This article analyzes a study by Vujicic, Yarbrough and Nasseh (2014) that examined the impact of the Affordable Care Act (ACA) on private dental benefits coverage, utilization of dental care, and financial barriers to care. Using data from the National Health Interview Survey from 2008-2012, the study found that the ACA's dependent coverage expansion was associated with increased private dental coverage and utilization for adults aged 19-25 compared to the control group of adults aged 26-34. The authors conclude that the ACA had a spillover effect of improving access to affordable dental care for young adults.
Of all the ways to influence health policy, using research to info.docxcherishwinsland
Of all the ways to influence health policy, using research to inform change has the dual appeal of sounding both straightforward and rigorous. However, reality intrudes in many forms to disrupt the otherwise common-sense connection between what we know, what we consider as policy and what we are doing. Different languages (academic versus political), disparate timeframes (deliberate versus opportunistic), and contrasting priorities (most rigorous versus good enough) often make translating research into policy an exercise in frustration. Just as basic scientists and clinical researchers grapple with the challenge of bringing innovations from bench to bedside, health services researchers must wrestle to make their work most relevant to policy realities in communities near and far.
Yet, this is a worthy—and potentially rewarding—pursuit. Evidence for such a claim is reflected in this supplement, which includes an array of approaches to bridging the gap between research and policy taken by current scholars and alumni of the Robert Wood Johnson Foundation Clinical Scholars program (RWJFCSP). Traditionally focused on training physicians in rigorous methods in biostatistics, clinical epidemiology, and health services research, as well as in other fields such as social sciences, the RWJFCSP has purposefully shifted over the past decade to emphasize the value of actionable research. Whether partnering with community members to conduct participatory research, or with policy makers to ensure that timely and relevant questions are being addressed, scholars are encouraged to consider how the results of their research will lead to short-term change and long-term progress. These research efforts encompass a broad variety of research methods, including qualitative and quantitative approaches, local and national data, and cutting-edge work involving community-based participatory research, multi-level hierarchical analyses, and dynamic multi-state modeling.
Given its leadership in the realm of research and policy, the RWJFCSP is the source of the lead or senior authors of all of the articles in this volume; the authors are either current scholars or alumni of the program. Of note, these articles do not reflect the entire sum of policy-relevant research conducted by RWJFCSP-connected investigators. Rather, these articles comprise a fraction of those submitted for inclusion in this supplement, and policy-relevant research by these authors and others with connections to the RWJFCSP appear in other journals as well.
The authors addressed important barriers to bridging the gap between research and policy. First, new evidence informs policy if it makes it into the hands of individuals who have a stake in what the data is measuring, and who are engaged in acting on the findings. Even the most rigorously conducted, widely cited manuscripts will have only marginal impact unless brought to life by potential change agents. Second, the evidence being generated may not be .
Running head QUALITY IMPROVEMENT FOR PUBLIC HEALTH FACILITIES .docxtoltonkendal
Running head: QUALITY IMPROVEMENT FOR PUBLIC HEALTH FACILITIES 1
QUALITY IMPROVEMENT FOR PUBLIC HEALTH FACILITIES 6
Quality Improvement for Public Health Facilities
Qualitative Research Methods Evaluation
AIU ONLINE
HLTH 335 1701A - 01
UNIT 2 IP
The type of study in the four listed articles include the following. Article one by Chaudhry et al., (2006) was a qualitative study. The authors conducted a system review from expert opinion and literature review to determine the role that information technology had played in enhancing health care quality, efficiency and costs of medical care. The authors hypothesized that information technology had played a significant role in improving the quality of medical care by increasing adherence to medical guidelines, improving disease surveillance and decreasing medication errors. The type of study for the second article was also a qualitative study that examined 260 hospital on the issue of pay for performance strategy. The authors compared their results to other hospital that did not have the current nationwide pay for performance system, (Werner et al., 2010). The authors hypothesized that pay-for-performance system improved quality health care among hospitals in this system. The third article was also a qualitative study where the authors hypothesized that public reporting of hospital quality data and the pay for performance have emerged as the widely advocated tools for these that accelerate health facility’s improvement (Lindenauer et al., 2007). The fourth article was also a qualitative study article. The authors of the article hypothesized that the Keystone ICU project was associated with a significant decrease on the hospital mortality within Michigan as compared to the surrounding areas, (Lipitz-Snyderman, et al., 2011).
Article one utilized data from published expert opinion and literature search from academic data bases. There was no direct involvement of the human subject when collecting data for this article. Article two utilized data from 260 hospitals. The authors chose acute care hospitals that began operating in 2004. The author’s excluded four critical-access hospitals. Researchers of the third article used 2490 health services providers nation-wide who met the criteria for Hospital Quality Alliance (HQA). In the fourth article, the authors chose the patients who were treated in Michigan’s 95 study hospitals from 238, 937 total admissions. All the samples and the populations for these studies were appropriate.
During the study documentation Chaudhry et al., (2006) reported that hospital facilities documented and reported data on costs and contextual factors. Limitations of data in this article is that the systematic review utilized a mixed data of private and public initiatives into hospital systems. The public and private initiatives have different agendas. Werner et al., (2010), study results indicated that the two groups of hospitals were simil ...
