Evidence Based Medicine and the Changing Nature of Health Care Book

Evidence Based Medicine and the Changing Nature of Health Care

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 14,7 Mb
  • Release Date : 2008-09-06
  • Genre: Medical
  • Pages : 202
  • ISBN 10 : 9780309113694


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Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Improving Patient Care Book

Improving Patient Care

  • Author : Richard Grol
  • Publisher : John Wiley & Sons
  • File Size : 19,6 Mb
  • Release Date : 2013-03-18
  • Genre: Medical
  • Pages : 525
  • ISBN 10 : 9781118525999


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As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.

Motivational Interviewing in Health Care Book

Motivational Interviewing in Health Care

  • Author : Stephen Rollnick
  • Publisher : Guilford Press
  • File Size : 17,6 Mb
  • Release Date : 2008-01-01
  • Genre: Medical
  • Pages : 225
  • ISBN 10 : 9781593856137


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Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions. This book is in the Applications of Motivational Interviewing series.

Successful Change Management in Health Care Book

Successful Change Management in Health Care

  • Author : Annette Chowthi-Williams
  • Publisher : Routledge
  • File Size : 13,5 Mb
  • Release Date : 2022-03-04
  • Genre: Medical
  • Pages : 248
  • ISBN 10 : 9781000547115


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Change is frequent in healthcare, yet change management is often far from perfect. This book considers the complexity of change within large organisations, explores existing models of change and emphasises the vital role of emotional and cognitive readiness in successful change management. Despite the plethora of organisational change management approaches used in healthcare, the success rate of change in organisations can be as low as 30 percent. New thinking about change management is required to improve success in service development, improvement and innovation. Arguing that emotional and cognitive readiness for change requires engagement with the people involved, and a thorough understanding of areas of friction and potential challenge, this book also delves into the neglected issue of emotion, examining emotional labour and emotion and change. It investigates how human emotion can be incorporated into Change Management Models, alongside and intertwined with cognitive approaches, to support effective change. Using the NHS as a central case study, this book incorporates examples of actual change from a range of healthcare settings from acute to primary care, enabling readers to see how Change Management Models can be adapted and utilised in practice. This is an essential read for students, as future change leaders, and practitioners and managers leading and managing change in healthcare.

Threats and Opportunities for European Pharmaceutical Wholesalers in a Changing Healthcare Environment Book

Threats and Opportunities for European Pharmaceutical Wholesalers in a Changing Healthcare Environment

  • Author : Andreas Cmolik
  • Publisher : Diplomica Verlag
  • File Size : 13,6 Mb
  • Release Date : 2012
  • Genre: Business & Economics
  • Pages : 90
  • ISBN 10 : 9783842871007


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The aim of this book is to identify the major drivers of change within the European healthcare systems and to evaluate risks and opportunities confronting pharmaceutical full-line wholesalers. These businesses are the most important link between pharmaceutical manufacturing and the point of sale; providing one-stop-shopping for healthcare professionals across Europe. While on the one hand European governments are interested to ensure broad access to healthcare provision for the general public with a high level of quality, they are on the other hand concerned with limiting cost increases and with the need to cap healthcare spending. In addition, the pharmaceutical industry faces a strong need to cut costs by outsourcing non-core activities and establishing new routes to the customer, often bypassing the established supply chain. Changing healthcare environments across Europe ask for new strategies of pharmaceutical wholesalers to be fit for the future. This book deals with the advantages that can be derived from the changing landscape of healthcare provision. Aging populations, markets in transition, outsourcing activities of manufacturers and legal changes provide the potential to turn threats into opportunities and further develop the business model of pharmaceutical wholesaling. Even with profound structural changes in healthcare systems, pharmaceutical wholesalers are provided with significant potential to remain a vital part of the pharmaceutical supply chain and to prosper in the future.

Medical Innovation in the Changing Healthcare Marketplace Book

Medical Innovation in the Changing Healthcare Marketplace

  • Author : National Research Council
  • Publisher : National Academies Press
  • File Size : 17,5 Mb
  • Release Date : 2002-06-06
  • Genre: Medical
  • Pages : 92
  • ISBN 10 : 9780309084161


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A wave of new health care innovation and growing demand for health care, coupled with uncertain productivity improvements, could severely challenge efforts to control future health care costs. A committee of the National Research Council and the Institute of Medicine organized a conference to examine key health care trends and their impact on medical innovation. The conference addressed the following question: In an environment of renewed concern about rising health care costs, where can public policy stimulate or remove disincentives to the development, adoption and diffusion of high-value innovation in diagnostics, therapeutics, and devices?

The Sustainability and Spread of Organizational Change Book

The Sustainability and Spread of Organizational Change

  • Author : David A. Buchanan
  • Publisher : Routledge
  • File Size : 17,7 Mb
  • Release Date : 2006-12-05
  • Genre: Business & Economics
  • Pages : 304
  • ISBN 10 : 9781134197514


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This important book examines issues affecting the sustainability and spread of new working practices. The question of why good ideas do not spread, ‘the best practices puzzle’, has been widely recognized. But the ‘improvement evaporation effect’, where successful changes are discontinued, has attracted less attention. Keeping things the way they are has been seen as an organizational problem to be resolved, not a condition to be achieved. This is one of the first major studies of the sustainability of change focusing on the example of the NHS, by a unique team of health service and academic researchers. The findings may apply to a variety of other settings. The agenda set out in 2000 in The NHS Plan is perhaps the largest organization development programme ever undertaken, in any sector, anywhere. The NHS thus offers a valuable ‘living laboratory’ for the study of change. This text shows that sustainability and spread are influenced by a range of issues - contextual, managerial, political, individual, and temporal. Developing a processual perspective, this fresh analysis considers policy implications, and strategies for managing sustainability and spread. This book will be essential reading for students, managers, and researchers concerned with the effective implementation of organizational change.

