This report assesses the evidence that the use of genomic tests for ovarian cancer screening, diagnosis, and treatment leads to improved outcomes. The authors conducted a literature review and constructed a computer simulation model to test the impact of different assumptions about ovarian cancer natural history on the relative effectiveness of different strategies.
This report includes the following sections:
- Ovarian cancer
- Approaches to...
This report is a systematic review of the evidence on the effectiveness of community and population-based interventions to prevent tobacco use and to increase consumer demand for and implementation of effective cessation interventions; the impacts of smokeless tobacco marketing on smoking, use of those products, and population harm; and the directions for future research.
This evidence report addresses the following:
- Chapter 1. Introduction
- Scope of the problem ...
This issue brief examines resources that can assist hospitals and other health systems in preparing for bioterrorism disasters, and in conducting disaster drills in particular. It presents steps in the continuous cycle of disaster preparedness.
Topics addressed include:
- Conventional disasters versus bioterrorism
- Disaster planning: An ongoing community effort
- Continuous effort
- Key components
- Community-wide plan
- Hospital emergency...
This document is intended for occupational health professionals and other clinicians who are responsible for physical and mental health oversight of workers who have deployed or worked in hurricane disaster response. This tool offers guidance for screening workers who may have been exposed to potential work-related adverse health consequences as a result of working in unclean or unstable work environments, such as hurricane recovery areas.
This tool addresses the following topics:...
The purpose of this report is to synthesize findings regarding the concepts, policies, and teaching practices with respect to culturally competent health care. The information prescribed provides family physicians with a context and rationale for cultural competence; information specifically relating to the three main culturally and linguistically appropriate services (CLAS) themes—culturally competent care, language access services, and organizational supports—and information related to...
This report summary provides early lessons on the scope, patterns, barriers, and possibilities of value-based purchasing. It is drawn from in-depth discussion with nine employers and coalitions as well as written material from many other organizations.
Information presented on:
- Theory of value-based purchasing
- Reality of value-based purchasing
- Measurement activities of the pioneers
This 206-page report (the second volume in a series) provides a critical analysis of the existing literature on quality improvement (QI) strategies for management of patients with diabetes mellitus (Type 2 diabetes), which accounts for more than 90 percent of diabetes cases in the United States.
This report addresses the following key questions:
- Are there QI strategies that improve physicians’ treatment of diabetes and its comorbidities?
- Can the control of...
This report (the first volume in a series) provides an overview of methods and theoretical underpinnings of the quality improvement (QI) field of study. A critical analysis of the existing literature on quality improvement strategies for a selection of 20 disease and practice priorities identified in a 2003 Institute of Medicine report was compiled to bring data to bear on this “quality gap” and the opportunities that exist to bridge it.
This volume presents the following information...
This study examines conformance of current patterns of usual care for persons with schizophrenia with the Schizophrenia Patient Outcomes Research Team (PORT) treatment recommendations. The PORT surveyed a stratified random sample of 719 persons diagnosed with schizophrenia. Findings indicate that current usual treatment practices likely fall substantially short of what would be recommended based on the best evidence on treatment efficacy.
Treatment recommendations discussed encompass...
The Agency for Healthcare Research and Quality sponsored a critical analysis of the existing literature on quality improvement (QI) strategies for hypertension care, to bring data to bear on QI opportunities. This report aims to help readers assess whether a QI strategy might work in their practice or patient population.
This report includes the following sections:
- The quality gap
- Evidence-based guidelines and quality of care...