Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ cost(1906) reduc(1198) effect(832) }
{ data(1737) use(1416) pattern(1282) }
{ use(2086) technolog(871) perceiv(783) }
{ implement(1333) system(1263) develop(1122) }
{ structur(1116) can(940) graph(676) }
{ health(1844) social(1437) communiti(874) }
{ intervent(3218) particip(2042) group(1664) }
{ import(1318) role(1303) understand(862) }
{ clinic(1479) use(1117) guidelin(835) }
{ result(1111) use(1088) new(759) }
{ time(1939) patient(1703) rate(768) }
{ activ(1138) subject(705) human(624) }
{ research(1218) medic(880) student(794) }
{ model(3480) simul(1196) paramet(876) }
{ spatial(1525) area(1432) region(1030) }
{ visual(1396) interact(850) tool(830) }
{ featur(1941) imag(1645) propos(1176) }
{ care(1570) inform(1187) nurs(1089) }
{ model(2220) cell(1177) simul(1124) }
{ assess(1506) score(1403) qualiti(1306) }
{ studi(2440) review(1878) systemat(933) }
{ method(2212) result(1239) propos(1039) }
{ first(2504) two(1366) second(1323) }
{ data(2317) use(1299) case(1017) }
{ ehr(2073) health(1662) electron(1139) }
{ record(1888) medic(1808) patient(1693) }
{ model(2341) predict(2261) use(1141) }
{ howev(809) still(633) remain(590) }
{ method(1557) propos(1049) approach(1037) }
{ motion(1329) object(1292) video(1091) }
{ measur(2081) correl(1212) valu(896) }
{ can(774) often(719) complex(702) }
{ model(3404) distribut(989) bayesian(671) }
{ detect(2391) sensit(1101) algorithm(908) }
{ method(1969) cluster(1462) data(1082) }
{ activ(1452) weight(1219) physic(1104) }
{ process(1125) use(805) approach(778) }
{ decis(3086) make(1611) patient(1517) }
{ estim(2440) model(1874) function(577) }
{ survey(1388) particip(1329) question(1065) }
{ drug(1928) target(777) effect(648) }
{ use(1733) differ(960) four(931) }
{ use(976) code(926) identifi(902) }
{ cancer(2502) breast(956) screen(824) }
{ high(1669) rate(1365) level(1280) }
{ analysi(2126) use(1163) compon(1037) }
{ can(981) present(881) function(850) }
{ patient(1821) servic(1111) care(1106) }
{ data(3008) multipl(1320) sourc(1022) }
{ gene(2352) biolog(1181) express(1162) }
{ sampl(1606) size(1419) use(1276) }
{ group(2977) signific(1463) compar(1072) }
{ signal(2180) analysi(812) frequenc(800) }
{ medic(1828) order(1363) alert(1069) }
{ age(1611) year(1155) adult(843) }
{ model(2656) set(1616) predict(1553) }
{ patient(2837) hospit(1953) medic(668) }
{ state(1844) use(1261) util(961) }
{ monitor(1329) mobil(1314) devic(1160) }
{ blood(1257) pressur(1144) flow(957) }
{ studi(1119) effect(1106) posit(819) }
{ perform(1367) use(1326) method(1137) }
{ compound(1573) activ(1297) structur(1058) }
{ system(1050) medic(1026) inform(1018) }
{ research(1085) discuss(1038) issu(1018) }
{ perform(999) metric(946) measur(919) }
{ risk(3053) factor(974) diseas(938) }
{ studi(1410) differ(1259) use(1210) }
{ data(3963) clinic(1234) research(1004) }
{ case(1353) use(1143) diagnosi(1136) }
{ search(2224) databas(1162) retriev(909) }
{ method(984) reconstruct(947) comput(926) }
{ general(901) number(790) one(736) }
{ control(1307) perform(991) simul(935) }
{ design(1359) user(1324) use(1319) }
{ data(1714) softwar(1251) tool(1186) }
{ extract(1171) text(1153) clinic(932) }
{ algorithm(1844) comput(1787) effici(935) }
{ concept(1167) ontolog(924) domain(897) }
{ learn(2355) train(1041) set(1003) }
{ chang(1828) time(1643) increas(1301) }
{ error(1145) method(1030) estim(1020) }
{ problem(2511) optim(1539) algorithm(950) }
{ framework(1458) process(801) describ(734) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ treatment(1704) effect(941) patient(846) }
{ take(945) account(800) differ(722) }
{ patient(2315) diseas(1263) diabet(1191) }
{ imag(2675) segment(2577) method(1081) }
{ network(2748) neural(1063) input(814) }
{ imag(2830) propos(1344) filter(1198) }
{ featur(3375) classif(2383) classifi(1994) }
{ method(1219) similar(1157) match(930) }
{ sequenc(1873) structur(1644) protein(1328) }
{ bind(1733) structur(1185) ligand(1036) }
{ imag(1057) registr(996) error(939) }
{ system(1976) rule(880) can(841) }
{ inform(2794) health(2639) internet(1427) }
{ imag(1947) propos(1133) code(1026) }

