and I started a project to trace the life courses of Dutch migrants to the Netherlands Indies. This article describes the process of data collection, the research questions and the project's main findings that have been published in various articles and a monograph. Two conclusions stand out: the first pertains to the heavily urban provenance of this migration and the second emphasizes the relatively educated and skilled background of colonial Dutch migration. This second finding contradicts earlier assumptions about the Dutch colonies as a place where undesirable elements were shovelled off. The current article further discusses findings of projects on Swiss and Luxembourger military migrations to the Netherlands Indies. An important difference between Dutch military migrants and those from other European countries regards the role of their service within a life course. While Dutch colonial military service was often the first step to make a career in colonial Indonesia, for Europeans from abroad it was rather a move of desperation as well as an attempt to earn some money that would enable them to start a business and a family in their country of birth. Their migration experience was rather a 'life cycle' migration. The article finally describes attempts to extend the HSN to the Dutch citizens born in the Netherlands Indies.

Enhancing Clinical Supervision Using High-Definition Real-Time Digital Recording, Annotation, and Bluetooth Technology

2019 ◽  
Vol 4 (2) ◽  
pp. 356-362
Author(s):  
Jennifer W. Means ◽  
Casey McCaffrey
Keyword(s):  
Graduate Students ◽  
Data Collection ◽  
Real Time ◽  
Clinical Supervision ◽  
Video Recording ◽  
Advanced Technology ◽  
High Definition ◽  
Recording Technology ◽  
Self Confidence ◽  
Additional Data Collection

Purpose The use of real-time recording technology for clinical instruction allows student clinicians to more easily collect data, self-reflect, and move toward independence as supervisors continue to provide continuation of supportive methods. This article discusses how the use of high-definition real-time recording, Bluetooth technology, and embedded annotation may enhance the supervisory process. It also reports results of graduate students' perception of the benefits and satisfaction with the types of technology used. Method Survey data were collected from graduate students about their use and perceived benefits of advanced technology to support supervision during their 1st clinical experience. Results Survey results indicate that students found the use of their video recordings useful for self-evaluation, data collection, and therapy preparation. The students also perceived an increase in self-confidence through the use of the Bluetooth headsets as their supervisors could provide guidance and encouragement without interrupting the flow of their therapy sessions by entering the room to redirect them. Conclusions The use of video recording technology can provide opportunities for students to review: videos of prospective clients they will be treating, their treatment videos for self-assessment purposes, and for additional data collection. Bluetooth technology provides immediate communication between the clinical educator and the student. Students reported that the result of that communication can improve their self-confidence, perceived performance, and subsequent shift toward independence.

Peranan Bimbingan Keagamaan dalam Meningkatkan Kecerdasan Spiritual Remaja

2019 ◽  
Vol 7 (2) ◽  
pp. 233-252
Author(s):  
Risna Dewi Kinanti ◽  
Dudy Imanudin Effendi ◽  
Abdul Mujib
Keyword(s):  
Data Collection ◽  
Boarding School ◽  
Data Collection Tool ◽  
Supportive Role ◽  
Subject And Object ◽  
Qualitative Descriptive ◽  
Descriptive Approach ◽  
Research Questions

