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21318356 |
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20230221111753.0 |
| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
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cr an aaaaa |
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191202s2020 nju b 001 0 eng |
| 010 ## - LIBRARY OF CONGRESS CONTROL NUMBER |
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| LC control number |
2019055404 |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER |
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| International Standard Book Number |
9781119488590 |
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| International Standard Book Number |
9781119488620 |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER |
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9781119488613 |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER |
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| Cancelled/invalid ISBN |
9781119488606 |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
DNLM/DLC |
| Language of cataloging |
eng |
| Description conventions |
rda |
| Transcribing agency |
DLC |
| 041 ## - LANGUAGE CODE |
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| Language code of text/sound track or separate title |
eng. |
| 042 ## - AUTHENTICATION CODE |
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| Authentication code |
pcc |
| 050 00 - LIBRARY OF CONGRESS CALL NUMBER |
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| Classification number |
RA395.A3 |
| 060 10 - NATIONAL LIBRARY OF MEDICINE CALL NUMBER |
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| Classification number |
W 84.1 |
| 082 00 - DEWEY DECIMAL CLASSIFICATION NUMBER |
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| Classification number |
362.1/0425 |
| Edition number |
23 |
| 245 00 - TITLE STATEMENT |
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| Title |
Improving patient care : |
| Remainder of title |
the implementation of change in health care / |
| Statement of responsibility, etc |
edited by Michel Wensing, Richard Grol, Jeremy Grimshaw. |
| 250 ## - EDITION STATEMENT |
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| Edition statement |
Third edition. |
| 263 ## - PROJECTED PUBLICATION DATE |
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| Projected publication date |
2004 |
| 264 #1 - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
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| Place of publication, distribution, etc |
Hoboken, NJ : |
| Name of publisher, distributor, etc |
Wiley-Blackwell |
| Date of publication, distribution, etc |
2020. |
| 300 ## - PHYSICAL DESCRIPTION |
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| Extent |
pages cm |
| 336 ## - CONTENT TYPE |
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| Content type term |
text |
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txt |
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rdacontent |
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computer |
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c |
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rdamedia |
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online resource |
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cr |
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rdacarrier |
| 500 ## - GENERAL NOTE |
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| General note |
