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Jacqueline Kosecoff Free eBooks (1)

ISBN: 0833019082, 9780833019080
Authors: Arlene Fink, Jacqueline Kosecoff, Mark R. Chassin, Robert H. Brook
Source: www.rand.org
Keywords: guidelines, characteristics, methods, consensus
Formats:PDF
Copyrights: Copyrighted

Consensus methods are being used increasingly to solve problems in medicine and health. Their main purpose is to define levels of agreement on controversial subjects. Advocates suggest that, when properly employed, consensus strategies can create structured environments in which experts are given the best available information, allowing their solutions to problems to be more justifiable and credib......
ISBN: 0833019074, 9780833019073
Authors: Jacqueline Kosecoff, Arlene Fink, Robert H. Brook, Mark R. Chassin
Source: www.rand.org
Keywords: medical, record, valid, information, procedure, using, appropriateness
Formats:PDF
Copyrights: Copyrighted

Understanding the clinical appropriateness of a procedure's use may be critical in explaining geographic variations in its use.Little is known, however, about whether data on appropriateness can be obtained from a medical record. A national panel of physicians formulated a list of 300 mutually exclusive, detailed clinical indications for performing coronary angiography. Using this list, the author......
Authors: Mark R. Chassin, Jacqueline Kosecoff, David Solomon, Robert H. Brook
Source: www.rand.org
Keywords: determinants, appropriateness, clinical, used, angiography, coronary
Formats:PDF
Copyrights: Copyrighted

This Note uses ratings of appropriateness derived from an expert physician panel to measure how appropriately physicians in 1981 performed coronary angiography in a randomly selected, community-based sample of cases in the Medicare population. The authors studied three large geographic areas in three states, representing regions of high and low use.The high-use site had fewer procedures classified......
ISBN: 0833019112, 9780833019110
Authors: D. Gray, John R. Hampton, Steven J. Bernstein, Jacqueline Kosecoff, Robert H. Brook
Source: www.rand.org
Keywords: bypass, surgery, angiography, coronary, practice, audit, clinical
Formats:PDF
Copyrights: Copyrighted

The appropriateness of coronary angiography and coronary artery bypass surgery in the Trent regional health authority was assessed by comparison with predetermined consensus criteria. Forty-nine percent of coronary angiographies were considered to be entirely appropriate in relation to the patient's clinical condition, but 21 percent were deemed inappropriate. Coronary artery bypass surgery was co......
Authors: Jacqueline Kosecoff, Robert H. Brook, Mark R. Chassin, Lois Mccloskey, Sandra H. Berry
Source: www.rand.org
Keywords: nih, consensus, conference, recommendations, compliance, assessing, record, abstraction, forms, medical
Formats:PDF
Copyrights: Copyrighted

This Note reprints the medical record abstraction forms and an illustrative set of guidelines for collecting data for the hospital-based portion of RAND's evaluation of the National Institutes of Health Consensus Development Program.The program's goal is to facilitate the timely translation of biomedical research into knowledge that can improve the practice of medicine and public health.The Note d......
ISBN: 083301904X, 9780833019042
Authors: Arlene Fink, Robert H. Brook, Jacqueline Kosecoff, Mark R. Chassin, David Solomon
Source: www.rand.org
Keywords: medical, surgical, procedures, six, uses, clinical, literature, appropriate, sufficiency
Formats:PDF
Copyrights: Copyrighted

The authors reviewed the English-language clinical literature on carotid endarterectomy, cholecystectomy, upper gastrointestinal endoscopy, colonoscopy, coronary angiography, and coronary artery bypass graft procedure to identify the appropriateness of using these procedures in 1981. Most of the 803 relevant articles and textbooks were published after 1975. About 10 percent of the 571 research stu......
ISBN: 0833019104, 9780833019103
Authors: Robert H. Brook, Kathleen N. Lohr, Mark R. Chassin, Jacqueline Kosecoff, Arlene Fink, David Solomon
Source: www.rand.org
Keywords: significance, clinical, services, variations, geographic
Formats:PDF
Copyrights: Copyrighted

This Note presents speculation on how the medical community might determine whether more medical care is better medical care by collecting information about the indications and outcomes of medical procedures and services. In particular, it aims to motivate the private practitioner, medical educator, and clinical researcher to search more forcefully and more diligently for the clinical knowledge th......
ISBN: 0833019155, 9780833019158
Authors: Constance M. Winslow, David Solomon, Mark R. Chassin, Jacqueline Kosecoff, Nancy J. Merrick, Robert H. Brook
Source: www.rand.org
Keywords: endarterectomy, carotid, appropriateness
Formats:PDF
Copyrights: Copyrighted

Carotid endarterectomy is a commonly performed but controversial procedure. The authors developed from the literature a list of 864 possible reasons for performing carotid endarterectomy, and asked a panel of nationally known experts to rate the appropriateness of each indication using modified Delphi technique. On the basis of the panel's ratings, they determined the appropriateness of carotid en......
ISBN: 0833019171, 9780833019172
Authors: Robert H. Brook, Mark R. Chassin, Arlene Fink, David Solomon, Jacqueline Kosecoff, Rolla Edward Park
Source: www.rand.org
Keywords: medical, technologies, appropriateness, assessment, detailed, method
Formats:PDF
Copyrights: Copyrighted

The standard way to assess medical technologies is to conduct a randomized clinical trial. Patients are randomly assigned to groups receiving alternative treatments, and outcomes are monitored over a long period of time. Randomized clinical trials provide invaluable knowledge about the outcome of medical technologies, but they suffer from several disadvantages. They are time-consuming and expensiv......
ISBN: 0833011294, 9780833011299
Authors: Robert H. Brook, Rolla Edward Park, Mark R. Chassin, Jacqueline Kosecoff, Joan Keesey, David Solomon
Source: www.rand.org
Keywords: outcome, selected, procedures, appropriateness, affect, physician, hospital, characteristics, patient
Formats:PDF
Copyrights: Copyrighted

This report contains two separate but related reports. Both use data from the RAND/UCLA Health Services Utilization Study (HSUS) supplemented by additional data on patient, physician, and hospital characteristics. One relates these additional data to the appropriateness with which the three HSUS procedures (coronary angiography, upper gastrointestinal endoscopy, and carotid endarterectomy) were pe......
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