Resumo

The aim of cost effectiveness analysis (CEA) is to inform the allocation of scarce resources. CEA is routinely used in assessing the cost-effectiveness of specific health technologies by agencies such as the National Institute for Health and Clinical Excellence (NICE) in England and Wales. But there is extensive evidence that because of barriers of accessibility and acceptability, CEA has not been used by local health planners in their annual task of allocating fixed budgets to a wide range of types of health care. This paper argues that these planners can use Socio Technical Allocation of Resources (STAR) for that task. STAR builds on the principles of CEA and the practice of program budgeting and marginal analysis. STAR uses requisite models to assess the cost-effectiveness of all interventions considered for resource reallocation by explicitly applying the theory of health economics to evidence of scale, costs, and benefits, with deliberation facilitated through an interactive social process of engaging key stakeholders. In that social process, the stakeholders generate missing estimates of scale, costs, and benefits of the interventions; develop visual models of their relative cost-effectiveness; and interpret the results. We demonstrate the feasibility of STAR by showing how it was used by a local health planning agency of the English National Health Service, the Isle of Wight Primary Care Trust, to allocate a fixed budget in 2008 and 2009.

Resumo Limpo

aim cost effect analysi cea inform alloc scarc resourc cea routin use assess costeffect specif health technolog agenc nation institut health clinic excel nice england wale extens evid barrier access accept cea use local health planner annual task alloc fix budget wide rang type health care paper argu planner can use socio technic alloc resourc star task star build principl cea practic program budget margin analysi star use requisit model assess costeffect intervent consid resourc realloc explicit appli theori health econom evid scale cost benefit deliber facilit interact social process engag key stakehold social process stakehold generat miss estim scale cost benefit intervent develop visual model relat costeffect interpret result demonstr feasibl star show use local health plan agenc english nation health servic isl wight primari care trust alloc fix budget