ABOUT THE AUTHOR<br/>MICHEL WENSING, Full Professor of Health Services Research and Implementation Science, University of Heidelberg, Heidelberg; Department of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany; Department IQ healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.<br/><br/>RICHARD GROL, Emeritus Professor, Radboud University, Nijmegen; and Maastricht University, Maastricht, The Netherlands.<br/><br/>JEREMY GRIMSHAW, Senior Scientist, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario; Full Professor, Department of Medicine, University of Ottawa, Ottawa, Ontario; Canada Research Chair in Health Knowledge Transfer and Uptake, Ottawa, Ontario, Canada. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc |
Includes bibliographical references and index. |
| 505 0# - CONTENTS |
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| Formatted contents note |
TABLE OF CONTENTS<br/>List of Contributors xv<br/><br/>Introduction xix<br/><br/>Part I Principles of the Implementation of Change 1<br/><br/>1 Implementation of Change in Healthcare: A Complex Problem 3<br/>Richard Grol and Michel Wensing<br/><br/>1.1 Introduction 3<br/><br/>1.2 The Implementation Problem 5<br/><br/>1.2.1 Effective Care 6<br/><br/>1.2.2 Safe Care 6<br/><br/>1.2.3 Efficient Care 7<br/><br/>1.2.4 Access to Care 8<br/><br/>1.2.5 Patient-Centered Care 8<br/><br/>1.2.6 Variation in the Provision of Care 8<br/><br/>1.3 Various Approaches to the Implementation of Change in Patient Care 9<br/><br/>1.4 What is Implementation? 12<br/><br/>1.5 Which Recommended Practices Should Be Adopted? 15<br/><br/>1.5.1 New Insights and Technologies 15<br/><br/>1.5.2 Problems in Healthcare Practice 16<br/><br/>1.6 A Systematic Approach to “Sustainable Change” 16<br/><br/>References 17<br/><br/>2 Theories on Implementation of Change in Healthcare 21<br/>Michel Wensing and Richard Grol<br/><br/>2.1 Introduction 21<br/><br/>2.2 Theories on Factors Related to Individual Professionals 23<br/><br/>2.2.1 Cognitive Theories 23<br/><br/>2.2.2 Educational Theories 25<br/><br/>2.2.3 Motivational Theories 26<br/><br/>2.3 Theories on Social Processes 27<br/><br/>2.3.1 Social Learning Theory 27<br/><br/>2.3.2 Theories on Communication 27<br/><br/>2.3.3 Social Network Theories 28<br/><br/>2.3.4 Theories on Teamwork 29<br/><br/>2.3.5 Theories on Professionalization 29<br/><br/>2.3.6 Theories on Leadership 30<br/><br/>2.4 Theories on Organizational Systems 31<br/><br/>2.4.1 Theories of Effective Organizations 31<br/><br/>2.4.2 Theory of Quality and Safety Management 31<br/><br/>2.4.3 Theory of Operations Management 33<br/><br/>2.4.4 Theory of Complex Systems 33<br/><br/>2.4.5 Theory of Organizational Learning 34<br/><br/>2.4.6 Theories of Organizational Culture 35<br/><br/>2.5 Theories on Economic and Societal Structures 36<br/><br/>2.5.1 Economic Theories 36<br/><br/>2.5.2 Theories on Contracting 37<br/><br/>2.6 Conclusions 37<br/><br/>References 39<br/><br/>3 Effective Implementation of Change in Healthcare: A Systematic Approach 45<br/>Richard Grol and Michel Wensing<br/><br/>3.1 Elements of Effective Implementation 45<br/><br/>3.2 The Implementation of Change Model 52<br/><br/>3.3 Developing a Proposal and Targets for Change 53<br/><br/>3.4 Assessment of Performance 55<br/><br/>3.5 Analysis of the Target Group and Setting 56<br/><br/>3.5.1 Aims and Settings of the Implementation 57<br/><br/>3.5.2 Segments within the Target Group and Stages of Change 57<br/><br/>3.5.3 Phases in a Process of Change: A Summary of the Literature 58<br/><br/>3.5.4 Orientation 59<br/><br/>3.5.5 Insight 59<br/><br/>3.5.6 Acceptance 59<br/><br/>3.5.7 Change 60<br/><br/>3.5.8 Maintenance 60<br/><br/>3.5.9 Barriers and Facilitators to Changing Practice 60<br/><br/>3.6 Selection and Development of Improvement Strategies 61<br/><br/>3.7 Development, Testing, and Execution of