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docxwlynn1
Running Head: LIMITED ACCESS TO HEALTHCARE1
LIMITED ACCESS TO HEALTHCARE6
Limited Access to Healthcare
Arnaldo Perez-Frometa
Capella University
Developing a Health Care Perspective
Access to healthcare services is very essential for sustainable level of living and good health. Several scholars have described access as “the timely use of personal health services to achieve the best possible health outcomes”. One of the issues facing many countries across the world including those with systems for universal healthcare is providing appropriate and timely healthcare access for deprived patients. Currently there is limited information on how those patients living in a context of social and material deprivation perceive obstructions in the system of healthcare. In this paper we shall discuss several resources addressing the issue of access to services in the healthcare system.
According to Andersen, Davidson, & Baumeister (2014), in their article titled “improving the access to care”, access refers to the actual utility of individual services for heath as well as everything else that can facilitate or impede their use. In this article they present research and policy issues as well as basic trends which are related to evaluating and monitoring the access to healthcare services. They show how evaluating and monitoring offers the platform for the prediction of health services, promotion of social justice and the improvement of efficiency and effectiveness for the delivery of health services. They analyzed access and healthcare outcomes using a behavioral model which provides a systematic framework of individual and contextual framework
They expanded the behavioral model by emphasizing on two new aspects. They include the life quality as an input and healthcare outcome and genetics as a factor for predisposing. They also examined some examples of access indicators which include efficiency and effectiveness measures, utilization, potential access and healthcare needs. Changes that occurred in these indicators over time were tracked using trend data. Finally they did observations on access and the present status as well as new areas of improving access via ACA which has played a big role in improving access to health care.
Next we are going to analyze the article written by Acharya et al., (2017) titled “Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal”. This article provides an understanding on the contribution of mental illness on the worldwide burden diseases which are non communicable. However, the authors note that there has been an extremely limited access to ethnically sensitive, appropriately contextual and high quality service for mental healthcare. Despite the availability for interventions to improve outcomes for the patients, this situation still persists. The authors suggest that there is need for the development of partnerships network for adaptation.
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
INTERGRATIVE REVIEW 14
Equipment and Product Safety
Introduction
Equipment, drugs, and medical supplies have significant impact on quality of patient care and they account for high proportion of health care costs. Hospitals should make informed choices about what to procure in order to meet priority health needs and avoid wasting the limited resources (Chu, Maine, & Trelles, 2015). Procurement is an important part of managing equipment and products, and stock control, effective storage, and maintenance are also significant factors in health services. Many firms have produced information about important drugs, however, there is less information available about essential equipment and medical supplies (Weinshel, et al., 2015). This results in procurement of items which are inappropriate because they are incompatible with existing equipment, technically unsuitable, and spare parts are unavailable. Despite this, there is little information available about these aspects of management of equipment and medical supplies.
According to “American Association of Critical-Care Nurses (AACN), there is convincing evidence that unhealthy surgery environment contributes significantly to ineffective care delivery, medical errors, and stress among nurses (Magill, O’Leary, Janelle, & Thompson, 2018). This integrative literature review was executed to find evidence between surgery operation environment and products on patient safety. This paper is intended to be resourceful in management and procurement of equipment and medical products at primary health care level. It includes guiding concepts for care and maintenance, selecting products and equipment, and safe disposal of medical waste.
Purpose of research
The integrative literature review aim at analyzing pieces of research which have been conducted on surgical environment and product and their effect on patient safety and outcome.
Background
Although there are various improvement ongoing, the prevalence of healthcare-associated infections (HAIs) remain a risk and cost within hospitals. Unsafe, inappropriate, and negligent surgical products and equipment affect one in ten patients, on average in the US. Despite the advancement in use of surgical techniques and ergonomic improvements in operating rooms, cases of surgical site infections (SSIs) are high and they cause patient mortality and morbidity. Necessarily, there is increased emphasis on prevention of these infections. The risk of error in operating environment is greater. Some of the environmental and products risks include risk of patient falling and risks of infections. In this light, nurses should promote use of evidence-based care to promote patient safety and improve the quality of care.
Patient safety is an important element in health care. Within the principles of WHO, patient safety is the reduction of risk of harm or injury associated with health care. Hospitals are focused in creating healthy and safe ...
Rapid response teams (RRTs) are designed to respond to patients whose condition is deteriorating. Two studies examined the impact of RRTs through qualitative and quantitative methods. The qualitative study interviewed healthcare providers and identified themes around RRTs' effects on patient care, workload, and education. The quantitative study found that implementing an RRT significantly reduced mortality rates, cardiopulmonary arrests, and length of stay. Both studies concluded that RRTs provide early intervention that improves outcomes, though their structures and processes could still be enhanced. The proposed evidence-based practice change is to establish an RRT in inpatient settings to handle emergencies.
ABSTRACT Handover, or the communication of patient information be.docxransayo
ABSTRACT: Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community and mental health services in many Australian and international health services, facilitating access to assessment, treatment, and admission to hospital. No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning. The aim of the present study was to identify the nature and types of information transferred during these handovers, and to explore how these guides initial care planning. An observational, exploratory study design was used. A 20-item handover observation tool was used to observe 19 occasions of handover. A prospective audit was undertaken on clinical documentation arising from the admission. Clinical information, including psychiatric history and mental state, were handed over consistently; however, information about consumer preferences was reported less consistently. The present study identified a lack of attention to consumer preferences at handover, despite the current focus on recovery-oriented models for mental health care, and the centrality of respecting consumer preferences within the recovery paradigm.
