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AHRQ Research Studies
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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results11351 to 11363 of 11363 Research Studies Displayed
Mehrabi S, Schmidt CM, Waters JA
An efficient pancreatic cyst identification methodology using natural language processing.
Accurate identification, surveillance and treatment of pancreatic cysts represents an opportunity to prevent pancreatic cancer. Much information about pancreatic cysts can be found in free text format in various narrative medical reports. To capture this information, the researchers modified their cyst identification technique using the Unstructured Information Management Architecture (UIMA) pipeline.
Citation: Mehrabi S, Schmidt CM, Waters JA . An efficient pancreatic cyst identification methodology using natural language processing. Stud Health Technol Inform 2013;192:822-6..
Keywords: Cancer, Electronic Health Records (EHRs), Data, Health Information Technology (HIT), Prevention
Zhang M, Del Fiol G, Grout RW
Automatic identification of comparative effectiveness research from Medline citations to support clinicians' treatment information needs.
The goal of this study was to design and assess an algorithm for automatically identifying comparative effectiveness studies on the treatment of a given condition and extracting the interventions investigated in these studies. A total of 86% of the interventions extracted perfectly or partially matched the gold standard. The researchers concluded that, overall, the algorithm achieved reasonable performance.
Citation: Zhang M, Del Fiol G, Grout RW . Automatic identification of comparative effectiveness research from Medline citations to support clinicians' treatment information needs. Stud Health Technol Inform 2013;192:846-50..
Keywords: Comparative Effectiveness, Evidence-Based Practice, Clinical Decision Support (CDS)
Communicating information about "what not to do" to consumers.
The author reports on ways in which Consumer Reports magazine has communicated information about health services to its readers. Over a 5-year period, the author shows that the magazine as it learned more about how to communicate “what not to do” to consumers, was ultimately able to enhance the effectiveness of this difficult message.
Citation: Santa JS . Communicating information about "what not to do" to consumers. BMC Med Inform Decis Making 2013;13 Suppl 3:S2. doi: 10.1186/1472-6947-13-s3-s2..
Keywords: Communication, Education: Patient and Caregiver
Taylor EF, Machta RM, Meyers DS
AHRQ Author: Meyers DS, Genevro J
Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers.
This article discusses how practice facilitators and care managers can play important but distinct roles in redesigning and improving care delivery in order to deliver coordinated, accessible, comprehensive, and patient-centered care.
Citation: Taylor EF, Machta RM, Meyers DS . Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers. Ann Fam Med 2013 Jan-Feb;11(1):80-3. doi: 10.1370/afm.1462.
Keywords: Patient-Centered Healthcare, Primary Care: Models of Care, Primary Care, Healthcare Delivery, Organizational Change, Quality Improvement, Quality of Care
Bruckner TA, Rehkopf DH, Catalano RA
Income gains and very low-weight birth among low-income black mothers in California.
The researchers examined pregnant women in California in the 1990s who likely received a lump sum federal tax refund as a result of the Earned Income Tax Credit (EITC) in order to determine the effect, if any, on their infant’s birthweight. Contrary to expectation, the odds of a very low birthweight (VLBW) infant increase above expected values two months immediately following the tax disbursement.
Citation: Bruckner TA, Rehkopf DH, Catalano RA . Income gains and very low-weight birth among low-income black mothers in California. Biodemography Soc Biol 2013;59(2):141-56. doi: 10.1080/19485565.2013.833802..
Keywords: Newborns/Infants, Low-Income, Social Determinants of Health, Labor and Delivery
Incorporating patient and family preferences into evidence-based medicine.
The authors contend that the goal of patient-centered evidence based medicine (EBM) can be achieved through the incorporation of patient-derived data. Their article discusses the data needed to expand the EBM paradigm, including the role of patients’ families and their contributions to diagnosis seeking and treatment-related decisionmaking.
Citation: Siminoff LA . Incorporating patient and family preferences into evidence-based medicine. BMC Med Inform Decis Making. 2013;13 Suppl 3:S6. doi: 10.1186/1472-6947-13-s3-s6..
Keywords: Evidence-Based Practice, Decision Making, Patient-Centered Outcomes Research
Vawdrey DK, Natarajan K, Kanter AS
Informatics lessons from using a novel immunization information system.