an Implementation Plan 61<br/><br/>3.8 Sustainable Change: Integration of Change into Practice Routines 63<br/><br/>3.9 Evaluation and (Possible) Adaptations to the Plan 63<br/><br/>3.10 Planning of the Implementation Process 66<br/><br/>3.11 Conclusions 68<br/><br/>References 68<br/><br/>4 Planning and Organizing the Change Process 73<br/>Richard Grol and Michel Wensing<br/><br/>4.1 Introduction 73<br/><br/>4.2 A Motivated Team Comprising All Relevant Expertise 75<br/><br/>4.3 Creating a Context for Change 76<br/><br/>4.3.1 The Central Role of Physicians 76<br/><br/>4.3.2 Collaboration in Teams for Patient Care 78<br/><br/>4.4 Involving the Target Group and Stakeholders in the Plan 81<br/><br/>4.5 Leaders and Key Figures 81<br/><br/>4.5.1 Medical Leadership 82<br/><br/>4.6 Project Management: Time Schedule and Responsibilities 82<br/><br/>4.7 Resources and Support 83<br/><br/>4.8 Conclusions 84<br/><br/>References 84<br/><br/>Part II Guidelines and Innovations 87<br/><br/>5 Characteristics of Successful Innovations 89<br/>Richard Grol and Michel Wensing<br/><br/>5.1 Introduction 89<br/><br/>5.2 Various Types of Improvements Require Various Types of Change Proposals 91<br/><br/>5.2.1 Scientific Literature, Guidelines, Decision Support, and Decision Aids 91<br/><br/>5.2.2 Clinical Pathways 92<br/><br/>5.2.3 Improved Care Processes 93<br/><br/>5.2.4 Other Innovations 93<br/><br/>5.3 Characteristics of Innovations That Promote Implementation 94<br/><br/>5.4 Format and Presentation 97<br/><br/>5.5 Involvement of the Target Group and Local Adaptation 99<br/><br/>5.6 Conclusions 100<br/><br/>References 100<br/><br/>6 Clinical Practice Guidelines as a Tool for Improving Patient Care 103<br/>Jako Burgers, Trudy van der Weijden, and Richard Grol<br/><br/>6.1 Introduction 103<br/><br/>6.2 Aims of Guidelines 104<br/><br/>6.3 Potential Benefits and Limitations of Guidelines 105<br/><br/>6.3.1 Potential Benefits 106<br/><br/>6.3.2 Possible Limitations 106<br/><br/>6.4 Development of Effective Guidelines 107<br/><br/>6.4.1 Topic Selection 107<br/><br/>6.4.2 Composition of the Guideline Development Group 110<br/><br/>6.4.3 Patient and Public Involvement 111<br/><br/>6.4.4 Drafting the Scope 113<br/><br/>6.4.5 Development of Draft Guideline 114<br/><br/>6.4.6 Identifying and Reviewing Available Guidelines and Reviews 114<br/><br/>6.4.7 Collection and Evaluation of Scientific Evidence 115<br/><br/>6.4.8 Contribution of All Relevant Expertise and Experience 116<br/><br/>6.4.9 Formulation of Recommendations 116<br/><br/>6.4.10 Consultation and Authorization 118<br/><br/>6.4.11 Consultation 118<br/><br/>6.4.12 Pilot Testing 119<br/><br/>6.4.13 Authorization 119<br/><br/>6.4.14 Design of the Guideline and Related Products 119<br/><br/>6.4.15 Evaluation 120<br/><br/>6.4.16 Updating Guidelines 121<br/><br/>6.5 Quality of Guidelines and Guideline Development Programs 121<br/><br/>6.6 International Collaboration in Guideline Development 123<br/><br/>6.7 Conclusion 124<br/><br/>References 125<br/><br/>Part III Assessment of Performance 131<br/><br/>7 Indicators for Quality and Safety of Care 133<br/>Jozé Braspenning, Rosella Hermens, Hilly Calsbeek, Stephen Campbell, Philip van der Wees, and Richard Grol<br/><br/>7.1 Introduction 133<br/><br/>7.1.1 Aim of the Assessment 135<br/><br/>7.2 Indicators for Quality and Safety of Care 137<br/><br/>7.2.1 Aims of Measurement 137<br/><br/>7.2.2 Domains and Perspectives 138<br/><br/>7.2.3 Categories of Indicators 138<br/><br/>7.3 Methods to Develop a Set of Indicators 140<br/><br/>7.4 Selecting or Developing a Preliminary Set of Indicators 140<br/><br/>7.4.1 Indicator Attributes 141<br/><br/>7.4.2 Number of Indicators 