INTRODUCTION Handover is the transfer of verbal and written communication of patient information between members of the health-care team. It is integral to the practice of all healthcare clinicians (Millar & Sands 2012). The Australian Commission for Safety and Quality in Health Care (ACSQHC 2011) recognizes the importance of handover in the continuum of health care, and acknowledges that information transferred between clinicians during the handover can directly affect the quality of care delivered to patients. Poor-quality handover practice has been linked to a number of unfavourable patient outcomes, including increased hospital stays, consumer dissatisfaction, delays in treatment, and other adverse clinical outcomes (Hill & Nyce 2010; Manser & Foster 2011; Siemsen et al. 2012; World Health Organization Collaborating Centre for Patient Safety
Solution
s (WHOCCPSS) 2007). In the present study, we report on the findings of a study that investigated handover between the crisis assessment and treatment team (CATT) and the inpatient psychiatric unit (IPU).
There is little in the published literature that reports on handover practices in acute psychiatric settings, and no previous research that has specifically investigated handover between the CATT and the IPU. The lack of studies in this area is concerning, given that in Australia and internationally, CATT service models are in wide use to facilitate community access to psychiatric assessment and care for people who are experien.
Of all the ways to influence health policy, using research to info.docxcherishwinsland
Of all the ways to influence health policy, using research to inform change has the dual appeal of sounding both straightforward and rigorous. However, reality intrudes in many forms to disrupt the otherwise common-sense connection between what we know, what we consider as policy and what we are doing. Different languages (academic versus political), disparate timeframes (deliberate versus opportunistic), and contrasting priorities (most rigorous versus good enough) often make translating research into policy an exercise in frustration. Just as basic scientists and clinical researchers grapple with the challenge of bringing innovations from bench to bedside, health services researchers must wrestle to make their work most relevant to policy realities in communities near and far.
Yet, this is a worthy—and potentially rewarding—pursuit. Evidence for such a claim is reflected in this supplement, which includes an array of approaches to bridging the gap between research and policy taken by current scholars and alumni of the Robert Wood Johnson Foundation Clinical Scholars program (RWJFCSP). Traditionally focused on training physicians in rigorous methods in biostatistics, clinical epidemiology, and health services research, as well as in other fields such as social sciences, the RWJFCSP has purposefully shifted over the past decade to emphasize the value of actionable research. Whether partnering with community members to conduct participatory research, or with policy makers to ensure that timely and relevant questions are being addressed, scholars are encouraged to consider how the results of their research will lead to short-term change and long-term progress. These research efforts encompass a broad variety of research methods, including qualitative and quantitative approaches, local and national data, and cutting-edge work involving community-based participatory research, multi-level hierarchical analyses, and dynamic multi-state modeling.
Given its leadership in the realm of research and policy, the RWJFCSP is the source of the lead or senior authors of all of the articles in this volume; the authors are either current scholars or alumni of the program. Of note, these articles do not reflect the entire sum of policy-relevant research conducted by RWJFCSP-connected investigators. Rather, these articles comprise a fraction of those submitted for inclusion in this supplement, and policy-relevant research by these authors and others with connections to the RWJFCSP appear in other journals as well.
The authors addressed important barriers to bridging the gap between research and policy. First, new evidence informs policy if it makes it into the hands of individuals who have a stake in what the data is measuring, and who are engaged in acting on the findings. Even the most rigorously conducted, widely cited manuscripts will have only marginal impact unless brought to life by potential change agents. Second, the evidence being generated may not be .
Running head QUALITY IMPROVEMENT FOR PUBLIC HEALTH FACILITIES .docxtoltonkendal
Running head: QUALITY IMPROVEMENT FOR PUBLIC HEALTH FACILITIES 1
QUALITY IMPROVEMENT FOR PUBLIC HEALTH FACILITIES 6
Quality Improvement for Public Health Facilities
Qualitative Research Methods Evaluation
AIU ONLINE
HLTH 335 1701A - 01
UNIT 2 IP
The type of study in the four listed articles include the following. Article one by Chaudhry et al., (2006) was a qualitative study. The authors conducted a system review from expert opinion and literature review to determine the role that information technology had played in enhancing health care quality, efficiency and costs of medical care. The authors hypothesized that information technology had played a significant role in improving the quality of medical care by increasing adherence to medical guidelines, improving disease surveillance and decreasing medication errors. The type of study for the second article was also a qualitative study that examined 260 hospital on the issue of pay for performance strategy. The authors compared their results to other hospital that did not have the current nationwide pay for performance system, (Werner et al., 2010). The authors hypothesized that pay-for-performance system improved quality health care among hospitals in this system. The third article was also a qualitative study where the authors hypothesized that public reporting of hospital quality data and the pay for performance have emerged as the widely advocated tools for these that accelerate health facility’s improvement (Lindenauer et al., 2007). The fourth article was also a qualitative study article. The authors of the article hypothesized that the Keystone ICU project was associated with a significant decrease on the hospital mortality within Michigan as compared to the surrounding areas, (Lipitz-Snyderman, et al., 2011).
Article one utilized data from published expert opinion and literature search from academic data bases. There was no direct involvement of the human subject when collecting data for this article. Article two utilized data from 260 hospitals. The authors chose acute care hospitals that began operating in 2004. The author’s excluded four critical-access hospitals. Researchers of the third article used 2490 health services providers nation-wide who met the criteria for Hospital Quality Alliance (HQA). In the fourth article, the authors chose the patients who were treated in Michigan’s 95 study hospitals from 238, 937 total admissions. All the samples and the populations for these studies were appropriate.
