Analysis of Healthcare Interventions that Change Patient Trajectories

Analysis of Healthcare Interventions that Change Patient Trajectories PDF Author: J. H. Bigelow
Publisher: Rand Corporation
ISBN:
Category : Business & Economics
Languages : en
Pages : 216

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Book Description
--Increase the provision of the following preventive services: influenza and pneumococcal vaccinations and screening for breast, cervical, and colorectal cancer. --Enroll people with one of four chronic illnesses-asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), or diabetes-in disease management programs. --Persuade people to adopt healthy lifestyles and estimate the health outcomes if everyone did so: controlled their weight, stopped smoking, ate a healthy diet, exercised, and controlled their blood pressure and cholesterol as necessary with medications. We estimated the effects of each intervention on healthcare utilization (e.g., hospital stays, office visits, prescription drug use), healthcare expenditures, and population health outcomes (workdays or schooldays missed, days spent sick in bed, mortality).

Analysis of Healthcare Interventions that Change Patient Trajectories

Analysis of Healthcare Interventions that Change Patient Trajectories PDF Author: James H. Bigelow
Publisher: Rand Corporation
ISBN: 0833040979
Category : Medical
Languages : en
Pages : 210

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Book Description
Examines interventions in the healthcare system that use Electronic Medical Record Systems (EMR-S) to affect patient trajectories--i.e., the sequence of encounters a patient has with the healthcare system--by improving health and thereby reducing healthcare utilization, or by reducing a costly form of utilization (e.g., inpatient stays) and increasing a more economical form (e.g., office visits to physicians, or prescription medications).

Trajectory Analysis in Health Care

Trajectory Analysis in Health Care PDF Author: David W. Hollar
Publisher: Springer
ISBN: 3319596268
Category : Medical
Languages : en
Pages : 267

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Book Description
This innovative volume introduces Trajectory Analysis, a new systems-based approach to measuring nonlinear dynamics in continuous change, to public health and epidemiology. It synthesizes influential strands of statistical and probability science (including chaos theory and catastrophe theory) to complement existing methods and models used in the health fields. The computational framework featured here pinpoints complex cause-and-effect processes in behavioral change as individuals and populations adjust to health interventions, with examples from neuroscience and cardiology. But this is no mere academic exercise, as the author illustrates how these methods can be harnessed toward finding real-world answers to longstanding public health problems, starting with treatment recidivism. Included in the coverage: · The universality of physical principles in the analysis of health and disease · The problem of recidivism in healthcare intervention studies · Stability and reversibility/irreversibility of health conditions · Chaos theory and sensitive dependence on initial conditions · Applications in health monitoring and geographic systems · Simulations, applications, and the challenge for public health A stimulating new take on statistics with powerful implications for future study, practice, and policy, Trajectory Analysis in Health Care should interest public health epidemiologists, researchers, clinicians, and policymakers.

Evidence-Based Medicine and the Changing Nature of Health Care

Evidence-Based Medicine and the Changing Nature of Health Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309113695
Category : Medical
Languages : en
Pages : 202

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Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Artificial Intelligence in Healthcare

Artificial Intelligence in Healthcare PDF Author: Adam Bohr
Publisher: Academic Press
ISBN: 0128184396
Category : Computers
Languages : en
Pages : 385

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Book Description
Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. Highlights different data techniques in healthcare data analysis, including machine learning and data mining Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks Includes applications and case studies across all areas of AI in healthcare data

A Life Course Perspective on Health Trajectories and Transitions

A Life Course Perspective on Health Trajectories and Transitions PDF Author: Claudine Burton-Jeangros
Publisher: Springer
ISBN: 331920484X
Category : Medical
Languages : en
Pages : 215

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Book Description
This open access book examines health trajectories and health transitions at different stages of the life course, including childhood, adulthood and later life. It provides findings that assess the role of biological and social transitions on health status over time. The essays examine a wide range of health issues, including the consequences of military service on body mass index, childhood obesity and cardiovascular health, socio-economic inequalities in preventive health care use, depression and anxiety during the child rearing period, health trajectories and transitions in people with cystic fibrosis and oral health over the life course. The book addresses theoretical, empirical and methodological issues as well as examines different national contexts, which help to identify factors of vulnerability and potential resources that support resilience available for specific groups and/or populations. Health reflects the ability of individuals to adapt to their social environment. This book analyzes health as a dynamic experience. It examines how different aspects of individual health unfold over time as a result of aging but also in relation to changing socioeconomic conditions. It also offers readers potential insights into public policies that affect the health status of a population.

Communities in Action

Communities in Action PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583

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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Engineering a Learning Healthcare System

Engineering a Learning Healthcare System PDF Author: National Academy of Engineering
Publisher: National Academies Press
ISBN: 0309120640
Category : Medical
Languages : en
Pages : 340

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Book Description
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system-one that increasingly is more effective, more efficient, safer, and higher quality-is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

Technical Executive Summary in Support of "Can Electronic Medical Record Systems Transform Healthcare?" and "Promoting Health Information Technology"

Technical Executive Summary in Support of Author: James H. Bigelow
Publisher:
ISBN:
Category : Medical informatics
Languages : en
Pages : 54

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Book Description
This document summarizes the evidence and analysis that support two papers appearing in "Health Affairs," Vol. 24, No. 5, Sept/Oct 2005, by Hillestad et al. and by Taylor et al. Three much more complete technical reports are as follows: (1) Fonkych, K., and R. Taylor, "The State and Pattern of Health Information Technology Adoption," RAND Corporation, MG-409-HLTH, 2005; Girosi, F., R. Meili, and R. Scoville, "Extrapolating Evidence of Health Information Technology Savings and Costs," RAND Corporation, MG-410-HLTH, 2005; and Bigelow, J. H., K. Fonkych, C. Fung, and J. Wang, "Analysis of Healthcare Interventions that Change Patient Trajectories," RAND Corporation, MG-408-HLTH, 2005. The three sections of this paper summarize these documents in the order listed. Report no. 1 estimates the degree to which hospitals and physician practices have adopted electronic medical records (EMRs), and identifies factors that correlate with adoption. The primary source of data was the Healthcare Information and Management Systems Society (HIMSS)-Dorenfest database for the beginning of 2004, which covers nearly 4,000 acute care community hospitals in the United States (75% of the total number) and most physician practices owned by hospital systems. Report no. 2 quantifies potential national-level efficiency savings that might be obtained with HIT and associated health care changes, and compares them to the costs the nation would incur to realize those savings (efficiency savings are those savings resulting from the ability to perform the same task with fewer resources). A patient trajectory is the sequence of events that involves the patient with the healthcare system. Report no. 3 examines four interventions in the healthcare system that affect patient trajectories, and how HIT may facilitate those interventions.

Clinical Solutions and Medical Progress through User-Driven Healthcare

Clinical Solutions and Medical Progress through User-Driven Healthcare PDF Author: Biswas, Rakesh
Publisher: IGI Global
ISBN: 1466618779
Category : Health & Fitness
Languages : en
Pages : 217

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Book Description
"This book provides comprehensive coverage and understanding of clinical problem solving in healthcare, especially user-driven healthcare, using concerted experiential learning in conversations between multiple users and stakeholders, primarily patients, health professionals, and other actors in a care giving collaborative network across a web interface"--