141<br/><br/>7.5 Finding Consensus among Target Users 141<br/><br/>7.5.1 Delphi Technique 142<br/><br/>7.5.2 RAND/UCLA Appropriateness Method 142<br/><br/>7.6 Testing the Indicators Empirically 144<br/><br/>7.6.1 Validity and Reliability 144<br/><br/>7.7 Create a Feedback Report 147<br/><br/>7.7.1 Calculating Indicators and Benchmarks 147<br/><br/>7.7.2 Formulating Aims of Improvement 147<br/><br/>7.8 Use and Effect of Quality Indicators 148<br/><br/>7.8.1 Unintended Effects 148<br/><br/>7.9 Conclusion 149<br/><br/>References 150<br/><br/>Part IV Problem Analysis 155<br/><br/>8 Determinants of Implementation 157<br/>Michel Wensing and Richard Grol<br/><br/>8.1 Introduction 157<br/><br/>8.2 Analysis of Stakeholders 159<br/><br/>8.3 Determinants of Change 161<br/><br/>8.3.1 Individual Health Professional Factors 161<br/><br/>8.3.1.1 Cognitive Factors 161<br/><br/>8.3.1.2 Motivational Factors 162<br/><br/>8.3.1.3 Behavioral Factors (Routines) 163<br/><br/>8.3.2 Patient Factors 163<br/><br/>8.3.3 Professional Interactions 163<br/><br/>8.3.3.1 Team Processes 163<br/><br/>8.3.4 Professional Networks 164<br/><br/>8.3.5 Organizational Factors 165<br/><br/>8.3.5.1 Capacity for Organizational Change 165<br/><br/>8.3.6 Organizational Structure 165<br/><br/>8.3.7 Organizational Culture 166<br/><br/>8.3.8 Availability of Necessary Resources 166<br/><br/>8.3.9 Societal Factors 166<br/><br/>8.3.9.1 Health Professions 166<br/><br/>8.3.9.2 Financial Incentives and Disincentives 167<br/><br/>8.3.9.3 Legislation 167<br/><br/>8.4 Subgroups in the Target Population 167<br/><br/>8.5 Conclusions 168<br/><br/>References 168<br/><br/>9 Methods to Identify and Analyze Determinants of Implementation 173<br/>Michel Wensing and Richard Grol<br/><br/>9.1 Introduction 173<br/><br/>9.2 Interviews 175<br/><br/>9.2.1 Individual Interviews 175<br/><br/>9.2.2 Group Interviews 175<br/><br/>9.3 Surveys 177<br/><br/>9.3.1 Questionnaires about Clinical Guidelines 178<br/><br/>9.3.2 Questionnaires on Theory-Based Determinants of Implementation 178<br/><br/>9.4 Observation 180<br/><br/>9.4.1 Routinely Collected Data 180<br/><br/>9.4.2 Direct Observation 180<br/><br/>9.5 Data Analysis 181<br/><br/>9.5.1 Scientific Methods of Data Analysis 182<br/><br/>9.5.2 Quality Improvement Methods 183<br/><br/>9.5.3 Paretogram 183<br/><br/>9.5.4 Fishbone Diagram 184<br/><br/>9.5.5 Flow Chart 185<br/><br/>9.6 Prioritization and Goal Setting 186<br/><br/>9.7 Conclusions 186<br/><br/>References 187<br/><br/>Part V Strategies for Change 189<br/><br/>10 Selection of Strategies for Improving Patient Care 191<br/>Richard Grol and Michel Wensing<br/><br/>10.1 Introduction 191<br/><br/>10.2 Methods to Select and Develop Implementation Strategies 192<br/><br/>10.2.1 Explorative Methods 194<br/><br/>10.2.2 Theory-Based Methods 196<br/><br/>10.3 Classification of Implementation Strategies 196<br/><br/>10.4 Implementation Strategies in the Different Phases of Change 199<br/><br/>10.4.1 Orientation 200<br/><br/>10.4.2 Insight and Understanding 200<br/><br/>10.4.3 Acceptance 201<br/><br/>10.4.4 Change 201<br/><br/>10.4.5 Maintenance 202<br/><br/>10.5 Subgroups within the Target Group 202<br/><br/>10.6 The Effectiveness of Different Strategies and Interventions 203<br/><br/>10.7 Conclusions 204<br/><br/>References 205<br/><br/>11 Dissemination of Innovations 207<br/>Richard Grol and Michel Wensing<br/><br/>11.1 Introduction 207<br/><br/>11.2 Mass Media Approach 210<br/><br/>11.2.1 Written Materials 210<br/><br/>11.2.2 Internet-Based Approaches 210<br/><br/>11.2.3 Factors Associated with the Impact of Mass Media Strategies 212<br/><br/>11.3 Personalized Approaches 213<br/><br/>11.3.1 CME Courses and Conferences 