During the study documentation Chaudhry et al., (2006) reported that hospital facilities documented and reported data on costs and contextual factors. Limitations of data in this article is that the systematic review utilized a mixed data of private and public initiatives into hospital systems. The public and private initiatives have different agendas. Werner et al., (2010), study results indicated that the two groups of hospitals were simil ...
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docxwlynn1
Running Head: LIMITED ACCESS TO HEALTHCARE1
LIMITED ACCESS TO HEALTHCARE6
Limited Access to Healthcare
Arnaldo Perez-Frometa
Capella University
Developing a Health Care Perspective
Access to healthcare services is very essential for sustainable level of living and good health. Several scholars have described access as “the timely use of personal health services to achieve the best possible health outcomes”. One of the issues facing many countries across the world including those with systems for universal healthcare is providing appropriate and timely healthcare access for deprived patients. Currently there is limited information on how those patients living in a context of social and material deprivation perceive obstructions in the system of healthcare. In this paper we shall discuss several resources addressing the issue of access to services in the healthcare system.
According to Andersen, Davidson, & Baumeister (2014), in their article titled “improving the access to care”, access refers to the actual utility of individual services for heath as well as everything else that can facilitate or impede their use. In this article they present research and policy issues as well as basic trends which are related to evaluating and monitoring the access to healthcare services. They show how evaluating and monitoring offers the platform for the prediction of health services, promotion of social justice and the improvement of efficiency and effectiveness for the delivery of health services. They analyzed access and healthcare outcomes using a behavioral model which provides a systematic framework of individual and contextual framework
They expanded the behavioral model by emphasizing on two new aspects. They include the life quality as an input and healthcare outcome and genetics as a factor for predisposing. They also examined some examples of access indicators which include efficiency and effectiveness measures, utilization, potential access and healthcare needs. Changes that occurred in these indicators over time were tracked using trend data. Finally they did observations on access and the present status as well as new areas of improving access via ACA which has played a big role in improving access to health care.
Next we are going to analyze the article written by Acharya et al., (2017) titled “Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal”. This article provides an understanding on the contribution of mental illness on the worldwide burden diseases which are non communicable. However, the authors note that there has been an extremely limited access to ethnically sensitive, appropriately contextual and high quality service for mental healthcare. Despite the availability for interventions to improve outcomes for the patients, this situation still persists. The authors suggest that there is need for the development of partnerships network for adaptation.
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
INTERGRATIVE REVIEW 14
Equipment and Product Safety
Introduction
Equipment, drugs, and medical supplies have significant impact on quality of patient care and they account for high proportion of health care costs. Hospitals should make informed choices about what to procure in order to meet priority health needs and avoid wasting the limited resources (Chu, Maine, & Trelles, 2015). Procurement is an important part of managing equipment and products, and stock control, effective storage, and maintenance are also significant factors in health services. Many firms have produced information about important drugs, however, there is less information available about essential equipment and medical supplies (Weinshel, et al., 2015). This results in procurement of items which are inappropriate because they are incompatible with existing equipment, technically unsuitable, and spare parts are unavailable. Despite this, there is little information available about these aspects of management of equipment and medical supplies.
According to “American Association of Critical-Care Nurses (AACN), there is convincing evidence that unhealthy surgery environment contributes significantly to ineffective care delivery, medical errors, and stress among nurses (Magill, O’Leary, Janelle, & Thompson, 2018). This integrative literature review was executed to find evidence between surgery operation environment and products on patient safety. This paper is intended to be resourceful in management and procurement of equipment and medical products at primary health care level. It includes guiding concepts for care and maintenance, selecting products and equipment, and safe disposal of medical waste.
Purpose of research
The integrative literature review aim at analyzing pieces of research which have been conducted on surgical environment and product and their effect on patient safety and outcome.
Background
Although there are various improvement ongoing, the prevalence of healthcare-associated infections (HAIs) remain a risk and cost within hospitals. Unsafe, inappropriate, and negligent surgical products and equipment affect one in ten patients, on average in the US. Despite the advancement in use of surgical techniques and ergonomic improvements in operating rooms, cases of surgical site infections (SSIs) are high and they cause patient mortality and morbidity. Necessarily, there is increased emphasis on prevention of these infections. The risk of error in operating environment is greater. Some of the environmental and products risks include risk of patient falling and risks of infections. In this light, nurses should promote use of evidence-based care to promote patient safety and improve the quality of care.
Patient safety is an important element in health care. Within the principles of WHO, patient safety is the reduction of risk of harm or injury associated with health care. Hospitals are focused in creating healthy and safe ...
Rapid response teams (RRTs) are designed to respond to patients whose condition is deteriorating. Two studies examined the impact of RRTs through qualitative and quantitative methods. The qualitative study interviewed healthcare providers and identified themes around RRTs' effects on patient care, workload, and education. The quantitative study found that implementing an RRT significantly reduced mortality rates, cardiopulmonary arrests, and length of stay. Both studies concluded that RRTs provide early intervention that improves outcomes, though their structures and processes could still be enhanced. The proposed evidence-based practice change is to establish an RRT in inpatient settings to handle emergencies.
