ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The authors define treatment effectiveness and outcomes research, then discuss three critical methodological issues that if not appropriately resolved, can invalidate the findings of such studies. The three issues are research design, comparability of treatment groups, and approaches to measurement. These issues must be considered when the quality and contribution of findings from treatment effectiveness and outcomes research are evaluated.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The current emphasis on outcomes management and outcomes research projects is stimulating interest in the psychometric properties of computerized clinical data bases among nurses and other health care providers. The knowledge, behavior, and status subscales of the Omaha System's Problem Rating Scale for Outcomes (PRSO) were evaluated for interrater reliability and content validity. The authors describe the methods used and the results of that research.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

As home health administrators select performance evaluation systems to meet the benchmark requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), a frequently asked question is: Does rural versus urban locale influence patient outcomes? To answer the question, patient outcome data were collected from rural and urban home health agencies. Data analysis showed better outcomes for rural than for urban patients. Locale predicted less than 1% percent of the variance in each of the five outcomes studied. Factors that could account for rural-urban outcome differences were suggested.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The question of when to survey patients is the subject of ongoing debate because of the rising interest in monitoring quality from the consumer's perspective. This study of 772 randomly assigned patients from 17 hospitals compared results from predischarge in-person interviews (HI) and postdischarge telephone interviews (PHTI) for differences in participation rates, respondents' characteristics, and reports of quality most affected by nursing. The methods were equally costly. The results suggest that hospital interviews may enhance response rates of some vulnerable patient groups without jeopardizing the results.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Randomly observing patients after a 6-month period of clinic visits that included time for an educational component revealed that although patients were making positive changes to improve their health, an identifiable pattern of improvement in health status was not apparent. A chart audit was performed to gather demographic and outcome data in a more systematic manner. This article describes the process for completing the chart audit and analyzing the data. The potential for chart audits to raise research questions for subsequent development of outcomes evaluation studies is discussed. The author presents a model for a health care outcome research study that can be applied to improve effectiveness of care.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Two methods have been developed for using the Minimum Data Set (AADS) to estimate cognitive ability, the Cognitive Performance Scale (CPS) and the MDS Cognition Scale (MSD-COGS). The relative utility of the two scales was compared by correlating them with the Mini-Mental State Exam the Global Deterioration Scale in a sample of 290 nursing home residents with a mean age of 87 years. Both the CPS and the MDS-COGS related quite strongly to the Mini-Mental State Exam and to the Global Deterioration Scale, with the MDS-COGS correlating at slightly higher levels than the CPS. The CPS and the MDS-COGS both provide a simple, straightforward method of assessing cognitive function that is easy to understand and clinically meaningful. Because both are derived from the MDS, administration costs, as compared with that of the Mini-Mental State Exam or the Global Deterioration Scale, are also substantially lower. Inasmuch as the data are already available and the procedure is so simple (particularly with the MDS-COGS), it might be of benefit to include a computation of cognitive function as part of the MDS profile.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID