Capturing Social and Behavioral Domains and Measures in Electronic Health Records

Capturing Social and Behavioral Domains and Measures in Electronic Health Records
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 287
Release: 2015-01-08
Genre: Medical
ISBN: 0309312450

Determinants of health - like physical activity levels and living conditions - have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment. Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 identifies domains and measures that capture the social determinants of health to inform the development of recommendations for the meaningful use of EHRs. This report is the second part of a two-part study. The Phase 1 report identified 17 domains for inclusion in EHRs. This report pinpoints 12 measures related to 11 of the initial domains and considers the implications of incorporating them into all EHRs. This book includes three chapters from the Phase 1 report in addition to the new Phase 2 material. Standardized use of EHRs that include social and behavioral domains could provide better patient care, improve population health, and enable more informative research. The recommendations of Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2 will provide valuable information on which to base problem identification, clinical diagnoses, patient treatment, outcomes assessment, and population health measurement.

Patient-Reported Outcomes in Performance Measurement

Patient-Reported Outcomes in Performance Measurement
Author: David Cella
Publisher: RTI Press
Total Pages: 97
Release: 2015-09-17
Genre: Medical
ISBN: 193483114X

Patient-reported outcomes (PROs) are measures of how patients feel or what they are able to do in the context of their health status; PROs are reports, usually on questionnaires, about a patient's health conditions, health behaviors, or experiences with health care that individuals report directly, without modification of responses by clinicians or others; thus, they directly reflect the voice of the patient. PROs cover domains such as physical health, mental and emotional health, functioning, symptoms and symptom burden, and health behaviors. They are relevant for many activities: helping patients and their clinicians make informed decisions about health care, monitoring the progress of care, setting policies for coverage and reimbursement of health services, improving the quality of health care services, and tracking or reporting on the performance of health care delivery organizations. We address the major methodological issues related to choosing, administering, and using PROs for these purposes, particularly in clinical practice settings. We include a framework for best practices in selecting PROs, focusing on choosing appropriate methods and modes for administering PRO measures to accommodate patients with diverse linguistic, cultural, educational, and functional skills, understanding measures developed through both classic and modern test theory, and addressing complex issues relating to scoring and analyzing PRO data.

Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide

Developing a Protocol for Observational Comparative Effectiveness Research: A User's Guide
Author: Agency for Health Care Research and Quality (U.S.)
Publisher: Government Printing Office
Total Pages: 236
Release: 2013-02-21
Genre: Medical
ISBN: 1587634236

This User’s Guide is a resource for investigators and stakeholders who develop and review observational comparative effectiveness research protocols. It explains how to (1) identify key considerations and best practices for research design; (2) build a protocol based on these standards and best practices; and (3) judge the adequacy and completeness of a protocol. Eleven chapters cover all aspects of research design, including: developing study objectives, defining and refining study questions, addressing the heterogeneity of treatment effect, characterizing exposure, selecting a comparator, defining and measuring outcomes, and identifying optimal data sources. Checklists of guidance and key considerations for protocols are provided at the end of each chapter. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews. More more information, please consult the Agency website: www.effectivehealthcare.ahrq.gov)

Individual Placement and Support

Individual Placement and Support
Author: Robert E. Drake
Publisher: Oxford University Press, USA
Total Pages: 204
Release: 2012-11-15
Genre: Foreign Language Study
ISBN: 0199734011

This comprehensive monograph synthesizes the research on the Individual Placement and Support model of supported employment for people with severe mental illness. It identifies empirical foundations for core principles of the model and reviews the literature on effectiveness, long-term outcomes, cost-effectiveness, generalizability, implementation, and policy implications.

