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The assessment of outcomes of medical interventions is a central
concern of patients, physicians, nurses, and of individuals, groups
and government agencies who pay for medical care. Outcome
assessments are incomplete without measurements of functional
status. Functional Status Measurement in Primary Care provides an
indepth discussion of psychometric issues as applied to functional
status assessment and details the practical experience of Family
Physicians/General Practitioners in several countries with
functional status measurements in their patient populations.
International experience with the use of the Darthmouth COOP Charts
is described along with their practical application in the daily
practice of physicians and nurses of ambulatory patients.
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Clinical Practice Guidelines We Can Trust (Paperback, New)
Committee on Standards for Developing Trustworthy Clinical Practice Guidelines, Board on Health Care Services, Institute of Medicine; Edited by Robin Graham, Michelle Mancher, …
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R1,564
Discovery Miles 15 640
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Ships in 12 - 17 working days
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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.
With the risk of more than one in three getting cancer during a
lifetime, each of us is likely to experience cancer, or know
someone who has survived cancer. Although some cancer survivors
recover with a renewed sense of life and purpose, what has often
been ignored is the toll taken by cancer and its treatment?on
health, functioning, sense of security, and well-being. Long
lasting effects of treatment may be apparent shortly after its
completion or arise years later. The transition from active
treatment to post-treatment care is critical to long-term health.
From Cancer Patient to Cancer Survivor focuses on survivors of
adult cancer during the phase of care that follows primary
treatment. The book raises awareness of the medical, functional,
and psychosocial consequences of cancer and its treatment. It
defines quality health care for cancer survivors and identifies
strategies to achieve it. The book also recommends improvements in
the quality of life of cancer survivors through policies that
ensure their access to psychosocial services, fair employment
practices, and health insurance. This book will be of particular
interest to cancer patients and their advocates, health care
providers and their leadership, health insurers, employers,
research sponsors, and the public and their elected
representatives. Table of Contents Front Matter Executive Summary 1
Introduction 2 Cancer Survivors 3 The Medical and Psychological
Concerns of Cancer Survivors After Treatment 4 Delivering Cancer
Survivorship Care 5 Providers of Survivorship Care: Their Supply
and Education and Training 6 Employment, Insurance, and Economic
Issues 7 Research Glossary Index
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