Health Care Utilization as a Proxy in Disability Determination Book

Health Care Utilization as a Proxy in Disability Determination

  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • File Size : 10,8 Mb
  • Release Date : 2018-04-02
  • Genre: Medical
  • Pages : 160
  • ISBN 10 : 9780309469210


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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Crossing the Quality Chasm Book

Crossing the Quality Chasm

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 14,6 Mb
  • Release Date : 2001-08-19
  • Genre: Medical
  • Pages : 360
  • ISBN 10 : 9780309072809


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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

AI in Healthcare Book

AI in Healthcare

  • Author : Robert Shimonski
  • Publisher : John Wiley & Sons
  • File Size : 18,9 Mb
  • Release Date : 2021-01-27
  • Genre: Technology & Engineering
  • Pages : 288
  • ISBN 10 : 9781119680017


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The best source for cutting-edge insights into AI in healthcare operations AI in Healthcare: How Artificial Intelligence Is Changing IT Operations and Infrastructure Services collects, organizes and provides the latest, most up-to-date research on the emerging technology of artificial intelligence as it is applied to healthcare operations. Written by a world-leading technology executive specializing in healthcare IT, this book provides concrete examples and practical advice on how to deploy artificial intelligence solutions in your healthcare environment. AI in Healthcare reveals to readers how they can take advantage of connecting real-time event correlation and response automation to minimize IT disruptions in critical healthcare IT functions. This book provides in-depth coverage of all the most important and central topics in the healthcare applications of artificial intelligence, including: Healthcare IT AI Clinical Operations AI Operational Infrastructure Project Planning Metrics, Reporting, and Service Performance AIOps in Automation AIOps Cloud Operations Future of AI Written in an accessible and straightforward style, this book will be invaluable to IT managers, administrators, and engineers in healthcare settings, as well as anyone with an interest or stake in healthcare technology.

Institutional Change and Healthcare Organizations Book

Institutional Change and Healthcare Organizations

  • Author : W. Richard Scott
  • Publisher : University of Chicago Press
  • File Size : 17,6 Mb
  • Release Date : 2000-05
  • Genre: Medical
  • Pages : 454
  • ISBN 10 : 9780226743103


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The changes in the US healthcare system since World War II are documented here, from new technologies, service-delivery arrangements, to financing mechanisms and underlying sets of organizing principles. The authors illustrate the work with five types of healthcare organizations.

Challenging Perspectives on Organizational Change in Health Care Book

Challenging Perspectives on Organizational Change in Health Care

  • Author : Louise Fitzgerald
  • Publisher : Taylor & Francis
  • File Size : 14,7 Mb
  • Release Date : 2017-04-21
  • Genre: Business & Economics
  • Pages : 204
  • ISBN 10 : 9781317428008


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This volume provides theory and research on organizational change and predominantly features the application of these ideas to the health care domain, broadly defined. It addresses enduring issues in advancing to an effective health care system. The aim of this book is to offer an accessible and readable text aimed at provoking thought and questioning, and aiding creativity. It proffers arguments and ideas which are firmly based in empirical data and evidence, so that the reader may make informed personal evaluations. This book is designed to furnish a comprehensive theoretical basis for understanding organizational change in health care, as well as selected core issues of contemporary and future importance to the provision of effective care within sustainable systems. A series of coherent themes are addressed throughout the book from differing perspectives. However, every chapter has been written to standalone and be read independently. Each offers resources relevant to its’ focal topic, in the form of references, case studies and critique. Setting out a future research agenda, the book will be vital reading for organizational change researchers and practitioners in the healthcare industry.

The Future of Nursing Book

The Future of Nursing

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 15,5 Mb
  • Release Date : 2011-02-08
  • Genre: Medical
  • Pages : 700
  • ISBN 10 : 9780309208956


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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Leading the Lean Healthcare Journey Book

Leading the Lean Healthcare Journey

  • Author : Joan Wellman
  • Publisher : CRC Press
  • File Size : 11,9 Mb
  • Release Date : 2010-12-13
  • Genre: Business & Economics
  • Pages : 296
  • ISBN 10 : 9781439828663


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Every healthcare organization can learn from Seattle Children‘s continuous improvement process, but this book is not an operator‘s manual. Instead, it is a challenge to everyone concerned with healthcare to reexamine deeply held assumptions. While it is commonly believed that improved quality, access, and safety, and an improved bottom line are mut

Changing Health Care Systems and Rheumatic Disease Book

Changing Health Care Systems and Rheumatic Disease

  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • File Size : 15,9 Mb
  • Release Date : 1997-02-09
  • Genre: Medical
  • Pages : 253
  • ISBN 10 : 9780309056830


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Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?