Measurement Across the Sciences

Measurement Across the Sciences
Author: Luca Mari
Publisher: Springer Nature
Total Pages: 339
Release: 2023-02-25
Genre: Science
ISBN: 3031224485

This open access book proposes a conceptual framework for understanding measurement across a broad range of scientific fields and areas of application, such as physics, engineering, education, and psychology. It addresses contemporary issues and controversies within measurement in light of the framework, including operationalism, definitional uncertainty, and the relations between measurement and computation, and describes how the framework, operating as a shared concept system, supports understanding measurement’s work in different domains, using examples in the physical and human sciences. This revised and expanded second edition features a new analysis of the analogies and the differences between the error/uncertainty-related approach adopted in physical measurement and the validity-related approach adopted in psychosocial measurement. In addition, it provides a better analysis and presentation of measurement scales, in particular about their relations with quantity units, and introduces the measurand identification/definition as a part of the "Hexagon Framework" along with new examples from the physical and psychosocial sciences. Researchers and academics across a wide range of disciplines including biological, physical, social, and behavioral scientists, as well as specialists in measurement and philosophy appreciate the work’s fresh and provocative approach to the field at a time when sound measurements of complex scientific systems are increasingly essential to solving critical global problems.

Scale Development

Scale Development
Author: Robert F. DeVellis
Publisher: SAGE Publications
Total Pages: 160
Release: 2016-03-30
Genre: Social Science
ISBN: 1506341586

In the Fourth Edition of Scale Development, Robert F. DeVellis demystifies measurement by emphasizing a logical rather than strictly mathematical understanding of concepts. The text supports readers in comprehending newer approaches to measurement, comparing them to classical approaches, and grasping more clearly the relative merits of each. This edition addresses new topics pertinent to modern measurement approaches and includes additional exercises and topics for class discussion. Available with Perusall—an eBook that makes it easier to prepare for class Perusall is an award-winning eBook platform featuring social annotation tools that allow students and instructors to collaboratively mark up and discuss their SAGE textbook. Backed by research and supported by technological innovations developed at Harvard University, this process of learning through collaborative annotation keeps your students engaged and makes teaching easier and more effective. Learn more.

Innovative Practices for Higher Education Assessment and Measurement

Innovative Practices for Higher Education Assessment and Measurement
Author: Cano, Elena
Publisher: IGI Global
Total Pages: 496
Release: 2016-07-18
Genre: Education
ISBN: 1522505326

Both educators and their students are involved in the process of assessment – all parties are expected to meet and exceed expectations in the face of competing conditions. New practices are being developed to enhance students’ participation, especially in their own assessment, be it though peer-review, reflective assessment, the introduction of new technologies, or other novel solutions. Though widely researched, few have measured these innovations’ effectiveness in terms of satisfaction, perceived learning, or performance improvements. Innovative Practices for Higher Education Assessment and Measurement bridges the gap between political discourse, theoretical approach, and teaching practices in terms of assessment in higher education. Bringing new insights and presenting novel strategies, this publication brings forth a new perception of the importance of assessment and offers a set of successful, innovative practices. This book is ideal for educators, administrators, policy makers, and students of education.

OECD Guidelines on Measuring Subjective Well-being

OECD Guidelines on Measuring Subjective Well-being
Author: OECD
Publisher: OECD Publishing
Total Pages: 270
Release: 2013-03-20
Genre:
ISBN: 9264191658

These Guidelines represent the first attempt to provide international recommendations on collecting, publishing, and analysing subjective well-being data.

Health System Performance Assessment in the WHO European Region

Health System Performance Assessment in the WHO European Region
Author: Centers of Disease Control
Publisher: World Health Organization
Total Pages: 44
Release: 2018-04-24
Genre: Medical
ISBN: 9289053046

Health systems performance assessment (HSPA) varies across the WHO European Region. This review summarizes HSPA domains and indicators used by Member States in their HSPA or health system-related reports. Thirty Member States published in the English language and from their latest documents, 1485 distinct indicators were extracted. The number of indicators reported per Member State ranged from 9 to 146, with a mean of 50. Among the 14 domains of the WHO 2007 framework, service delivery and improved health were covered by virtually all Member States analysed (30 and 29, respectively), but coverage varied for the other 12 domains, with health workforce and financing having good coverage (25 and 26, respectively) but others, such as safety, efficiency, coverage or responsiveness, covered in only 20-30% of documents. Further refinement of frameworks, both in clarity on scope and function and in the conceptual robustness of domains, is warranted and further standardization of generic sets of indicators should be sought.