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Innovation in medicine

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47 papers 25 to 100 followers
By Jamie Jarmul Md / PhD student at UNC - Chapel Hill, PhD in Health Policy and Management
Jamie O Creed, Julianne M Cyr, Hillary Owino, Shannen E Box, Mia Ives-Rublee, Brian B Sheitman, Beat D Steiner, Jefferson G Williams, Michael W Bachman, Jose G Cabanas, J Brent Myers, Seth W Glickman
OBJECTIVE: Emergency Departments (ED) are overburdened with patients experiencing acute mental health crises. Pre-hospital transport by Emergency Medical Services (EMS) to community mental health and substance abuse treatment facilities could reduce ED utilization and costs. Our objective was to describe characteristics, treatment, and outcomes of acute mental health crises patients who were transported by EMS to an acute crisis unit at WakeBrook, a North Carolina community mental health center...
September 2018: Prehospital Emergency Care
Christopher D Witiw, Vinitra Nathan, Mark Bernstein
Innovation to improve patient care quality is a priority of the neurosurgical specialty since its beginnings. As the strain on health care resources increases, the cost of these quality improvements is becoming increasingly important. The aims of this article are to review the available tools for assessing the cost of quality improvement along with the willingness to pay and to provide a conceptual framework for the assessment of innovations in terms of quality and economic metrics and provide examples from the neurosurgical literature...
April 2015: Neurosurgery Clinics of North America
Gregory Harlan, Roie Edery, S Ryan Greysen
In this article, we describe a model for secure, intra-practice social networking using Web-based technology to facilitate continuous provider engagement. The focus is to create and share practice improvement strategies and other professional content in IPC The Hospitalist Company's community. We also summarize lessons learned from seven years of experience with this model including successes, challenges, next steps, and recommendations for how other healthcare organizations can apply our experience to improve their practices...
September 2014: Journal of Medical Practice Management: MPM
Rinke van den Brink
No abstract text is available yet for this article.
December 2014: Orphanet Journal of Rare Diseases
Job F M van Boven, Pepijn Vemer
INTRODUCTION: In the Netherlands, pharmacologic Smoking Cessation Treatments (pSCTs) were reimbursed in 2011. In 2012 the reimbursement was discontinued. As of 2013, pSCTs were again reimbursed, provided they are accompanied by behavioral counseling. The aim of this article is to assess the impact of changes in reimbursement policy on use of-and adherence to-pSCTs. METHODS: A retrospective dispensing database analysis was performed on real-world observational data (2010-2013) from the Netherlands...
January 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Paolo Del Vecchio
The concept of "recovery" in the context of treating mental illness-including serious mental illness-has been recognized as a central guiding principle for the orientation of behavioral health systems, including the delivery of effective treatment and services, and the development of practices, policies, and systems change. As the adoption of recovery-oriented care expands, there is a need to prepare the mental health and addictions workforce with recovery-based clinical skills and practice delivery approaches...
July 2015: Psychiatric Services: a Journal of the American Psychiatric Association
Bijal A Balasubramanian, Deborah J Cohen, Melinda M Davis, Rose Gunn, L Miriam Dickinson, William L Miller, Benjamin F Crabtree, Kurt C Stange
BACKGROUND: In healthcare change interventions, on-the-ground learning about the implementation process is often lost because of a primary focus on outcome improvements. This paper describes the Learning Evaluation, a methodological approach that blends quality improvement and implementation research methods to study healthcare innovations. METHODS: Learning Evaluation is an approach to multi-organization assessment. Qualitative and quantitative data are collected to conduct real-time assessment of implementation processes while also assessing changes in context, facilitating quality improvement using run charts and audit and feedback, and generating transportable lessons...
December 2015: Implementation Science: IS
Erik T Tambuyzer, Barbara L Handelin, Richard A Basile, Marlene E Haffner
No abstract text is available yet for this article.
December 2014: Orphanet Journal of Rare Diseases
Pedro Oliveira, Leid Zejnilovic, Helena Canhão, Eric von Hippel
No abstract text is available yet for this article.
