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Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
"Bert Herrman, probably the world's most respected expert on handballing, offers the definitive guide to one of sexuality's final frontiers. The book explains in depth not only techniques and health considerations, but a myriad of other details that affect participants, including chapters on the Kundalini and spiritual aspects of handballing"--Page 4 of cover
In the wake of the Exxon Valdez oil spill, a conservation trust helped stabilize and regenerate the damaged area. When bird habitats along the Platte River were threatened by Grayrocks Dam, a similar trust came to their rescue. And if a family wants to protect its land for future generations, establishing a trust may be the best solution. For more than a century, bequests of land and funds for environmental protection have been common, but in recent decades the trusts used to address conservation issues and resolve environmental disputes have diversified and grown significantly. This book examines a variety of conservation organizations built on or close to trust principles—some government creations, some private, some combinations of the two—to explain how conservation trusts are created and how they work. It explores strengths and weaknesses of the trust concept, considers the widespread use of land trusts, and presents case studies that both illustrate successes and give instructive examples of potential pitfalls. Drawing on cases from Maine to Hawaii, the authors examine the different kinds and configurations of trusts. They consider government trusts that blend federal, state, and local agencies into a single entity or that derive funding from outside legislative and executive channels; trusts established by government and private cooperation to share responsibility for jointly held and managed resources; and trusts established by private organizations and families. For each type, they explain why each is created, how it operates, and whether it has been proven effective. They also address the important issue of accountability-and consider when a trust is not the answer to a problem. As more Americans reject federal control of land in favor of local determination, land trusts have become the most popular tool for the preservation of land, habitats, and species. And as the sharing of authority among public, private, and diverse government partners becomes more prevalent, sound guidelines for establishing effective trusts are critical. This book shows how the trust template provides an invaluable approach for future conservation efforts and is a primer for anyone involved in environmental management.
Trust, both interpersonal trust, and trust in institutions, is a key ingredient of growth, societal well-being and governance. As a first step to improving existing measures of trust, the OECD Guidelines on Measuring Trust provide international recommendations on collecting, publishing, and analysing trust data to encourage their use by National Statistical Offices (NSOs). The Guidelines also outline why measures of trust are relevant for monitoring and policy making, and why NSOs have a critical role in enhancing the usefulness of existing trust measures. Besides looking at the statistical quality of trust measures, best approaches for measuring trust in a reliable and consistent way and guidance for reporting, interpretation and analysis are provided. A number of prototype survey modules that national and international agencies can use in their household surveys are included. These Guidelines have been produced as part of the OECD Better Life Initiative, a pioneering project launched in 2011, with the objective to measure society’s progress across eleven domains of well-being. They complement a series of similar measurement guidelines on subjective well-being, micro statistics on household wealth, integrated analysis of the distribution on household income, consumption and wealth, as well as the quality of the working environment.
The second edition of the Impact Evaluation in Practice handbook is a comprehensive and accessible introduction to impact evaluation for policy makers and development practitioners. First published in 2011, it has been used widely across the development and academic communities. The book incorporates real-world examples to present practical guidelines for designing and implementing impact evaluations. Readers will gain an understanding of impact evaluations and the best ways to use them to design evidence-based policies and programs. The updated version covers the newest techniques for evaluating programs and includes state-of-the-art implementation advice, as well as an expanded set of examples and case studies that draw on recent development challenges. It also includes new material on research ethics and partnerships to conduct impact evaluation. The handbook is divided into four sections: Part One discusses what to evaluate and why; Part Two presents the main impact evaluation methods; Part Three addresses how to manage impact evaluations; Part Four reviews impact evaluation sampling and data collection. Case studies illustrate different applications of impact evaluations. The book links to complementary instructional material available online, including an applied case as well as questions and answers. The updated second edition will be a valuable resource for the international development community, universities, and policy makers looking to build better evidence around what works in development.