214<br/><br/>11.3.2 Social Networks 214<br/><br/>11.3.3 Influential Individuals 215<br/><br/>11.3.4 Personal Introduction in Practice 216<br/><br/>11.4 Conclusion 217<br/><br/>References 218<br/><br/>12 Educational Implementation Strategies 221<br/>Michel Wensing, Cornelia Fluit, Jeremy Grimshaw, and Richard Grol<br/><br/>12.1 Introduction 221<br/><br/>12.2 Types of Educational Strategies 223<br/><br/>12.3 Effectiveness of Education 224<br/><br/>12.3.1 Educational Materials 225<br/><br/>12.3.2 Educational Meetings 225<br/><br/>12.3.3 Outreach Visits 226<br/><br/>12.3.4 E-learning 226<br/><br/>12.4 Determinants of the Effectiveness of Education 227<br/><br/>12.4.1 Targets for Education 228<br/><br/>12.4.2 Active Participation 229<br/><br/>12.4.3 Duration of Education 229<br/><br/>12.4.4 Opinion Leaders 229<br/><br/>12.4.5 Assessment and Feedback 230<br/><br/>12.5 Discussion and Conclusions 230<br/><br/>References 231<br/><br/>13 Clinical Performance Feedback and Decision Support 235<br/>Noah Ivers, Benjamin Brown, and Jeremy Grimshaw<br/><br/>13.1 Introduction 235<br/><br/>13.2 Definitions, Characteristics, and Components 238<br/><br/>13.2.1 Feedback 238<br/><br/>13.2.2 Decision Support 238<br/><br/>13.3 Effectiveness of Feedback and Decision Support 239<br/><br/>13.4 Factors Associated with Effects 241<br/><br/>13.4.1 Underlying Assumptions, Relevant Theories, and Mechanisms 241<br/><br/>13.4.2 Factors Associated with Effects 242<br/><br/>13.5 Discussion and Conclusions 246<br/><br/>References 248<br/><br/>14 Engaging Patients in Healthcare Improvement and Innovation 253<br/>Glyn Elwyn and Amy Price<br/><br/>14.1 Introduction 253<br/><br/>14.2 Impact of Patient Engagement on Direct Care 254<br/><br/>14.2.1 Well-Established Conceptual Frameworks 254<br/><br/>14.2.2 Persistent Theory–Practice Gap 255<br/><br/>14.2.3 Broader Impacts 256<br/><br/>14.3 Impact of Patient Engagement on Organizational Design and Governance 257<br/><br/>14.4 Impact of Patient Engagement in Policy Making 259<br/><br/>14.5 Conclusion 260<br/><br/>References 260<br/><br/>15 Organizational Implementation Strategies 263<br/>Michel Wensing, Miranda Laurant, and Richard Grol<br/><br/>15.1 Introduction 263<br/><br/>15.2 Revision of Professional Roles 264<br/><br/>15.3 Enhanced Patient Care Teams 266<br/><br/>15.4 Knowledge Management (Use of IT) 267<br/><br/>15.5 Integrated Care Systems 269<br/><br/>15.6 Quality and Safety Management 271<br/><br/>15.7 Conclusions 272<br/><br/>References 272<br/><br/>16 Patient Safety Strategies 275<br/>Marieke Zegers, Mirelle Hanskamp-Sebregts, Hub Wollersheim, and Charles Vincent<br/><br/>16.1 Introduction 275<br/><br/>16.2 Definition of Patient Safety Concepts 276<br/><br/>16.3 Strategies to Measure Patient Safety 277<br/><br/>16.4 Patient Safety Improvement Strategies 280<br/><br/>16.4.1 Teamwork Training 280<br/><br/>16.4.2 Improved Handovers 280<br/><br/>16.4.3 Rapid Response Team 285<br/><br/>16.4.4 Infection Prevention 285<br/><br/>16.4.5 Delirium Prevention 286<br/><br/>16.4.6 Fall Prevention 287<br/><br/>16.4.7 Pressure Ulcers 287<br/><br/>16.4.8 Pain Management 287<br/><br/>16.4.9 Interventions to Prevent Adverse Drug Events 288<br/><br/>16.5 Strategies to Assure Patient Safety 289<br/><br/>16.5.1 Leadership 289<br/><br/>16.5.2 Safety Culture 290<br/><br/>16.5.3 Governance 290<br/><br/>16.6 Conclusions 292<br/><br/>References 292<br/><br/>17 Health System Strategies for Implementation 299<br/>Michel Wensing, Holger Pfaff, and Richard Grol<br/><br/>17.1 Introduction 299<br/><br/>17.2 Strategies to Enhance Evidence-Based Policy Making 300<br/><br/>17.3 Scaling Up Interventions and Practices 303<br/><br/>17.4 Changes in the Financial