ABSTRACT Handover, or the communication of patient information be.docxransayo
ABSTRACT: Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community and mental health services in many Australian and international health services, facilitating access to assessment, treatment, and admission to hospital. No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning. The aim of the present study was to identify the nature and types of information transferred during these handovers, and to explore how these guides initial care planning. An observational, exploratory study design was used. A 20-item handover observation tool was used to observe 19 occasions of handover. A prospective audit was undertaken on clinical documentation arising from the admission. Clinical information, including psychiatric history and mental state, were handed over consistently; however, information about consumer preferences was reported less consistently. The present study identified a lack of attention to consumer preferences at handover, despite the current focus on recovery-oriented models for mental health care, and the centrality of respecting consumer preferences within the recovery paradigm.
INTRODUCTION Handover is the transfer of verbal and written communication of patient information between members of the health-care team. It is integral to the practice of all healthcare clinicians (Millar & Sands 2012). The Australian Commission for Safety and Quality in Health Care (ACSQHC 2011) recognizes the importance of handover in the continuum of health care, and acknowledges that information transferred between clinicians during the handover can directly affect the quality of care delivered to patients. Poor-quality handover practice has been linked to a number of unfavourable patient outcomes, including increased hospital stays, consumer dissatisfaction, delays in treatment, and other adverse clinical outcomes (Hill & Nyce 2010; Manser & Foster 2011; Siemsen et al. 2012; World Health Organization Collaborating Centre for Patient Safety
Solution
s (WHOCCPSS) 2007). In the present study, we report on the findings of a study that investigated handover between the crisis assessment and treatment team (CATT) and the inpatient psychiatric unit (IPU).
There is little in the published literature that reports on handover practices in acute psychiatric settings, and no previous research that has specifically investigated handover between the CATT and the IPU. The lack of studies in this area is concerning, given that in Australia and internationally, CATT service models are in wide use to facilitate community access to psychiatric assessment and care for people who are experien.
Dr. Obumneke Amadi discusses how big data can support improvements in healthcare quality and efficiency. Big data involves processing large amounts of unstructured data too complex for traditional methods. It allows thousands or millions of data points to be processed quickly and cheaply. Big data can help assess public health issues through data from multiple healthcare sources. It is a promising development that can improve healthcare interventions.
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
This document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on this topic. The articles found that clinical information systems can help reduce medical errors, improve care quality by enhancing workflow and access to patient information, and engage patients more in their care when interactive technology is used. However, challenges remain around data integration across healthcare systems and technical, human, and organizational constraints. The document concludes that clinical information systems provide opportunities to improve care but must be effectively implemented and upgraded so nurses can benefit from these technologies.
PUT YOUR HEADER HERE IN ALL CAPSvReducing th.docxwoodruffeloisa
This document is a research proposal submitted for a nursing capstone course. It aims to reduce hospital readmissions by analyzing causes of readmissions and developing interventions. The literature review found that readmissions are increasing, resulting in hospital penalties. Effective interventions include providing discharge education and follow-up care after discharge. The proposal will develop a plan to implement these strategies and evaluate their effectiveness in reducing readmissions.
This document summarizes a study on data sharing practices and ethics in Vietnam. The study explored stakeholders' attitudes, experiences and expectations regarding sharing individual-level clinical research data through interviews and focus groups. Key findings included the importance placed on trust, respect and reciprocity in the local research culture. Existing Vietnamese laws and guidelines do not prohibit data sharing but do not specifically address it either. There is a need to develop culturally appropriate policies and best practices for data sharing in Vietnam to maximize benefits while respecting local needs and expectations.
IJERD (www.ijerd.com) International Journal of Engineering Research and Devel...IJERD Editor
This document summarizes a research paper that proposes using fuzzy logic and data mining techniques to predict medical diseases from patient data. The paper extracts meaningful patterns of diseases from clinical guidelines using text mining. It then applies fuzzy logic to patient data through the clinical guidelines to determine the possibility of different diseases. Prior work on applying data mining to medical data is also reviewed, highlighting challenges like a lack of standardized clinical vocabulary and issues with data cleaning. The proposed approach uses fuzzy rules sets and association mining on clinical guidelines to predict medical diseases.
Outcomes research tests evidence-based interventions to see how they impact individuals, groups, and populations. It examines the effects on both patients and healthcare providers. The Patient Protection and Affordable Care Act, Accountable Care Organizations, Center for Medicare and Medicaid Services, Agency for Healthcare Research and Quality, and Patient Centered Outcomes Research Institute all play roles in outcomes research. Outcomes research can help improve patient care by identifying effective interventions and understanding different treatment outcomes. However, outcomes may differ based on patient demographics and reported data could be skewed.
Here are some of the key factors that can influence brand loyalty according to the passage:
- Brand image and reputation - Consumers are loyal to brands that have a strong, positive image and reputation. Renowned brands like Nike, Adidas, and Puma have built up their brand image over many years which attracts loyal customers.
- Product quality - Customers are more likely to stick with brands that offer high quality, durable products. Smaller companies may struggle to match the product quality of larger brands.
- Innovation - Brands that continuously innovate their product lines and keep designs fresh are more appealing to customers. Innovation helps brands stay relevant.
