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https://www.readbyqxmd.com/read/29320140/using-community-partnerships-to-integrate-health-and-social-services-for-high-need-high-cost-patients
#1
Ruben Amarashingham, Bin Xie, Albert Karam, Nam Nguyen, Bianca Kapoor
Issue: Our health care and social services delivery systems are not well-equipped to effectively manage patients with multiple chronic diseases and complex social needs such as food, housing, or substance abuse services. Community-level efforts have emerged across the nation to integrate the activities of disparate social service organizations with local health care delivery systems. Evidence on the experiences and outcomes of these programs is emerging, and there is much to learn about their approaches and challenges...
January 1, 2018: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/29316935/estimating-the-returns-to-united-kingdom-publicly-funded-musculoskeletal-disease-research-in-terms-of-net-value-of-improved-health-outcomes
#2
Matthew Glover, Erin Montague, Alexandra Pollitt, Susan Guthrie, Stephen Hanney, Martin Buxton, Jonathan Grant
BACKGROUND: Building on an approach applied to cardiovascular and cancer research, we estimated the economic returns from United Kingdom public- and charitable-funded musculoskeletal disease (MSD) research that arise from the net value of the improved health outcomes in the United Kingdom. METHODS: To calculate the economic returns from MSD-related research in the United Kingdom, we estimated (1) the public and charitable expenditure on MSD-related research in the United Kingdom between 1970 and 2013; (2) the net monetary benefit (NMB), derived from the health benefit in quality adjusted life years (QALYs) valued in monetary terms (using a base-case value of a QALY of £25,000) minus the cost of delivering that benefit, for a prioritised list of interventions from 1994 to 2013; (3) the proportion of NMB attributable to United Kingdom research; and (4) the elapsed time between research funding and health gain...
January 10, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29316909/the-health-impact-of-residential-retreats-a-systematic-review
#3
Dhevaksha Naidoo, Adrian Schembri, Marc Cohen
BACKGROUND: Unhealthy lifestyles are a major factor in the development and exacerbation of many chronic diseases. Improving lifestyles though immersive residential experiences that promote healthy behaviours is a focus of the health retreat industry. This systematic review aims to identify and explore published studies on the health, wellbeing and economic impact of retreat experiences. METHODS: MEDLINE, CINAHL and PsychINFO databases were searched for residential retreat studies in English published prior to February 2017...
January 10, 2018: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29315964/do-gender-gaps-in-education-and-health-affect-economic-growth-a-cross-country-study-from-1975-to-2010
#4
Bidisha Mandal, Raymond G Batina, Wen Chen
We use system-generalized method-of-moments to estimate the effect of gender-specific human capital on economic growth in a cross-country panel of 127 countries between 1975 and 2010. There are several benefits of using this methodology. First, a dynamic lagged dependent econometric model is suitable to address persistence in per capita output. Second, the generalized method-of-moments estimator uses dynamic properties of the data to generate appropriate instrumental variables to address joint endogeneity of the explanatory variables...
January 8, 2018: Health Economics
https://www.readbyqxmd.com/read/29315323/developing-a-theoretical-model-and-questionnaire-survey-instrument-to-measure-the-success-of-electronic-health-records-in-residential-aged-care
#5
Ping Yu, Siyu Qian
Electronic health records (EHR) are introduced into healthcare organizations worldwide to improve patient safety, healthcare quality and efficiency. A rigorous evaluation of this technology is important to reduce potential negative effects on patient and staff, to provide decision makers with accurate information for system improvement and to ensure return on investment. Therefore, this study develops a theoretical model and questionnaire survey instrument to assess the success of organizational EHR in routine use from the viewpoint of nursing staff in residential aged care homes...
2018: PloS One
https://www.readbyqxmd.com/read/29300217/development-of-an-rn-champion-model-to-improve-the-outcomes-of-ventilator-associated-pneumonia-patients-in-the-intensive-care-unit
#6
Carol Robinson, Marci Hoze, Stacy Hevener, Amy A Nichols
Healthcare-associated infections are costly. Methods to prevent infections must be effective and provide a return on investment to be sustainable. A funded project supported the design and implementation of a unique quality and safety model, using unit-based quality and safety RN champions. The goal was to create and sustain a hospital-wide safety culture focused on preventing ventilator-associated pneumonia (VAP) by adopting the Institute for Healthcare Improvement's VAP bundle. The program began with a pilot in 7 ICUs...
January 4, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29298234/implementing-a-process-to-measure-return-on-investment-for-nursing-professional-development
#7
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29298222/implementing-a-process-to-measure-return-on-investment-for-nursing-professional-development
#8
Elisabeth Garrison, Jodie Beverage
Return on investment (ROI) is one way to quantify the value that nursing professional development brings to the organization. This article describes a process to begin tracking ROI for nursing professional development. Implementing a process of tracking nursing professional development practitioners' ROI increased awareness of the financial impact and effectiveness of the department.
