Understanding Health Care Outcomes Research,9780763734411

Understanding Health Care Outcomes Research

by
Edition: 2nd
ISBN13: 9780763734411
ISBN10: 0763734411
Format: Paperback
Pub. Date: 2005-10-18
Publisher(s): Jones & Bartlett Learning
List Price: $265.27

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Summary

The first edition of this ground-breaking book was the pioneer text on outcomes research. It's a resource no quality-minded health care professional should be without. Both practical and applied, this book makes sense of the new science of studying health care outcomes - a vital process in health care quality assurance.  Understanding Health Care Outcomes Research, Second Edition, gives readers a wealth of expert advice on the basic framework needed to conduct any type of outcomes research, formulating the model, choosing the study design, developing meaningful measures, gathering data, and assessing and presenting results. The second edition includes new chapters on confounders, research design, and working within clinical settings. All chapters have been updated.  Understanding Health Care Outcomes Research, Second Edition includes more attention to larger interventions that include population level changes.

Table of Contents

Preface vii
Author Biographies ix
PART I BASIC CONCEPTS 1(120)
Chapter 1 Introduction
3(20)
Robert L. Kane
Why Look at Outcomes
3(6)
An Outcomes Approach
9(3)
Types of Study Designs
12(3)
Measuring Outcomes
15(2)
Conceptual Modeling
17(3)
Summary: Organization of the Book
20(3)
Chapter 2 Designing an Outcomes Research Study
23(36)
David M. Radosevich
Introduction: Types of Study Designs
23(2)
Evaluating the Threats to Outcomes Research
25(3)
Statistical Conclusion Validity
28(9)
Other Threats to Internal Validity
37(6)
Construct Validity
43(2)
External Validity
45(4)
Quasi-Experimental Designs
49(4)
Summary: General Guidelines for Designing a Health Outcomes Research Study
53(6)
Chapter 3 Isolating the Effects of Treatment
59(24)
Paul L. Hebert
Introduction
59(1)
Conceptual Model
60(3)
Statistical Model
63(13)
Example: The Effectiveness of Influenza Vaccination
76(4)
Summary
80(3)
Chapter 4 Measurement
83(38)
Jennifer R. Flytak, Robert L. Kane
Introduction
83(1)
The Nature of Measurement
84(3)
Measurement Issues
87(7)
Scaling
94(6)
Reliability and Validity
100(9)
Interpreting Change
109(1)
Advantages of Multiple- Versus Single-Item Measures
110(6)
Summary
116(5)
PART II SPECIFIC MEASURES: OUTCOMES 121(96)
Chapter 5 Generic Measures
123(42)
Matthew L. Maciejewski
Introduction: Why Use Generic Measures?
123(2)
What Health Domains Are Typically Measured in Generic Measures?
125(6)
What Are the Criteria for Generic Measures?
131(5)
Practical Considerations
136(2)
Preference Weighting
138(3)
Choosing a Measure
141(15)
Health Utility Measures
156(1)
Resources
157(1)
Summary
157(8)
Chapter 6 Condition-Specific Measures
165(20)
Adam Atherly
Introduction: Condition-Specific Versus Generic Measures
165(2)
Why Not Generic Health Status Measures?
167(1)
Condition-Specific Health Status Measures
168(2)
Other Alternatives
170(1)
The Choice of a Condition-Specific Measure
171(6)
The Role of Condition-Specific Versus Generic Measures
177(3)
Choosing a Measure
180(1)
Summary
181(4)
Chapter 7 Satisfaction with Care
185(32)
Maureen A. Smith, Chris Schüssler-Fiorenza, Todd Rockwood
Introduction: The Importance of Patient Satisfaction
185(1)
Theoretical Models of Satisfaction
186(2)
Interpreting Satisfaction Ratings
188(6)
Methods of Measuring Satisfaction
194(4)
Existing Satisfaction Measures
198(12)
Literature Reviews
210(1)
Summary/Future Directions
210(7)
PART III SPECIFIC MEASURES: RISK ADJUSTERS 217(88)
Chapter 8 Severity and Comorbidity
219(46)
Maureen A. Smith, Nicole M. Nitz, Sara K. Stuart
Introduction
219(1)
Relationship Between Severity of Illness and Comorbidity
220(2)
Severity of Illness and the Domains of Health
222(2)
Components of Severity of Illness
224(5)
Reasons to Include Severity and Comorbidity Measures
229(4)
How to Choose a Measure
233(15)
Issues Specific to Severity Measures
248(1)
Issues Specific to Comorbidity Measures
248(3)
Specific Measures
251(9)
Summary
260(5)
Chapter 9 Demographic, Psychological, and Social
265(40)
Todd Rockwood, Melissa Constantine
Introduction
265(1)
Three Types of Usage
266(1)
Demographic Variables
266(5)
Psychological
271(15)
Social
286(10)
Summary
296(9)
PART IV ANALYSIS 305(46)
Chapter 10 Capturing the Effects of Treatment
307(28)
Jeremy Holtzman
Introduction: The Importance of Understanding Treatment
307(1)
What Is Treatment?
307(1)
Components of Treatment
308(5)
Understanding the Components of Treatment
313(5)
Need for Variation in Treatment
318(1)
The Treatment Variation Defines the Treatment
319(11)
Summary
330(5)
Chapter 11 Cost-Effectiveness Analysis
335(16)
John A. Nyman
Introduction
335(1)
Types of Cost Effectiveness Analyses
336(3)
Costs
339(3)
Health-Related Quality of Life
342(4)
A Hypothetical Illustration
346(1)
Summary
347(4)
PART V RESEARCH ISSUES 351(38)
Chapter 12 Implementing Outcomes Research in Clinical Settings
353(18)
David M. Radosevich
Introduction
353(1)
Organizational Characteristics
353(3)
Implementation Responsibilities
356(6)
Regulatory Demands
362(1)
Summary
362(2)
Appendix 12A
364(7)
Chapter 13 Practical Advice About Outcomes Research
371(18)
Robert L. Kane
Introduction: Organizing One's Thinking
371(2)
The Search for Simple Measures
373(1)
Adjusting for Case Mix
374(1)
Data Quality
374(2)
Getting Follow-up Data
376(2)
Using Extant Data Sources
378(1)
Basic Analysis Issues
379(3)
Ethics
382(1)
Disease Management
383(1)
Quality Improvement
383(1)
Operational Steps
384(2)
Summary
386(3)
Index 389

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