Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 94
Book Description
Report of the Expert Meeting Beyond RCT
Author: Report of the Expert Meeting Beyond RCT Towards Evidence Based Public Health
Author: Community-based Participatory Research
Author: United States. Agency for Healthcare Research and QualityPublisher:
ISBN:
Category :
Languages : en
Pages : 8
Book Description
Sharing Clinical Trial Data
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309316324
Category : Medical
Languages : en
Pages : 236
Book Description
Data sharing can accelerate new discoveries by avoiding duplicative trials, stimulating new ideas for research, and enabling the maximal scientific knowledge and benefits to be gained from the efforts of clinical trial participants and investigators. At the same time, sharing clinical trial data presents risks, burdens, and challenges. These include the need to protect the privacy and honor the consent of clinical trial participants; safeguard the legitimate economic interests of sponsors; and guard against invalid secondary analyses, which could undermine trust in clinical trials or otherwise harm public health. Sharing Clinical Trial Data presents activities and strategies for the responsible sharing of clinical trial data. With the goal of increasing scientific knowledge to lead to better therapies for patients, this book identifies guiding principles and makes recommendations to maximize the benefits and minimize risks. This report offers guidance on the types of clinical trial data available at different points in the process, the points in the process at which each type of data should be shared, methods for sharing data, what groups should have access to data, and future knowledge and infrastructure needs. Responsible sharing of clinical trial data will allow other investigators to replicate published findings and carry out additional analyses, strengthen the evidence base for regulatory and clinical decisions, and increase the scientific knowledge gained from investments by the funders of clinical trials. The recommendations of Sharing Clinical Trial Data will be useful both now and well into the future as improved sharing of data leads to a stronger evidence base for treatment. This book will be of interest to stakeholders across the spectrum of research-from funders, to researchers, to journals, to physicians, and ultimately, to patients.
Finding What Works in Health Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309164257
Category : Medical
Languages : en
Pages : 267
Book Description
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Health Promotion
Author: Jackie GreenPublisher: SAGE
ISBN: 1446205835
Category : Medical
Languages : en
Pages : 593
Book Description
Beginning with a critical appraisal of the concept itself, the second edition of Health Promotion: Planning and Strategies outlines models for defining `health promotion' and sets out the factors involved in planning health promotion programmes that work. Locating the principles and strategies of health promotion within an emerging sphere of multidisciplinary health, the authors show how these can be applied within a range of contexts and settings. In an attempt to bridge the gap that persists between ideological perspectives and practical implementations, they delve beyond the rhetoric of empowerment and show how it can be incorporated into practice. Focusing particularly on the synergistic relationship between policy and education, the book re-appraises the notion of health education - an idea which has become marginalised in recent years- and shows the fundamental importance of education in creating individual choice and generating effective advocacy for social change. The question of `evidence' is central to the text and the book examines methods of evaluation and the role it plays in creating more effective health promotion programmes. The new edition offers coverage of values and ethics; working with communities; the settings approach, and social marketing. It also provides students with a glossary of key terms. Internationally relevant and multidisciplinary, this is an essential text for students of health studies, health promotion, public health, interprofessional social care courses, and all healthcare professionals.
Evidence-Based Medicine and the Changing Nature of Health Care
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 0309113695
Category : Medical
Languages : en
Pages : 202
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.
Communities in Action
Author: National Academies of Sciences, Engineering, and MedicinePublisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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.
Physical Activity and Cancer
Author: Kerry S. CourneyaPublisher: Springer Science & Business Media
ISBN: 3642042317
Category : Medical
Languages : en
Pages : 389
Book Description
This book explores in depth the relation between physical activity and cancer control, including primary prevention, coping with treatments, recovery after treatments, long-term survivorship, secondary prevention, and survival. The first part of the book presents the most recent research on the impact of physical activity in preventing a range of cancers. In the second part, the association between physical activity and cancer survivorship is addressed. The effects of physical activity on supportive care endpoints (e.g., quality of life, fatigue, physical functioning) and disease endpoints (e.g., biomarkers, recurrence, survival) are carefully analyzed. In addition, the determinants of physical activity in cancer survivors are discussed, and behavior change strategies for increasing physical activity in cancer survivors are appraised. The final part of the book is devoted to special topics, including the relation of physical activity to pediatric cancer survivorship and to palliative cancer care.
Health Promotion
Author: Keith TonesPublisher: SAGE
ISBN: 9780761974499
Category : Health & Fitness
Languages : en
Pages : 628
Book Description
Written for all professionals who strive to improve the health of others.