Reimbursement of Healthcare Providers 304<br/><br/>17.5 Changes in the Financial Risk for Patients 306<br/><br/>17.6 Changes in the Healthcare System 307<br/><br/>17.7 Conclusions 309<br/><br/>References 309<br/><br/>18 Multifaceted Implementation Strategies 313<br/>Marlies Hulscher and Michel Wensing<br/><br/>18.1 Introduction 313<br/><br/>18.2 Strategies in Multifaceted Implementation Strategies 314<br/><br/>18.3 Effectiveness of Multifaceted Implementation Strategies 320<br/><br/>18.4 Tailoring in Multifaceted Strategies 320<br/><br/>18.5 Volume and Classification of Strategies 321<br/><br/>18.6 Combinations of Specific Strategies 322<br/><br/>18.7 Conclusions 324<br/><br/>References 325<br/><br/>Part VI Organization and Evaluation 329<br/><br/>19 Planning of Implementation 331<br/>Richard Grol<br/><br/>19.1 Introduction 331<br/><br/>19.1.1 Planning of the Implementation Process 334<br/><br/>19.2 Development of the Plan According to Phases in the Change Process 334<br/><br/>19.3 Planning of Activities for Different Levels of Care 336<br/><br/>19.4 Planning of Activities over Time 337<br/><br/>19.5 Incorporating the Implementation Plan into Existing Activities 337<br/><br/>19.6 Testing of the Implementation Strategies 338<br/><br/>19.7 Setting Goals for Evaluation 339<br/><br/>19.8 Integration and Embedding of New Practice into Routines and Organization 340<br/><br/>19.9 Conclusions 342<br/><br/>References 343<br/><br/>20 Experimental Designs for Evaluation of Implementation Strategies 345<br/>Michel Wensing and Jeremy Grimshaw<br/><br/>20.1 Introduction 345<br/><br/>20.2 Experimental Study Designs 347<br/><br/>20.2.1 Pragmatic versus Explanatory Trials 348<br/><br/>20.2.2 Cluster Randomization 348<br/><br/>20.2.3 Options for Choice of Study Groups 349<br/><br/>20.2.4 Block Designs 349<br/><br/>20.2.5 Allocation of Participants to Study Arms 350<br/><br/>20.3 Outcome Measures and Data-Collection Methods 351<br/><br/>20.4 Statistical Power and Data Analysis 353<br/><br/>20.5 Regulatory and Ethical Considerations 354<br/><br/>20.6 Conclusion 354<br/><br/>References 355<br/><br/>21 Observational Evaluation of Implementation Strategies 357<br/>Michel Wensing and Jeremy Grimshaw<br/><br/>21.1 Introduction 357<br/><br/>21.2 Designs for Observational Evaluations 358<br/><br/>21.3 Cross-Sectional Studies 359<br/><br/>21.4 Before–After Comparisons 359<br/><br/>21.5 Controlled Before–After Comparisons 361<br/><br/>21.6 Multiple Case Studies 363<br/><br/>21.7 Developmental Research 364<br/><br/>21.8 Data Analysis in Observational Evaluation Designs 365<br/><br/>21.9 Conclusions 366<br/><br/>References 366<br/><br/>22 Process Evaluation of Implementation Strategies 369<br/>Marlies Hulscher and Michel Wensing<br/><br/>22.1 Introduction 369<br/><br/>22.2 Frameworks for Process Evaluation 370<br/><br/>22.3 Process Evaluation and Implementation Strategies 372<br/><br/>22.3.1 Evaluation of Pilots and Small Improvement Projects 373<br/><br/>22.3.2 Evaluation of Strategies in Experimental Designs 373<br/><br/>22.3.3 Evaluation of Improvement Programs in Observational Designs 374<br/><br/>22.4 Assessing the Fidelity of Implementation Strategies 374<br/><br/>22.5 Framing Process Evaluations 378<br/><br/>22.6 A Practical, Step-wise Approach to Process Evaluation 381<br/><br/>22.6.1 Step 1: Analysis of Implementation Strategy as Planned 381<br/><br/>22.6.2 Step 2: Assessment of Intervention Fidelity 382<br/><br/>22.6.3 Step 3: Assessment of Participant Experiences 383<br/><br/>22.6.4 Step 4: Exploration of Working Mechanisms 384<br/><br/>22.7 Conclusions 385<br/><br/>References 386<br/><br/>23 Economic Evaluation of Implementation Strategies 389<br/>Johan