Tujuan dari penelitian ini yaitu untuk mengetahui proses bimbingan keagamaan, fungsi bimbingan keagamaan serta hasil bimbingan keagamaan dalam meningkatkan kecerdasan spiritual remaja di Boarding School SMK PPN Tanjungsari. Dengan pertanyaan penelitian 1) Bagaimana proses bimbingan keagamaan di Boarding School SMK PPN Tanjungsari?, 2) Bagaiamana fungsi bimbingan keagamaan di Boarding School SMK PPN Tanjungsari?, 3) Bagaimana hasil bimbingan keagamaan dalam meningkatkan kecerdasan spiritual remaja di Boarding School SMK PPN Tanjungsari?. Metode yang digunakan dalam penelitian ini adalah metode deskriptif kualitatif dengan teknik pengumpulan datanya dilakukan observasi, wawancara dan dokumentasi, dikarenakan masalah yang diteliti perlu dilukiskan secara sistematis dan faktual dengan menggambarkan keadaan atau status fenomena. Hasil bimbingan keagamaan di Boarding School SMK PPN adalah munculnya aspek-aspek kecerdasan spiritual pada remaja seperti kesadaran untuk menghayati proses ibadah bukan sebagai pengguguran kewajiban, terbiasa berperilaku baik, memiliki prinsip keadilan, memiliki prinsip kebenaran, mampu mengambil hikmah dari musibah yang dihadapinya, bersikap fleksibel, bersikap kritis dan merenungkan penyebab serta alasan segala sesuatu terjadi. Sehingga dapat disimpulkan bahwa bimbingan keagamaan di Boarding Schoool SMK PPN memiliki peranan yang sangat menunjang dalam meningkatkan kecerdasan spiritual remaja. The purpose of this study is to find out how the proccess of islamic guidance, function of islamic guidance, and result of islamic guidance to increase SpritualQuetiont in adolescence. With research questions 1) How the proccess of islamic guidance to increase spiritual quetiont on adolescence ?, 2) What is the function of islamic guidance to increase Spiritual Quetiont on adolescence?, 3) How are the results of islamic guidance to increase Spiritual Quetiont on adolescence?. The method used in this research is qualitative descriptive approach with subject and object of research is guidancer. While the data collection tool in this study through observation, direct interview and written interviews. From the results of research conducted at Boarding School SMK PPN Tanjungsari, it appears of Spiritual Quetiont in adolescents. Such as the behavior of living the worship process, get used to behave well, be fair, be wise, able to take lessons from the difficulties they experienced, be flexible, be critical. So, we can conclude that islamic Guidance has a very supportive role in increasing adolescent Spiritual Quetiont.

Influence of Urbanization on Teaching and Learning of Agriculture for Enhance Skill Acqusition in Ebonyi State.

2019 ◽  
pp. 263-269
Author(s):  
Nwakwengu S.A. ◽  
Aneke C.U.
Keyword(s):  
Data Collection ◽  
Skill Acquisition ◽  
Urban Areas ◽  
Teaching And Learning ◽  
Agricultural Science ◽  
Urban Migration ◽  
Urban Settlement ◽  
Public Secondary School ◽  
Research Questions ◽  
Senior Secondary

The main purpose of this study was to determine the influence of urbanization in teaching and learning of agriculture in Ebonyi State. The study was guided by two research questions and two null hypotheses. A descriptive survey research design was adopted for the study. The population was 397 which comprised 261 teachers of agricultural science in Ebonyi State and 136 senior secondary three students from 5 public secondary school in Abakiliki, Ebonyi State. No sampling was done due to the manageable size of the population. The instrument used for data collection was a 17 item questionnaire which was validated by three experts. The reliability of the instrument was determined using Cronbach Alpha which yielded reliability index of 0.85 indicating that the instrument was suitable for data collection. The questionnaire was distributed by the researcher and three trained research assistants. Out of 397 copies distributed 383 were properly filled and returned representing 96.47 percent return rate. Mean and standard deviation were used to answer the research questions and t-test statistics was used to test the null hypotheses. Based on the data analysis, it was found that urbanization affects the quality of teachers in rural schools due to rural urban migration, increases the rate of agricultural teacher‟s turnover in teaching and reduces government attention to agricultural science teaching facilities in urban areas. Recommendations were made among, others that Government should be make teaching of skill acquisition in urban settlement to be attractive to the students and teachers should make instruction facilities to meet the needed skills and contemporary issues in urban settlement to the students.

Promoting Democracy in a Depressed Economy through Business Education for National Security in Enugu State.

2019 ◽  
pp. 201-208
Author(s):  
Emeka Promise u. ◽  
Ohagwu Gold Chiamaka
Keyword(s):  
Standard Deviation ◽  
Data Collection ◽  
National Security ◽  
Survey Research ◽  
Business Education ◽  
Tertiary Institutions ◽  
Business Educators ◽  
Research Questions ◽  
Enugu State ◽  
Structured Questionnaire

This study was carried out to determine the measures for promoting democracy in a depressed economy through business education for national security in Enugu State. Two research questions and two null hypotheses were used for the study. The study adopted a survey research design. The population for the study was 41 business educators from four government owned tertiary institutions in Enugu State. There was no sampling since the population was manageable. The instrument for data collection was a structured questionnaire developed by the researchers and validated by the experts. The reliability of the instrument was determined using Cronbach Alpha, which yielded an overall index 0.72. Mean and standard deviation were used in answering research questions while hypotheses were tested using t-test. It was found that governmental measures items promoted democracy through business education for national security. The study also revealed that lecturers‟ measures also promotes democracy through business education for national security. It was recommended that: government should make adequate budgetary provision for business education. Democrats should be involved in business teacher‟s conferences and seminars.

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