scholarly journals How Do You Know Which Health Care Effectiveness Research You Can Trust? A Guide to Study Design for the Perplexed

2015 ◽  
Vol 12 ◽  
Author(s):  
Stephen B. Soumerai ◽  
Douglas Starr ◽  
Sumit R. Majumdar
2017 ◽  
Vol 54 (5) ◽  
pp. 540-554 ◽  
Author(s):  
Alexander C. Allori ◽  
Thomas Kelley ◽  
John G. Meara ◽  
Asteria Albert ◽  
Krishnamurthy Bonanthaya ◽  
...  

Care of the patient with cleft lip and/or palate remains complex. Prior attempts at aggregating data to study the effectiveness of specific interventions or overall treatment protocols have been hindered by a lack of data standards. There exists a critical need to better define the outcomes- particularly those that matter most to patients and their families-and to standardize the methods by which these outcomes will be measured. This report summarizes the recommendations of an international, multidisciplinary working group with regard to which outcomes a typical cleft team could track, how those outcomes could be measured and recorded, and what strategies may be employed to sustainably implement a system for prospective data collection. It is only by agreeing on a common, standard set of outcome measures for the comprehensive appraisal of cleft care that intercenter comparisons can become possible. This is important for quality-improvement endeavors, comparative effectiveness research, and value-based health-care reform.


2020 ◽  
pp. 32-44
Author(s):  
Trang Dao Nguyen Dieu ◽  
Huy Nguyen Vu Quoc ◽  
Thanh Cao Ngoc ◽  
Ngoc Phan Thi Bich

Objectives: To describe the knowledge, attitudes, practices of reproductive health care among adolescent girls in A Luoi district, Thua Thien Hue province and to identify the related factors to reproductive health care in adolescent girls. To assess the results of intervention solutions of reproductive health care in adolescent girls. Methods: A cross-sectional study design. A study design for community intervention comparision with control group. Results: The percentage of adolescents with not good knowledge, attitudes and practices on reproductive health care has accounted for fairly high as respectively: 85.9%, 73.9%, 72.9%. There is an a relationship between education level, adolescent stage with general knowledge on adolescent reproductive health care (p < 0.05). There is a relationship between ethnicity, education level, adolescent stage with the general attitude on adolescent reproductive health care (p < 0.05). There is a relationship between knowledge, attitude, education level, adolescent stage, economic condition, the condition of the family living at the percentage of general practice on adolescent reproductive health care (p < 0.05). The effective of intervention: Good knowlegde increase from 10% to 24.1%. Good attitude increase from 16.7% to 61.4%. Good practice increase from 27.1% to 42.9%. The effective of intervention: change knowlegde: 21.6%, change attitude: 54.2%, change practice: 34.6%. Conclusion: There is need to enhance the communication and education reproductive health for aldolescent girls and to enhance communication knowlegde and skills for reproductive health staff. Keywords: adolescents, get married early, reproductive health.


2018 ◽  
Vol 10 (1) ◽  
pp. 058-070
Author(s):  
Erwina Susanti

Elderly health care coverage in Public Health Jalan Gedang as much (81.92%)and the number of elderly as many as 686 people. Visit the elderly who come to posyanduranges from 41-53 people per month in 2016. The health center has two IHC GedangWay consists of IHC Elderly Elderly Serayu Mandiri and Posyandu Elderly Peace. IHChas five cadres and participants 44 people. Elderly Posyandu cadre of Peace has fivepeople, participants lansianya 50 people. IHC Elderly Peace has many achievements thanPosyandu Elderly Serayu Mandiri The study design used in this research is descriptivequalitative method. Informants in this study as many as 10 cadres and 1 officer in chargePosyandu program. The study design used in this research is descriptive qualitativemethod. Knowledge Posyandu Elderly Peace found that IHC Elderly for seniors 60 yearsand older age range and Posyandu Elderly Serayu Mandiri that Posyandu Elderly agerange of 40 years and above. Attitude Posyandu Elderly Peace mostly elderly support andintegrated support Serayu Mandiri attitude. Kader Posyandu Elderly Peace and PosyanduElderly Serayu Mandiri mostly not expect incentives. Kader Posyandu Elderly Peacemostly mentioned five systems the table properly and Posyandu Elderly Serayu Mandirino mention of five tables with the right system. Expected to conduct refresher training orvolunteers to knowledge about Posyandu cadres better, could improve the role in theservice of Posyandu.


2003 ◽  
Vol 38 (1) ◽  
pp. 25-26
Author(s):  
Joyce Generali ◽  
Dennis J. Cada

Off-Label Drug Uses This Hospital Pharmacy feature is extracted from Off-Label DrugFacts, a quarterly publication available from Facts and Comparisons. Off-Label DrugFacts is a practitioner-oriented resource for information about specific FDA-unapproved drug uses. This new guide to the literature will enable the health care professional/clinician to quickly identify published studies on off-label uses and to determine if a specific use is rational in a patient care scenario. The most relevant data are provided in tabular form so that the reader can easily identify the scope of information available. A summary of the data—including, background, study design, patient population, dosage information, therapy duration, results, safety, and therapeutic considerations—precedes each table of published studies. References direct the reader to the full literature for more comprehensive information prior to patient care decisions. Direct questions or comments on “Off-Label Drug Uses” to [email protected] .


2012 ◽  
Vol 8 (3S) ◽  
pp. 22s-27s ◽  
Author(s):  
Anthony Wang ◽  
Ronald J. Halbert ◽  
Tiffany Baerwaldt ◽  
Robert J. Nordyke

To improve formulary design processes and support payers in providing more effective health care, policy makers should consider involving commercial payers in the development of comparative effectiveness research and creation of research and treatment guidelines.


2012 ◽  
Vol 30 (34) ◽  
pp. 4194-4201 ◽  
Author(s):  
Olwen M. Hahn ◽  
Richard L. Schilsky

Comparative effectiveness research (CER) has been promoted as a way to improve the translation gap between clinical research and everyday clinical practice as well as to deliver more cost-effective health care. CER will account for a significant portion of funding allocated by the US government for health care research. Oncology has a rich history of improving clinical outcomes and advancing research through randomized controlled trials (RCTs). In this article, we review the role of RCTs in achieving the goals of CER, with particular emphasis on the role of publicly funded clinical trials.


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