- Marketing activities - Aggressive marketing campaigns can boost
This study aimed at identifying the issue, challenges and opportunities from the health consumers in
Tanzania towards interoperability of electronic health records. Reaching that level of seamless data
sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose
data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing
that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health
information exchange through interoperable EHRs. The study was conducted in three major cities of
Tanzania to identify the security, privacy and confidentiality issues of information sharing together with
related challenges to data sharing. This was in order to come up with a clear picture of how to implement
some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer
usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed
and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73%
were highly concerned about the privacy and security of their information. 75% believed that introduction
of various security mechanisms will make EHRs more secure and thus better. We conducted a number of
chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age,
computer use, EHRs knowledge and the concerns for privacy and security.The study also showed that there
was just a small difference of 8.5% between those people who think EHRs are safer than paper records and
those who think otherwise. The general observation of the study was that in order to make EHRs successful
in our Hospitals then the issue of security, and health consumer involvement were they two key towards the
road of successful EHRs in our hospitals practices and that will make consumers more willing to allow
their records to be shared among different health organizations. So besides the issues identified, this study
helped us to identify the key requirements which will be implemented in our proposed framework.
Harvard style research paper nursing evidenced based practiceCustomEssayOrder
This document discusses evidence-based practice in health and social care. It defines evidence-based practice as using the best available research evidence to guide decisions about patient care and service delivery. The document outlines how evidence-based practice helps improve patient outcomes and keep practices current. It also examines how social care providers are expected to demonstrate the effectiveness and accountability of their services.
INFLUENCE OF HEALTH SERVICE PROVIDER COMPETENCY ON UTILIZATION OF UNIVERSAL H...Premier Publishers
This study assessed the influence of healthcare provider competency on universal health coverage utilization in Seme Sub-County, Kenya. A cross-sectional study was conducted using a sample of 377 community members and 8 health facility managers. Logistic regression found that healthcare provider competency statistically influenced utilization of universal health coverage. Respondents who perceived that providers had adequate health knowledge were over twice as likely to use universal health coverage services. Those who experienced misdiagnosis were half as likely to solely rely on universal health coverage. Most respondents agreed that providers had sufficient knowledge, though some raised concerns about competency in pharmacy departments due to staffing shortages. In conclusion, healthcare provider competency levels significantly impact utilization of universal health coverage.
Improving power professionalism and citizenship leadership IPP example 2.pdfjunaid794917
This document summarizes a student's essay exploring stakeholder involvement in planning and implementing a Continuity of Care (CoC) model within local maternity services. It discusses how the student utilized quality improvement approaches and experience-based co-design to engage stakeholders like women, families, midwifery staff, and leadership. Key activities included securing leadership support, engaging the local Maternity Voice Partnership group, and holding a stakeholder event to address staff anxiety about the changes and co-design an appropriate local CoC model. The goal was to create the right conditions to successfully implement a sustainable CoC model that improved outcomes for women and families.
This document summarizes the current status of research on the digital transformation of healthcare through health information technology (HIT). It finds that while HIT has potential to improve quality and reduce costs, evidence of its actual impacts is mixed. Research has focused on HIT adoption issues and its effects on performance, but results are equivocal, finding both positive, negative, and no effects. The document identifies important areas for further research, including HIT design/implementation, quantifying HIT impacts, and extending the traditional realm of HIT.
An Emergent Research And Policy Framework For TelehealthYasmine Anino
This document proposes a framework to guide research and policy on telehealth. An expert group developed the framework to integrate regulatory, operational, and clinical factors influencing telehealth. The framework encompasses the policy context for telehealth, delivery system factors, and outcomes of telehealth interventions. Feedback suggested the framework could help educate on telehealth value and barriers like costs and culture. However, questions remain on disseminating and using the framework to coordinate policy, research, and implementation efforts.
Journal of Management Research ISSN 1941-899X 2016, Vol..docxtawnyataylor528
Journal of Management Research
ISSN 1941-899X
2016, Vol. 8, No. 4
www.macrothink.org/jmr 68
Factors Influencing Consumer Choice of Private Dental
Care Provider in Saudi Arabia
Ala'Eddin Mohammad Khalaf. Ahmad
Associate Professor of Health Marketing, Faculty of Economics and Administration
King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia
E-mail: [email protected]; [email protected]
Received: July 26, 2016 Accepted: Sep 23, 2016 Published: October 1, 2016
doi:10.5296/jmr.v8i4.10004 URL: http://dx.doi.org/10.5296/jmr.v8i4.10004
Abstract
This research is intended to explore the factors influencing consumer choice of private dental
care providers in Saudi Arabia. The current research is descriptive analytical. A purposive
sampling technique was employed to recruit 220 consumers who visited a private dental care
provider. This research showed that factors influencing consumers' choice (information
sources, dentist attributes, dental practice attributes, and demographics) had a positive effect
on consumers' choices of the private dental providers on the one hand. On the other hand, the
demographic factor had no effect on brand. The paper contributes to previous research by
adding to existing knowledge regarding the factors influencing consumer choice of private
dental care provider in Saudi Arabia. The paper makes key recommendations towards
studying the factors influencing the consumers' choice.
