Mark R Chassin 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......
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: 0833006533, 9780833006530
Authors: Kathleen N. Lohr, Thomas K. Glennan, Mark R. Chassin, George A. Goldberg, Robert H. Brook
Source: www.rand.org
Keywords: care, research, agenda, medical, quality, medicare, prospective, payment, impact
Formats:PDF
Copyrights: Copyrighted

Under the prospective payment system (PPS) introduced in 1983, hospitals are to be paid for each Medicare admission on the basis of a price per case set in advance, thus giving hospitals and other providers incentives for delivering care that are radically different from those of cost-reimbursement financing. This report identifies major issues relating to quality of care, sketches conceptual and ......
Authors: Mark R. Chassin, Rolla Edward Park, Kathleen N. Lohr, Joan Keesey, Robert H. Brook
Source: www.rand.org
Keywords: patient, mortality, medicare, hospitals, among, differences
Formats:PDF
Copyrights: Copyrighted

Using hospital discharge abstract data for fiscal year 1984 for all acute-care hospitals treating Medicare patients, the authors measured four mortality rates: inpatient deaths, deaths within 30 days of discharge, and deaths within two fixed periods following admission (30 days, and the 95th percentile length of stay for each condition). The metric of interest was the probability that a hospital w......
ISBN: 0833011502, 9780833011503
Authors: Paul G. Shekelle, Alan H. Adams, Mark R. Chassin, Eric Hurwitz, Reed B. Phillips, Robert H. Brook
Source: www.rand.org
Keywords: overview, literature, review, project, pain, spinal, manipulation, low, appropriateness
Formats:PDF
Copyrights: Copyrighted

This report contains a literature review on spinal manipulation treatment for low-back pain, covering the literature from 1955 to 1991, and gathering data from 76 sources, including 22 controlled trials of the use of spinal manipulation for low-back pain. Based on limited data, it is estimated that about 5 percent of the U.S. population uses chiropractors annually. Without systematic reports on th......
Authors: Sandra H. Berry, Robert H. Brook, Mark R. Chassin, James P. Kahan, David E. Kanouse, John D. Winkler
Source: www.rand.org
Keywords: development, program, consensus, nih, survey, evaluating, physician
Formats:PDF
Copyrights: Copyrighted

This Note reprints the survey instrument used to collect data from physicians in RAND's evaluation of the National Institutes of Health (NIH) Consensus Development Program, a technology assessment and dissemination program aimed at facilitating the timely translation of biomedical research into knowledge that can improve the practice of medicine and public health. The evaluation, sponsored by NIH'......
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