L. Severens, Ties Hoomans, Eddy Adang, and Michel Wensing<br/><br/>23.1 Introduction 389<br/><br/>23.2 The Basics of Economic Evaluation 390<br/><br/>23.2.1 Definition of Cost-Effectiveness 391<br/><br/>23.3 Types of Economic Evaluation 392<br/><br/>23.4 Policy Cost-Effectiveness 395<br/><br/>23.5 Framing Economic Evaluations 396<br/><br/>23.5.1 Choice of Comparator 396<br/><br/>23.5.2 Time Horizon of a Study 396<br/><br/>23.5.3 Study Perspective 396<br/><br/>23.6 Cost Analysis 398<br/><br/>23.6.1 Directly Attributable, Indirectly Attributable, Fixed, and Variable Costs 398<br/><br/>23.6.2 Categories of Costs 399<br/><br/>23.6.3 Volumes and Cost Prices 400<br/><br/>23.7 Sensitivity Analysis, Quantitative Modeling, and Budget Impact 402<br/><br/>23.7.1 Sensitivity Analysis 402<br/><br/>23.7.2 Quantitative Modeling 403<br/><br/>23.7.3 Budget Impact Analysis 404<br/><br/>23.8 Ex Post Evaluation of the Efficiency of Implementation 405<br/><br/>23.9 Conclusions 405<br/><br/>References 406<br/><br/>Index 409 |
| 520 ## - SUMMARY, ETC. |
|---|
| Summary, etc |
"Strategies for successfully updating and improving health care organizations of all kinds. Health care is always evolving and improving. However, the rapid speed of medical advancement can make the adoption of new technologies and practices a challenging process ? particularly in large organizations and complex networks. Any projected impact upon quality and outcomes of care must be carefully evaluated so that changes may be implemented in the most efficacious and efficient manner possible. Improving Patient Care equips professionals and policymakers with the knowledge required to successfully optimize health care practice. By integrating scientific evidence and practical experience, the text presents a cohesive and proven model for practice change and innovation, complete with analysis of innovation, target group and setting; selection and application of strategies; and evaluation of process, outcomes and costs. This new third edition also includes: Newly written chapters on clinical performance feedback, patient engagement, patient safety, evaluation designs, and methods for process evaluation; Increased emphasis on the role of contextual influences in implementation and improvement; New research examples from across the world and updated scientific literature throughout"-- |
| Assigning source |
Provided by publisher. |
| 650 12 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Patient Care |
| 650 22 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Quality of Health Care |
| 650 22 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Health Care Reform |
| 650 22 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Organizational Innovation |
| 650 22 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Health Plan Implementation |
| 655 #0 - INDEX TERM--GENRE/FORM |
|---|
| Genre/form data or focus term |
Electronic books. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Wensing, Michel, |
| Relator term |
editor. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Grol, Richard, |
| Relator term |
editor. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Grimshaw, Jeremy, |
| Relator term |
editor. |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| Link text |
Full text available at Wiley Online Library Click here to view |
| Uniform Resource Identifier |
https://onlinelibrary.wiley.com/doi/book/10.1002/9781119488620 |
| 906 ## - LOCAL DATA ELEMENT F, LDF (RLIN) |
|---|
| a |
7 |
| b |
cbc |
| c |
orignew |
| d |
1 |
| e |
ecip |
| f |
20 |
| g |
y-gencatlg |
| 942 ## - ADDED ENTRY ELEMENTS |
|---|
| Source of classification or shelving scheme |
|
| Item type |
EBOOK |