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As the costs and resources of delivering health services have increased over the years, the importance of evaluating health services and interventions has become essential. An evaluation provides a systematic process of assessing the efficacy and efficiency of health services, including an assessment of their impact on beneficiaries, whether it be individuals or communities. Evaluation in the health sector includes the evaluation of burden disease where human and economic costs resulting from poor health are measured.In this book, various evaluation studies are detailed, providing an excellent resource for both evaluation practitioners and academics alike. The geographical range and variety of case studies showcase how evaluation has become integral for health service planning and assessment and to assist public health policy makers decide how to use limited resources to minimize burden and inequity. This book will act as a ready resource for both workers experienced in health service evaluation and those intending to learn about burden of disease of evaluation.
No nation can afford to provide all the health care that its population wants. Countries can, however, ensure they obtain the greatest benefit from those resources available for health care. Evaluation of health care can help determine which services should be provided and how they should best be organized and delivered. This book analyses health care interventions, from specific treatments to whole delivery systems, in terms of four key dimensions: Effectiveness Efficiency Humanity Equity
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
To accompany the hugely sccessful 'Methods for Economic Evaluation of Health Care Programmes 2e', this book is a thorough and rigourous discussion of the methodological principles and recent advances in the rapidly advancing field of theory and practice of economic evaluation in health care. Written by an internationally acclaimed group of authors, the book provides an in-depth discussion of the latest theoretical advances and gives comprehensive reviews of the available literature. The book covers the main areas of economic evaluation, including the methods for measuring costs and outcomes, the collection of data alongside clinical studies, ways of handling uncertainty, discounting and issues relating to the transferability of economic data. It is an ideal book for those studying economic evaluation on postgraduate or professional courses in health economics or public health.
The Second Edition of Health Program Planning and Evaluation will help you to systematically develop, thoughtfully implement, and rigorously evaluate health programs across a variety of health disciplines. This thorough revision includes updated examples and references throughout, reflecting the major changes within the field. This outstanding resource prepares students and professionals to become savvy consumers of evaluation reports and prudent users of evaluation consultants. It presents practical tools and concepts in language suitable for both the practicing and novice health program planner and evaluator.
First Edition Received 100 Points and 5-Star Doody'sReview! This is the only nursing text to facilitate the achievement by Doctor of Nursing Practice graduates (DNPs) s of the highest possible competency in conducting systematic and in-depth evaluations of all aspects of health care. The second edition of this award-winning text keeps pace with the rapidly evolving health care market by presenting a more comprehensive range of evaluation strategies for analyzing quality, safety, and value in health care practice and programs, with an emphasis on conducting, interpreting, and disseminating findings. It includes three new chapters addressing evaluation and outcomes, program evaluation, quality improvement, and reporting and disseminating the results. Based on the best evidence-based practices, the book provides DNPs with in-depth information on the conceptual basis of evaluation, its application as an integral part of contemporary health care delivery, and resources and methodology for evaluation of practice outcomes. It includes a critical examination of the characteristics, sources, and quality of the nature of evidence and presents several different evaluation models including those that focus oneconomic evaluation. The evaluation of organizations, systems, and standards for practice are covered in detail as are the evaluation of populations and health care teams, particularly interdisciplinary collaborative health teams. Also addressed is the process for translating outcomes from evaluation into health care policy, and opportunities for advocacy and leadership. Numerous examples and case studies illustrate concepts. New to the Second Edition: Includes three (3) new chapters that address evaluation and outcomes, program evaluation, quality improvement, and reporting and disseminating the results Explores health care practice determinates related to quality, safety, and value Covers how to lead and participate in comprehensive health care evaluations using best practices in conduct, interpretation and dissemination Includes strategies for evaluating small, medium, and large programs Key Features: Facilitates competency in conducting systematic and in-depth evaluations of all aspects of health care Based on best practices and evidence based practices Offers practical methods and tools used to conduct and implement a QI project Provides numerous examples and case studies Encourages the dissemination of results using a variety of venues, such as formal presentations, posters, and publications
The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.
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