January 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29291421/activation-of-the-cannabinoid-system-in-the-nucleus-accumbens-affects-effort-based-decision-making
#9
Zahra Fatahi, Abbas Haghparast
Effort-based decision making addresses how we make an action choice based on an integration of action and goal values. The nucleus accumbens (NAc) is implicated in allowing an animal to overcome effort constraints to obtain greater benefits, and it has been previously shown that cannabis derivatives may affect such processes. Therefore, in this study, we intend to evaluate the involvement of the cannabinoid system in the entire NAc on effort-based decision making. Rats were trained in a T-maze cost-benefit decision making the task in which they could choose either to climb a barrier to obtain a large reward in one arm or run into the other arm without a barrier to obtaining a small reward...
December 29, 2017: Pharmacology, Biochemistry, and Behavior
https://www.readbyqxmd.com/read/29291172/the-american-college-of-academic-international-medicine-2017-consensus-statement-on-international-medical-programs-establishing-a-system-of-objective-valuation-and-quantitative-metrics-to-facilitate-the-recognition-and-incorporation-of-academic-international
#10
Gregory L Peck, Manish Garg, Bonnie Arquilla, Vicente H Gracias, Harry L Anderson Iii, Andrew C Miller, Bhakti Hansoti, Paula Ferrada, Michael S Firstenberg, Sagar C Galwankar, Ramon E Gist, Donald Jeanmonod, Rebecca Jeanmonod, Elizabeth Krebs, Marian P McDonald, Benedict Nwomeh, James P Orlando, Lorenzo Paladino, Thomas J Papadimos, Robert L Ricca, Joseph V Sakran, Richard P Sharpe, Mamta Swaroop, Stanislaw P Stawicki
The growth of academic international medicine (AIM) as a distinct field of expertise resulted in increasing participation by individual and institutional actors from both high-income and low-and-middle-income countries. This trend resulted in the gradual evolution of international medical programs (IMPs). With the growing number of students, residents, and educators who gravitate toward nontraditional forms of academic contribution, the need arose for a system of formalized metrics and quantitative assessment of AIM- and IMP-related efforts...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29280513/clinical-pharmacists-in-general-practice-an-initial-evaluation-of-activity-in-one-english-primary-care-organisation
#11
Joseph Bush, Christopher A Langley, Duncan Jenkins, Jaspal Johal, Clair Huckerby
OBJECTIVES: This aim of this research was to characterise the breadth and volume of activity conducted by clinical pharmacists in general practice in Dudley Clinical Commissioning Group (CCG), and to provide quantitative estimates of both the savings in general practitioner (GP) time and the financial savings attributable to such activity. METHODS: This descriptive observational study retrospectively analysed quantitative data collected by Dudley CCG concerning the activity of clinical pharmacists in GP practices during 2015...
December 27, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29258591/cost-benefit-and-extended-cost-effectiveness-analysis-of-a-comprehensive-adolescent-pregnancy-prevention-program-in-zambia-study-protocol-for-a-cluster-randomized-controlled-trial
#12
Amani Thomas Mori, Linda Kampata, Patrick Musonda, Kjell Arne Johansson, Bjarne Robberstad, Ingvild Sandøy
BACKGROUND: Early marriages, pregnancies and births are the major cause of school drop-out among adolescent girls in sub-Saharan Africa. Birth complications are also one of the leading causes of death among adolescent girls. This paper outlines a protocol for a cost-benefit analysis (CBA) and an extended cost-effectiveness analysis (ECEA) of a comprehensive adolescent pregnancy prevention program in Zambia. It aims to estimate the expected costs, monetary and non-monetary benefits associated with health-related and non-health outcomes, as well as their distribution across populations with different standards of living...
December 19, 2017: Trials
https://www.readbyqxmd.com/read/29258512/measurement-of-the-translation-and-impact-from-a-childhood-obesity-trial-programme-rationale-and-protocol-for-a-research-impact-assessment
#13
Penny Reeves, Simon Deeming, Shanthi Ramanathan, John Wiggers, Luke Wolfenden, Andrew Searles
BACKGROUND: There is growing recognition amongst health and medical research funders and researchers that translation of research into policy and practice needs to increase and that more transparency is needed on how impacts are realised. Several approaches are advocated for achieving this, including co-production of research or academic-practitioner research. The Population Health Unit (PHU) within the Hunter New England Local Health District in regional Australia, as an early adopter of this model, has been working to increase the likelihood that its research is translated into community health benefits...