This paper describes the informatics challenges and lessons learned during nearly 15 years of collecting, using, and exchanging electronic immunization information. The authors report on their experience with developing and using the EzVac system for 1) clinical care, both in local and global settings, 2) public health reporting, 3) consumer engagement, and 4) clinical and informatics research.
Citation: Vawdrey DK, Natarajan K, Kanter AS . Informatics lessons from using a novel immunization information system. Stud Health Technol Inform 2013;192:589-93..
Keywords: Health Information Technology (HIT), Registries, Public Reporting, Vaccination
Sockolow PS, Bowles KH, Rogers M
Interdisciplinary care team adoption of electronic point-of-care documentation systems: an unrealized opportunity.
To address the knowledge gap about barriers and facilitators to interdisciplinary care team adoption of computer-based point-of-care documentation systems, the researchers conducted three evaluations at each of two community health sites. They found that at each site there was a need for continuous feedback from front line users and on-going training to improve knowledge. Clinicians did not perceive any impact of the point-of-care documentation systems on patient outcomes.
Citation: Sockolow PS, Bowles KH, Rogers M . Interdisciplinary care team adoption of electronic point-of-care documentation systems: an unrealized opportunity. Stud Health Technol Inform 2013;192:939..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Care Coordination, Practice Patterns
Sanders Thompson VL
Making decisions in a complex information environment: evidential preference and information we trust.
This article discusses the role of information sources and evidential preferences—including the influence of health professionals, general and ethnicity-specific media, Internet sources, personal experiences, and family and friends and their testimonials and anecdotal evidence in health decisions. It also contains recommendations for health communication practices, professional training, and future research directions.
Citation: Sanders Thompson VL . Making decisions in a complex information environment: evidential preference and information we trust. BMC Med Inform Decis Making 2013;13 Suppl 3:S7. doi: 10.1186/1472-6947-13-s3-s7..
Keywords: Communication, Education: Patient and Caregiver, Decision Making
Kravitz RL, Bell RA
Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications.
This analysis takes the form of a critical, integrative synthesis of research from the fields of medicine, marketing, public health, and health communications. The authors conclude that the problem is not a lack of information: rather, it is knowing what information to trust.
Citation: Kravitz RL, Bell RA . Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications. BMC Med Inform Decis Making 2013;13 Suppl 3:S5. doi: 10.1186/1472-6947-13-s3-s5..
Keywords: Communication, Education: Patient and Caregiver, Health Promotion, Medication, Public Health
AHRQ Author: Clancy CM
New hospital readmission policy links financial and quality incentives.
This article describes AHRQ-related projects to reduce hospital readmissions, including Porject RED (Re-Engineered Discharge), Project BOOST (Better Outcomes for Older adults through Safe Transitions), and Patient Safety Organizations (PSOs).
Citation: Clancy CM . New hospital readmission policy links financial and quality incentives. J Nurs Care Qual 2013 Jan-Mar;28(1):1-4. doi: 10.1097/NCQ.0b013e3182725d82.
Keywords: Elderly, Hospital Discharge, Patient Safety, Hospital Readmissions, Transitions of Care
Siegel JE, Heeringa JW, Carman KL
AHRQ Author: Siegel JE
Public deliberation in decisions about health research.
This paper provides a brief overview of public deliberation and describes its emerging role in health and health care research.
Citation: Siegel JE, Heeringa JW, Carman KL . Public deliberation in decisions about health research. Virtual Mentor 2013 Jan;15(1):56-64. doi: 10.1001/virtualmentor.2013.15.1.pfor2-1301.
Keywords: Decision Making, Healthcare Delivery, Health Services Research (HSR), Policy
Houser SH, Ray MN, Maisiak R
Telephone follow-up in primary care: can interactive voice response calls work?
The purpose of the study was to assess patient perceptions about follow-up calls after ambulatory care visits, to evaluate differences in perceptions about human calls and interactive voice response system (IVRS) calls, and to explore the association between follow-up calls and patient satisfaction with care. It found that there were no differences in attitudes between patients receiving calls from clinic staff or from an IVRS.
Citation: Houser SH, Ray MN, Maisiak R . Telephone follow-up in primary care: can interactive voice response calls work? Stud Health Technol Inform 2013;192:112-6..
Keywords: Primary Care, Patient Experience, Health Information Technology (HIT)