ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Rising U.S. health-care costs have resulted in mandates to reform the health system. Payors are closely scrutinizing care delivery and have empowered themselves as gatekeepers for consumer health-care access. In the late 1990s, outcomes management emerged as an interdisciplinary process advocating the measurement of health outcomes among populations undergoing medical care. Outcomes management provides a mechanism to foster development of patient-driven health services aimed to impact clinical quality through intermediate and long-term outcome analysis. Outcomes measurement facilitates ongoing: enhancement of interdisciplinary health-care delivery, enabling determination of “best” practice and identification of opportunities for practice improvement. The advanced practice nurse's unique educational preparation provides a framework for development of the prerequisite leadership qualifies necessary to cultivate an outcomes management program.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Outcomes research is being advocated as a means for providing information needed to support decision making in health care. In this article, the author defines terminology related to outcomes assessment, describes the process of outcomes measurement, and reviews suitable study designs for use in outcomes research.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Collaborative practice teams consist of interdisciplinary providers who are charged with the process of implementing and refining an outcomes management program within a targeted population. Collaborative practice teams work under the assumption that clinical quality enhancement through practice standardization decreases care fragmentation, resulting in improved physiologic, psychosocial, and financial outcomes. Collaborative practice team members identifybest practicethrough the implementation and testing of interdisciplinary interventions. Represented on a critical pathway, these practices are evaluated toward achievement of defined population outcomes. In this article, the authors review the process or collaborative practice team formation, expected pitfalls and barriers to effective collaboration, and the work accomplished by a collaborative practice team.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Addressing end-of-life care issues is difficult if our death-denying society, particularly in the hospital environment, which is characterized by a proliferation of life-sustaining therapy. A hospital model for end-of-life care has been in practice at an urban university hospital since late 1985. Outcomes analysis at the micro-level permitted a demonstration of the practice's effectiveness over time.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Approximately 2 million traumatic brain injuries (TBIs) occur each year in the United States. Outcomes or TBI include catastrophic disability that affects mobility, self-sufficiency, cognition, language and communication, sensory and perceptual function, neurobehavior, marital relationships, and vocational status. Few programs exist that address all of these needs comprehensively, and resource allocation for care across the continuum for patients after TBI remains limited. In this article, the author describes outcomes of TBI, barriers to outcome achievement, and alternative care delivery approaches to achieve these outcomes.

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:1079-0713    

出版商:OVID    

年代:1996

数据来源: OVID