Resumos Similares

Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,817565907877399 )
Healthc (Amst) - Geographic variation in health IT and health care outcomes: A snapshot before the meaningful use incentive program began. ( 0,780703409460633 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,778661114550567 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,778115352640742 )
Perspect Health Inf Manag - Rural veteran access to healthcare services: investigating the role of information and communication technologies in overcoming spatial barriers. ( 0,777231128403237 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,776601141473655 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,771258314144727 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,770942516947105 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,770514410446784 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,77017138212843 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,769205127884615 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,767975562623229 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,766068876166977 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,765007961546371 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,762394152940734 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,760257794694234 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,758626819404304 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,75796527251602 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,75781847963528 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,755687796263857 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,755577357705873 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,753373539523994 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,751799188747913 )
J Am Med Inform Assoc - Implementing health information exchange for public health reporting: a comparison of decision and risk management of three regional health information organizations in New York state. ( 0,749444123726466 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,747449214639029 )
Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,745022488218197 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,744519877112986 )
Perspect Health Inf Manag - Reasons for deficiencies in health information laws in Iran. ( 0,744469168087274 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,742052920266385 )
BMC Med Inform Decis Mak - Communicating information about what not to do to consumers. ( 0,741767541384029 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,740888661166681 )
J. Med. Internet Res. - Major infection events over 5 years: how is media coverage influencing online information needs of health care professionals and the public? ( 0,738681358414917 )
J. Med. Internet Res. - Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review. ( 0,736383346602498 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,733507710539336 )
Healthc (Amst) - Re-designing primary care: Implementation of patient-aligned care teams. ( 0,733181197706693 )
Int J Med Inform - Achieving the integrated and smart health and wellbeing paradigm: a call for policy research and action on governance and business models. ( 0,733040911337947 )
Int J Med Inform - Holistic health: predicting our data future (from inter-operability among systems to co-operability among people). ( 0,731186271405206 )
J Am Med Inform Assoc - Patient-centered care, collaboration, communication, and coordination: a report from AMIA's 2013 Policy Meeting. ( 0,730000925669098 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,729047430905669 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,726722092687432 )
J Am Med Inform Assoc - The National Alliance for Medical Image Computing, a roadmap initiative to build a free and open source software infrastructure for translational research in medical image analysis. ( 0,723615291804691 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,723443608010336 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,723000924863948 )
Telemed J E Health - Federal efforts to define and advance telehealth--a work in progress. ( 0,722716884869727 )
Comput. Biol. Med. - An empirical study of healthcare providers and patients' perceptions of electronic health records. ( 0,722344812350424 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,721361354752846 )
J Med Syst - Barriers to the widespread adoption of health data standards: an exploratory qualitative study in tertiary healthcare organizations in Saudi Arabia. ( 0,719446292236168 )
J. Med. Internet Res. - Using evidence-based internet interventions to reduce health disparities worldwide. ( 0,717679025242524 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,715656077276122 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,715509404503957 )
AMIA Annu Symp Proc - Exploring local public health workflow in the context of automated translation technologies. ( 0,714470495832724 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,714260131584258 )
Appl Clin Inform - Strategic Procedures and Revisions for implementing Telemedicine and Telecare in Greece. ( 0,710975267593471 )
Healthc (Amst) - Relationship-centered care: A new paradigm for population health management. ( 0,71095930123471 )
AMIA Annu Symp Proc - Preparing for an aging population and improving chronic disease management. ( 0,710787819367234 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,710344747929603 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,710179956923621 )
Int J Med Inform - Integrated personal health and care services deployment: experiences in eight European countries. ( 0,707839975264809 )
Health Info Libr J - Healthcare librarians and the delivery of critical appraisal training: barriers to involvement. ( 0,705854598902086 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,705616761290413 )
BMC Med Inform Decis Mak - Health communication in primary health care -a case study of ICT development for health promotion. ( 0,704155087161901 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,703437486796536 )
Int J Health Geogr - Optimization of preventive health care facility locations. ( 0,70318978077412 )
J. Med. Internet Res. - Investigating the congruence of crowdsourced information with official government data: the case of pediatric clinics. ( 0,701244711926949 )
Int J Health Geogr - Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. ( 0,700832893505451 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,70058436350143 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,700035555710846 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,699816863697389 )
Spat Spatiotemporal Epidemiol - The interactive atlas on health inequalities. ( 0,696673191212017 )
Int J Health Geogr - Spatial access to residential care resources in Beijing, China. ( 0,696547674710615 )
Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study. ( 0,695905150691613 )
Int J Health Geogr - Mapping the capacities of fixed health facilities to cover people at risk of gambiense human African trypanosomiasis. ( 0,692321822327765 )
Appl Clin Inform - Telemedicine: What have we learned? ( 0,691378544536561 )
Int J Med Inform - Lessons learned implementing a regional health information exchange in Geneva as a pilot for the Swiss national eHealth strategy. ( 0,691270195654752 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,691084178933339 )
Int J Med Inform - Comparing New Zealand's 'Middle Out' health information technology strategy with other OECD nations. ( 0,688543027665643 )
Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. ( 0,688454780712399 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,686354178277207 )
Spat Spatiotemporal Epidemiol - Investigating impacts of positional error on potential health care accessibility. ( 0,686331040921338 )
J. Med. Internet Res. - Interpretive flexibility in mobile health: lessons from a government-sponsored home care program. ( 0,680235702859925 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,680107786798035 )
AMIA Annu Symp Proc - An evaluation of the rates of repeat notifiable disease reporting and patient crossover using a health information exchange-based automated electronic laboratory reporting system. ( 0,680063299437233 )
BMC Med Inform Decis Mak - A scenario analysis of the future residential requirements for people with mental health problems in Eindhoven. ( 0,679502215419029 )
Med Decis Making - A discrete choice experiment to obtain a tariff for valuing informal care situations measured with the CarerQol instrument. ( 0,679489969332172 )
J Med Syst - Technologies to better serve the millions of diabetic patients: a holistic, interactive and persuasive ICT model to facilitate self care, in extremely poor rural zones of Central America. ( 0,678962467510308 )
J Am Med Inform Assoc - Shifts in the architecture of the Nationwide Health Information Network. ( 0,678863452209885 )
J Am Med Inform Assoc - Policies for patient access to clinical data via PHRs: current state and recommendations. ( 0,67790824426762 )
Healthc (Amst) - How it's done: Keys to implementation of delivery system reform. ( 0,677521569190534 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,676622373735734 )
Int J Health Geogr - Spatial modelling of healthcare utilisation for treatment of fever in Namibia. ( 0,676561805093423 )
J. Med. Internet Res. - Using crowdsourcing technology for testing multilingual public health promotion materials. ( 0,673772300482651 )
Health Info Libr J - Monitoring or avoiding health information--the relation to inner inclination and health status. ( 0,673183446348589 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,673101921964541 )
Health Info Libr J - Focus groups for allied health professionals and professions allied to technical services in the NHS--marketing opportunities, lessons learnt and recommendations. ( 0,672268166062277 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,668435444446937 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,66700054770572 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,666951837511295 )
J. Med. Internet Res. - Public access and use of health research: an exploratory study of the National Institutes of Health (NIH) Public Access Policy using interviews and surveys of health personnel. ( 0,666195162946099 )
AMIA Annu Symp Proc - Peers, regulators, and professions: the influence of organizations in health information technology adoption. ( 0,663948042252158 )
J. Med. Internet Res. - Routine real-time cost-effectiveness monitoring of a web-based depression intervention: a risk-sharing proposal. ( 0,66383225945923 )