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Journal of the American College of... May 2011
Review
Topics: Cardiovascular Diseases; Health Services Research; Healthcare Disparities; Humans; Outcome Assessment, Health Care
PubMed: 21545941
DOI: 10.1016/j.jacc.2011.01.020 -
Value in Health : the Journal of the... May 2023
Topics: Humans; Economics, Medical; Outcome Assessment, Health Care; Economics
PubMed: 36914093
DOI: 10.1016/j.jval.2023.03.002 -
Nutrition (Burbank, Los Angeles County,... Jan 1997
Topics: Health Services Research; Outcome Assessment, Health Care; Terminology as Topic
PubMed: 9058455
DOI: 10.1016/s0899-9007(96)00326-7 -
Foot & Ankle International Oct 2001
Topics: Diagnosis, Computer-Assisted; Humans; Orthopedics; Outcome Assessment, Health Care; Physician-Patient Relations
PubMed: 11642527
DOI: 10.1177/107110070102201001 -
Pharmacotherapy Feb 2009The increased availability of electronic medical records and administrative health care databases is adding to the popularity of pharmacoepidemiology and outcomes... (Review)
Review
The increased availability of electronic medical records and administrative health care databases is adding to the popularity of pharmacoepidemiology and outcomes research studies. Despite their availability, practitioners may be reluctant to use these databases because they lack familiarity with database research in general. The basic principles of research are the same regardless of the data source, but there are a few special considerations. When using secondary data sources for research purposes, special care must be taken to select an appropriate source to ensure that relevant information is available to answer the research question at hand. Special attention must also be paid to selecting the appropriate codes to represent the outcomes and exposures of interest; therefore, a general understanding of coding schemes is necessary. Although time may be saved by not prospectively collecting data, the process of manipulating the data for analysis in secondary databases can be complex. Analysis of data from secondary sources may require special procedures to overcome the lack of randomization. By familiarizing themselves with these special issues, practitioners can use secondary sources to conduct studies that make valuable contributions to the improvement of patient care.
Topics: Databases, Factual; Humans; Outcome Assessment, Health Care; Pharmacoepidemiology; Research Design; Vocabulary, Controlled
PubMed: 19170584
DOI: 10.1592/phco.29.2.138 -
Clinical Nurse Specialist CNS May 2002More research is needed that focuses on the effectiveness of nursing interventions in clinical settings. Advanced practice nurses are in the best position to conduct... (Review)
Review
More research is needed that focuses on the effectiveness of nursing interventions in clinical settings. Advanced practice nurses are in the best position to conduct these studies, given their clinical expertise, access to subjects, master's-level research education, and need to demonstrate the effectiveness of their own care practices. This article describes how to develop outcomes studies and to use and disseminate the findings. Advanced practice nurses are encouraged to develop and replicate outcomes studies and to broadly disseminate findings to build the evidence base needed to support advanced practice in nursing.
Topics: Humans; Nurse Clinicians; Nursing Evaluation Research; Outcome Assessment, Health Care; United States
PubMed: 12021613
DOI: 10.1097/00002800-200205000-00007 -
Critical Care Nursing Clinics of North... Sep 2002Since 1992 there has been a growing demand for health care providers to justify their interventions and for health care systems to evaluate "quality" of care in terms of... (Review)
Review
Since 1992 there has been a growing demand for health care providers to justify their interventions and for health care systems to evaluate "quality" of care in terms of improving patients' lives and the cost of care provided. It often seems overwhelming when one looks at the wide range or variables and instruments that have been used in the name of outcomes research. This article describes various aspects of the research design for advanced practice nursing research. Explored are the topics of identifying researchable problems, developing research questions, selecting research designs, measuring concepts of interest, analyzing results, and designs for future outcomes research.
Topics: Humans; Nurse Clinicians; Nurse Practitioners; Nursing Administration Research; Outcome Assessment, Health Care; Research Design
PubMed: 12168709
DOI: 10.1016/s0899-5885(02)00011-4 -
The Journal of Neuroscience Nursing :... Oct 1998
Review
Topics: Clinical Nursing Research; Evidence-Based Medicine; Humans; Neurosciences; Outcome Assessment, Health Care; Practice Guidelines as Topic; Specialties, Nursing; United States; United States Agency for Healthcare Research and Quality
PubMed: 9816564
DOI: 10.1097/01376517-199810000-00008 -
Expert Review of Pharmacoeconomics &... Apr 2013Electronic medical records (EMRs) have become a common source of data for outcomes research. This review discusses trends in EMR data use for outcomes research as well... (Review)
Review
Electronic medical records (EMRs) have become a common source of data for outcomes research. This review discusses trends in EMR data use for outcomes research as well as strengths and limitations, and likely future developments to help optimize value and use of EMR data for outcomes research. EMR-based studies reporting treatment outcomes published between 2007 and 2012 were predominantly from the USA and Europe. There has been a substantial increase in the number of EMR-based outcomes studies published from 2007-2008 (n = 28) to 2010-2011 (n = 55). Many studies evaluated biometric and laboratory test outcomes in common chronic conditions. However, researchers are expanding the scope of evaluated diseases and outcomes using advanced techniques, such as natural language processing and linking EMRs to other patient-level data to overcome issues with missing data or data that cannot be accessed using standard queries. These advances will help to expand the scope and sophistication of outcomes research in the coming years.
Topics: Data Collection; Electronic Health Records; Europe; Humans; Medical Records Systems, Computerized; Outcome Assessment, Health Care; United States
PubMed: 23570430
DOI: 10.1586/erp.13.7 -
Value in Health : the Journal of the... 2004Pharmacoeconomics and outcomes research have the potential for rapid adoption in the Asia Pacific region. Nevertheless, the region is characterized by great diversity in... (Review)
Review
OBJECTIVES
Pharmacoeconomics and outcomes research have the potential for rapid adoption in the Asia Pacific region. Nevertheless, the region is characterized by great diversity in social and economic development, ethnicity, population size, health-care system, culture, language, and religion. Thus, the rate of adoption is also quite diverse across the region.
METHODS
Among the countries reviewed in this article, governments take varying levels of interest in applying this research in health policy decisions. For example, some countries have already implemented systems that require pharmacoeconomic studies as one component of a new pharmaceutical product's approval for reimbursement, whereas others recommend such data but do not require it in policy and medical decision making. The literature in the countries reviewed is actually quite robust given the early stages of development of this field in most countries. The academic community has members trained in this field of research in all the countries reviewed and some universities have established departments whereas others have just introduced a few classes in the area.
RESULTS
At the moment, pharmacoeconomics and outcomes research are being conducted mainly by academics. In addition, some pharmaceutical researchers are active and pharmaceutical companies are currently preparing to conduct more of this research as part of their strategy for Asian drug development.
CONCLUSIONS
Prospects for future growth and development in this field are quite good in Asia as rapid healthcare inflation, increasing rates of chronic conditions and aging population, and increasing technology diffusion will underpin the need for greater awareness of the need to incorporate economic efficiency into the health-care systems.
Topics: Aged; Asia; Delivery of Health Care; Economics, Pharmaceutical; Female; Health Expenditures; Health Status Indicators; Humans; Male; Middle Aged; Outcome Assessment, Health Care
PubMed: 15164802
DOI: 10.1111/j.1524-4733.2004.72330.x