scholarly journals Designing Quality Health Services Research: Why Comparative Effectiveness Studies Are Needed and Why Pharmacists Should Be Involved

2010 ◽  
Vol 30 (8) ◽  
pp. 751-757 ◽  
Author(s):  
Barry L Carter
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Comparative Effectiveness ◽  
Services Research ◽  
Quality Health ◽  
Effectiveness Studies ◽  
Quality Health Services

scholarly journals 2286

2017 ◽  
Vol 1 (S1) ◽  
pp. 14-14
Author(s):  
William G. Adams ◽  
Michael Mendis ◽  
Shiby Thomas ◽  
David Center ◽  
Sara Curran
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Community Health ◽  
Comparative Effectiveness ◽  
Large Scale ◽  
Safety Net ◽  
Services Research ◽  
Patient Level Data ◽  
Patient Level ◽  
Level Data

OBJECTIVES/SPECIFIC AIMS: The primary objective of this effort is to develop and distribute an easy to use i2b2 component that is capable of evaluating diverse complex relationships for a wide variety of exposures and outcomes over time. In this manner we are able to leverage the unique design of the i2b2 database to support health services research, comparative effectiveness, and quality improvement using a single tool. Furthermore, our novel database redesign has the potential to provide user-friendly access to individual and group CHC data for CER. METHODS/STUDY POPULATION: For this project we used software experts, clinical informatics specialists, and the existing i2b2 open-source software to convert our legacy HOME Cell into a web-client version. The tool will be used to study health outcomes within a network of Boston based Community Health Centers and the largest safety-net hospital in New England, Boston Medical Center. RESULTS/ANTICIPATED RESULTS: The new web-client HOME Cell will allow i2b2 users to model virtually any exposure (including therapeutic interventions such as medications or tests) in i2b2 against any outcome accounting for complex temporal relationships and other factors. In addition we plan to use our new Community Health Center views to enhance our community engagement activities by allowing direct access to their data for our partners. DISCUSSION/SIGNIFICANCE OF IMPACT: Our project addresses multiple national priorities related to data sharing, clinical research informatics, and comparative effectiveness. The web-client version of the HOME Cell substantially improves our community’s access to HOME Cell functionality and is a novel, sharable resource for use within the CTSA/NCATS community. Our approach provides a new way to perform large-scale collaborative research without the need to actually move patient-level data and has demonstrated that CER, health services research, and quality measurement can share a common framework. In addition, and as demonstrated in our earlier pilot work, the HOME Cell also has the potential to support large-scale multivariate analyses in a distributed manner that does not require sharing of patient-level data. We believe our approach has great promise for supporting the reuse of clinical data for rapid, transparent, health outcome assessments on a national scale. Our efforts support multiple strategic goals including: (1) support for building national clinical and translational research capacity by enhancing a broadly adopted informatics tool (i2b2); (2) enhanced consortium-wide collaborations by offering a tool that can be easily shared within the CTSA network to support multi-institutional collaboration; and (3) improving the health of our communities by offering a tool that has the potential to provide new insights into health care processes and outcomes that could drive innovation and improvement activities.

Use of a Clinical Outcomes Database: A Resource for Health Services Research

2016 ◽  
Vol 1 (3) ◽  
pp. 41-46
Author(s):  
Jaime E. Moore
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Clinical Outcomes ◽  
Comparative Effectiveness Research ◽  
Comparative Effectiveness ◽  
Effectiveness Research ◽  
Services Research ◽  
Patient Centered ◽  
University Of Wisconsin ◽  
The University

Comparative effectiveness research and patient-centered outcomes are two popular areas of study within health services research. This article will discuss the use of a clinical outcomes database used for the purpose of studying comparative effectiveness and patient-centered outcomes in individuals seen at the University of Wisconsin-Madison Voice and Swallow Clinics. The establishment and use of this database are discussed, including its benefits and limitations as it relates to health services research.

The alias dilemma: Implications for health services research

2005 ◽  
Author(s):  
Ruth Elwood Martin ◽  
Greg Hislop ◽  
Veronika Moravan ◽  
Garry Grams ◽  
Betty Calam
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Services Research

11. Who is in charge? Introducing criteria to evaluate health human resource (HHR) policy documents

2007 ◽  
Vol 30 (4) ◽  
pp. 33
Author(s):  
D. Rosenfield ◽  
C. Abrahams ◽  
S. Verma
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Human Resource ◽  
Grey Literature ◽  
Implementation Strategies ◽  
Policy Formulation ◽  
Health Human Resource ◽  
Services Research ◽  
Policy Documents ◽  
Care Technology

The maldistribution of and lack of access to health professionals continues to be a major issue for policymakers at all levels of government. Additionally, the basis by which Health Human Resource (HHR) policy is determined is unclear. Publications found in independent reports, peer-reviewed journals and most importantly, grey literature, can significantly influence or inform major policy decisions for “hot button” HHR issues (1) . We propose a framework that can be used to classify, rank and evaluate HHR policy/planning documents. Our framework creates six major criteria that are used to evaluate policy documents. These criteria are: 1) literature review, 2) source of primary information, 3) nature of recommendations, 4) implementation strategies, 5) credibility of authors and 6) credibility of publisher. Within each category, a score from zero to three (for criteria 1-4) or zero to two (criteria 5-6) is assigned, depending on the caliber of the document. Summing the scores from each section yields a document’s overall score. The intent of this measure is two-fold. Firstly, we want to create a tool that can be widely utilized by policymakers to help inform their decisions. Secondly, it can be used as a springboard to stimulate discussion and debate around HHR planning and policy formulation. National Information Center on Health Services Research and Health Care Technology. (NICHSR) Health Services Research and Health Policy Grey Literature Project: Summary Report. 2006. http://www.nlm.nih.gov/ nichsr/greylitreport_06.html. Accessed February 20, 2007.

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