December 2014: Orphanet Journal of Rare Diseases
Guido Rasi, Sergio Bonini
Despite tremendous progress in science and increasing investment in research and development, patients' access to innovative medicines remains limited. This is in part due to increasing regulatory requirements for product authorisation and cost-constrained national health systems. At the European Medicines Agency (EMA), we have tried to address these constraints by adapting our organisation and activities to changing business models, new technologies, and the current and emerging health needs in Europe. The main EMA initiatives to provide patients with effective, safe and affordable medicines are reviewed...
2015: Expert Opinion on Biological Therapy
Jenny Knight
No abstract text is available yet for this article.
March 18, 2015: Nursing Standard
Joanna C Moullin, Daniel Sabater-Hernández, Fernando Fernandez-Llimos, Shalom I Benrimoj
BACKGROUND: Implementation science and knowledge translation have developed across multiple disciplines with the common aim of bringing innovations to practice. Numerous implementation frameworks, models, and theories have been developed to target a diverse array of innovations. As such, it is plausible that not all frameworks include the full range of concepts now thought to be involved in implementation. Users face the decision of selecting a single or combining multiple implementation frameworks...
December 2015: Health Research Policy and Systems
Alexandra L Martiniuk, Seye Abimbola, Merrick Zwarenstein
BACKGROUND: Health systems are complex and health policies are political. While grand policies are set by politicians, the detailed implementation strategies which influence the shape and impact of these policies are delegated to technical personnel. This is an underappreciated opportunity for optimising health systems. We propose that selective 'breeding' through successive evaluations of and selection among implementation strategies is a metaphor that health system thinkers can use to improve health care...
December 2015: Health Research Policy and Systems
William B Borden, Alvin I Mushlin, Jonathan E Gordon, Joan M Leiman, Herbert Pardes
Led by the Affordable Care Act, the U.S. health care system is undergoing a transformative shift toward greater accountability for quality and efficiency. Academic health centers (AHCs), whose triple mission of clinical care, research, and education serves a critical role in the country's health care system, must adapt to this evolving environment. Doing so successfully, however, requires a broader understanding of the wide-ranging roles of the AHC. This article proposes a conceptual framework through which the triple mission is expanded along four new dimensions: health, innovation, community, and policy...
May 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Charles Glisson, Nathaniel J Williams
Culture and climate are critical dimensions of a mental health service organization's social context that affect the quality and outcomes of the services it provides and the implementation of innovations such as evidence-based treatments (EBTs). We describe a measure of culture and climate labeled Organizational Social Context (OSC), which has been associated with innovation, service quality, and outcomes in national samples and randomized controlled trials (RCTs) of mental health and social service organizations...
March 18, 2015: Annual Review of Public Health
Jobeth W Pilcher
Nurse educators are encouraged to use evidence to guide their teaching strategies. However, evidence is not always available. How can educators make decisions regarding strategies when data are limited or absent? Where do innovation and creativity fit? How can innovation be balanced with evidence? This article provides a discussion regarding other sources of evidence, such as extrapolations, theories and principles, and collective expertise. Readers are encouraged to review the options and then analyze how they might be applied to innovation in education...
March 2015: Journal for Nurses in Professional Development
Raymond E Spier
No abstract text is available yet for this article.
April 2015: Science and Engineering Ethics
Jo Moriarty
No abstract text is available yet for this article.
March 2015: Dementia
Marc Kohli, Keith J Dreyer, J Raymond Geis
OBJECTIVE: Informatics innovations of the past 30 years have improved radiology quality and efficiency immensely. Radiologists are groundbreaking leaders in clinical information technology (IT), and often radiologists and imaging informaticists created, specified, and implemented these technologies, while also carrying the ongoing burdens of training, maintenance, support, and operation of these IT solutions. Being pioneers of clinical IT had advantages of local radiology control and radiology-centric products and services...
April 2015: AJR. American Journal of Roentgenology
Hiroyasu Inoue, Yang-Yu Liu
We studied the Japan and U.S. patent records of several decades to demonstrate the effect of collaboration on innovation. We found that statistically inventor teams slightly outperform solo inventors while company teams perform equally well as solo companies. By tracking the performance record of individual teams, we found that inventor teams' performance generally degrades with more repeat collaborations. Though company teams' performance displays strongly bursty behavior, long-term collaboration does not significantly help innovation...
2015: PloS One
2015-03-27 02:59:00
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