Keywords: information sources, dentist attributes, dental practice attributes, consumer choice,
dental practice, Saudi Arabia
Journal of Management Research
ISSN 1941-899X
2016, Vol. 8, No. 4
www.macrothink.org/jmr 69
1. Introduction and Research Questions
A potential healthcare consumer, when looking for and deciding on a healthcare services
provider, considers his or her problems or questions (Kotler, 2001). This problem recognition
is often referred to as self-perceived need, self-assessed need, or subjective need, because it
refers to the need that the patient identifies (Lundegren, 2012). Since perceived need or
problem recognition initiates a potential healthcare consumer to actively pursue information
to choose a healthcare provider (Kotler, 2001) and the consumer behavior of choosing a
healthcare provider may differ according to perceived need, healthcare marketers and
healthcare providers who seek to promote their practice might wonder how the process by
which potential healthcare consumers’ choose their provider differs according to their
self-perceived need.
Perceived need varies from other needs such as normative need, expressed need, and relative
need. Normative need compares health indicators to asocial norm or predetermined desired
standards. Expressed need, or utilization, is worked out according to the consumer numbers
who actually used medical services. Relative need relates to the equity of services (Kuthy and
Siegal, 2003). Furthermore, perceived ne ...
Running Head IMPROVEMENT FOR THE HEALTHCARE ORGANIZATION .docxcharisellington63520
Running Head: IMPROVEMENT FOR THE HEALTHCARE ORGANIZATION
1
IMPROVEMENT FOR THE HEALTHCARE ORGANIZATION
8
Introduction
There are several healthcare areas that require improvement, and some of them include health care literacy among patients as well as the underserved population (Grover, 2010). Health literacy refers how well people to that which individuals gain, process, and comprehend fundamental health information and services so as to make suitable health decisions. On the other hand, there are several instances in the
healthcare centers where some of the population underserved. For this reason, these two areas require improvement that then contributes to the better provision of services in the healthcare sectors.
Data needed to monitor improvement
The data that is required to monitor improvement of health care literacy among patients include health outcomes as well as the degree to which preventive care used.Low levels of health literacy linked with poor health outcomes and inadequate use of preventive care (Healthcare, 2013).The other data to gather include health care costs and expenditures since patients with low health literacy appear
to have elevated healthcare costs and health care expenditures (Grover, 2010). Up to one-half of the US population has inadequate health literacy; aged and low-income persons are most probable to have low health literacy.
Health insurance literacy is also low, mainly among individuals with low incomes. In the case of underserved population, it includes appliance of the Index of Medical Underservice (IMU) to data on a service area to gain a score for the area (Healthcare, 2013). The IMU scale ranges from 0 to 100, where 0 represents totally underserved, and 100 represents top served or least underserved. Under the established criteria, every service area found to have an IMU of 62.0 or less qualifies for description as an MUA (Carnevale, 2012).
Data collection tools
Survey Methodology
The information collected by this Tool includeshospital demographics and characteristics such as facility and service-line provisions, beds, amenities, finance and recruitment of employees (Grover, 2010). All these are important data for evaluating underserved population in the healthcare sector. Similarly, facility and service line provisions enable evaluation of healthcare literacy.
The strength of survey method in health literacy includes a provision of a methodology of programs to include the managers in the whole planning process from collection of data to the expansion of action plans. The weakness of this method involves partiality in the sample (Carnevale, 2012).There is no objective sampling method. The main informants chosen involuntarily may provide a narrow and partial view of the troubles.
The strength of survey in underserved population involves the provision of a foundation for including community leaders in the planning process. On the other hand, the weakness of s.
Towards EHR Interoperability in Tanzania Hospitals : Issues, Challenges and O...IJCSEA Journal
This study aimed at identifying the issue, challenges and opportunities from the health consumers in Tanzania towards interoperability of electronic health records. Reaching that level of seamless data sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health information exchange through interoperable EHRs. The study was conducted in three major cities of Tanzania to identify the security, privacy and confidentiality issues of information sharing together with related challenges to data sharing. This was in order to come up with a clear picture of how to implement some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73% were highly concerned about the privacy and security of their information. 75% believed that introduction of various security mechanisms will make EHRs more secure and thus better. We conducted a number of chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age, computer use, EHRs knowledge and the concerns for privacy and security. The study also showed that there was just a small difference of 8.5% between those people who think EHRs are safer than paper records and those who think otherwise. The general observation of the study was that in order to make EHRs successful in our Hospitals then the issue of security, and health consumer involvement were they two key towards the road of successful EHRs in our hospitals practices and that will make consumers more willing to allow their records to be shared among different health organizations. So besides the issues identified, this study helped us to identify the key requirements which will be implemented in our proposed framework
This report evaluates a pilot partnership between HASA and HHC-COBRA to improve client outcomes. The partnership formalized collaboration between their case management teams. It increased client attendance at HIV primary care appointments by 25% and reduced the need for emergency housing. Expansion of the partnership has the potential to improve client health and quality of life while lowering costs associated with emergency housing. The success was driven by improved communication between teams and a focus on meeting client needs.
The impact of nurse practitioner regulations onpopulation acdaniatrappit
The impact of nurse practitioner regulations on
population access to care
Donna Felber Neff, PhD, RN, FNAPa,*, Sul Hee Yoon, PhDb, Ruth L. Steiner, PhDc,
Ilir Bejleri, PhDb, Michael D. Bumbach, PhD, FNP-BCd, Damian Everhart, PhD, RNe,
Jeffrey S. Harman, PhDf
a College of Nursing, University of Central Florida, Orlando, FL
b Department of Urban and Regional Planning, University of Florida, Gainesville, FL
c Center for Health and the Built Environment, Department of Urban and Regional Planning, University Of Florida, Gainesville, FL
d College of Nursing, Department of Family, Community, and Health System Science, University of Florida, Gainesville, FL
e Centers for Medicare and Medicaid Services, University of Central Florida, Palm City, FL
f Department of Behavioral Sciences & Social Medicine, College of Medicine, Florida State University, Tallahassee, FL
A R T I C L E I N F O
Article history:
Received 15 November 2017
Accepted 5 March 2018
Available online 8 March 2018.