December 19, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29243347/cost-effectiveness-of-increasing-the-reach-of-smoking-cessation-interventions-in-germany-results-from-the-equiptmod
#14
Manuel B Huber, Maximilian Präger, Kathryn Coyle, Doug Coyle, Adam Lester-George, Marta Trapero-Bertran, Bertalan Nemeth, Kei Long Cheung, Renee Stark, Matthias Vogl, Subhash Pokhrel, Reiner Leidl
AIMS: To evaluate costs, effects and cost-effectiveness of increased reach of specific smoking cessation interventions in Germany. DESIGN: A Markov-based state transition return on investment model (EQUIPTMOD) was used to evaluate current smoking cessation interventions as well as two prospective investment scenarios. A health-care perspective (extended to include out-of-pocket payments) with life-time horizon was considered. A probabilistic analysis was used to assess uncertainty concerning predicted estimates...
December 15, 2017: Addiction
https://www.readbyqxmd.com/read/29240530/mobile-integrated-healthcare-intervention-and-impact-analysis-with-a-medicare-advantage-population
#15
Brooke Roeper, Jonathan Mocko, Lanty M O'Connor, Jiaquan Zhou, Daniel Castillo, Eric H Beck
Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provider Organization that was risk assigned prior to intervention to target the highest risk members. Using claims and eligibility data, 6 months of pre-program experience and 6 months of program-influenced experience from the intervention cohort was compared to a propensity score-matched comparison cohort to measure impact...
December 14, 2017: Population Health Management
https://www.readbyqxmd.com/read/29239943/achieving-milestones-as-a-prerequisite-for-proceeding-with-a-clinical-trial
#16
Angela M Mickle, Hannah R Maybrier, Anke C Winter, Sherry L McKinnon, Brian A Torres, Nan Lin, Eric J Lenze, Susan Stark, Maxwell R Muench, Eric Jacobsohn, Sharon K Inouye, Michael S Avidan, Troy S Wildes
BACKGROUND: Although the National Institutes of Health (NIH) invests $30 billion in research annually, many funded studies fail to generate results that can inform practice. The National Institutes of Health introduced a phased funding mechanism as one potential solution. Study-specific milestones are established for an initial pilot phase. We assess the utility of this phased approach through the ongoing Electroencephalography (EEG) Guidance of Anesthesia to Alleviate Geriatric Syndromes (ENGAGES) pragmatic clinical trial...
December 11, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29238157/access-to-scientific-research-the-return-on-the-taxpayer-s-investment
#17
S Drew Story
No abstract text is available yet for this article.
December 1, 2017: Environmental Engineering Science
https://www.readbyqxmd.com/read/29237508/making-healthy-homes-a-pilot-study-of-the-return-on-investment-from-an-external-wall-insulation-intervention
#18
Heather Brown, Gulnar Fattakhova, Clare Bambra, Paul Taylor
OBJECTIVES: External Wall Insulation (EWI) insulates and protect homes against damp. The Energy Company Obligation (ECO) scheme incentivised large energy providers in the UK delivering energy efficiency measures such as EWI to fuel impoverished households. Return on Investment (ROI) analysis is utilised to determine if EWI is a cost-effective procedure in terms of improving health related quality of life (HRQOL) measured using the EQ-5D-3L™, reducing health care expenditure, and fuel costs...
December 13, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29236354/how-comprehensive-are-research-studies-investigating-the-efficacy-of-technology-enhanced-learning-resources-in-anatomy-education-a-systematic-review
#19
REVIEW
Lauren Clunie, Neil P Morris, Viktoria C T Joynes, James D Pickering
Anatomy education is at the forefront of integrating innovative technologies into its curricula. However, despite this rise in technology numerous authors have commented on the shortfall in efficacy studies to assess the impact such technology-enhanced learning (TEL) resources have on learning. To assess the range of evaluation approaches to TEL across anatomy education, a systematic review was conducted using MEDLINE, the Educational Resources Information Centre (ERIC), Scopus, and Google Scholar, with a total of 3,345 articles retrieved...
December 13, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/29233265/use-of-carbon-11-labelled-tool-compounds-in-support-of-drug-development
#20
REVIEW
Giulia Boscutti, Mickael Huiban, Jan Passchier
The pharmaceutical industry is facing key challenges to improve return on R&D investment. Positron emission tomography (PET), by itself or in combination with complementary technologies such as magnetic resonance imaging (MRI), provides a unique opportunity to confirm a candidate's ability to meet the so-called 'three pillars' of drug development. Positive confirmation provides confidence for go/no-go decision making at an early stage of the development process and enables informed clinical progression. Whereas fluorine-18 has probably gained wider use in the community, there are benefits to using carbon-11 given the greater flexibility the use of this isotope permits in adaptive clinical study design...
November 2017: Drug Discovery Today. Technologies
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