Keywords:
Nurse practitioner scope of
practice
Population access to care
Drive time
State NP practice regulations
A B S T R A C T
Background: By 2025, experts estimate a significant shortage of primary care pro-
viders in the United States, and expansion of the nurse practitioner (NP) workforce
may reduce this burden. However, barriers imposed by state NP regulations could
reduce access to primary care.
Purpose: The objectives of this study were to examine the association between three
levels of NP state practice regulation (independent, minimum restrictive, and most
restrictive) and the proportion of the population with a greater than 30-min travel
time to a primary care provider using geocoding.
Methods: Logistic regression models were conducted to calculate the adjusted odds
of having a greater than 30-min drive time.
Findings: Compared with the most restrictive NP states, states with independent
practice had 19.2% lower odds (p = .001) of a greater than 30-min drive to the closest
primary care provider.
Discussion: Allowing NPs full autonomy to practice may be a relatively simple policy
mechanism for states to improve access to primary care.
Cite this article: Neff, D. F., Yoon, S. H., Steiner, R. L., Bejleri, I., Bumbach, M. D., Everhart, D., & Harman,
J. S. (2018, JULY/AUGUST). The impact of nurse practitioner regulations on population access to care. Nursing
Outlook, 66(4), 379–385. https://doi.org/10.1016/j.outlook.2018.03.001.
Background
The benefits of an adequate supply of primary care pro-
viders on patient health have been well documented in
the scientific literature, including improved care coor-
dination and better overall patient outcomes (Macinko,
Starfield, & Shi, 2007; Starfield, Shi, & Macinko, 2005).
However, a shortage of primary care physicians (MDs)
in the United States is estimated to exceed 52,000 by
2025 (Petterson et al., 2012), most notably in key geo-
graphic locations, including medically underserved and
health professional shortage ...
Impact of donor-driven health financing policies on perceived quality of serv...valéry ridde
Presentation realised by Lara Gautier & Valéry Ridde for the 9th Pan-European Conference on International Relations - Wednesday 23 - Saturday 26 September 2015, Giardini Naxos, Sicily, Italy
Quantitative/Mixed-Methods
American InterContinental University
March 27, 2018
Running head: QUANTITATIVE/MIXED-METHODS
1
QUANTITATIVE/MIXED-METHODS
2
Quantitative/Mixed-Methods
Abstract
Case studies which are done in the field of medicine work towards improving the health of the population. There are some of the parts contained in case studies which are abstract, results, limitations of results, conclusions, and applications. The common statistical methods used in research are descriptive numerical and qualitative thematic analyses. The results of the studies show that equal participation of individuals in the health sector will help boost public health. Limitations of results are that although some strategies may work towards improving health sector, not all of them are effective.
Public health is an important sector in any country for it directly affects the economy of the nation. There need to be certain ways which should be employed with the aim of supporting and improving public health. In this paper, I am going to examine 4 contemporary peer-reviewed articles which employ quantitative or mixed-methods concerning ways on how to improve the health of the public. The interest of the paper is to aid in achieving the best impact in public health sector via using programs which will improve health outcomes drastically. Enhancement of public health will in return help to improve the well-being of populations across the world. Public health awareness on how to avoid unhealthy lifestyles should be created.
In the articles, samples and populations used were appropriate for it showed the real representative of the population at hand. All the samples used in the 4-contemporary peer-reviewed articles fulfilled the rule of thumb hence making them appropriate. The samples used were suitable for they were used to estimate the population parameters for it stood for the entire inhabitants. The samples used were larger but not too large to consume more resources of money and time. The larger sample has helped to produce accurate results making the samples valid and appropriate. The appropriateness of the samples used in these articles, it has been proved via usage of target variance. In using target variance an estimate to be derived from the model eventually attained.
Each article which has been used includes having results, limitations of results, conclusions, and applications. The first contemporary peer-reviewed article is entitled, Refugee women’s involvements of maternity-care facilities in Canada: a methodical review using a description synthesis written by Gina MA Higginbottom, Myfanwy Morgan, Miranda Alexandre, Yvonne Chiu, Joan Forgeron, Deb Kocay and Rubina Barolia. The article was published 11 February 2015. The results show that there needs to have a healthier understanding of the aspects that produce discrepancies in availability, adequacy, and outcomes during parenthood care (Higginbottom, Morgan, Alexandre, Chiu, Forg ...
You are the information technology manager of an.docx4934bk
The IT manager of an 80-bed long-term care facility was tasked by the Board of Directors and CIO to create a 1-2 page report on private databases and doctor-patient privilege. The report aims to summarize the types of data stored in private health databases and whether it is protected by specific regulations or doctor-patient privilege. Private databases store confidential patient information like medical history and treatment plans. This data is regulated under laws like HIPAA which require security and privacy of sensitive medical information. Doctor-patient privilege legally protects confidential patient information and communications, though it has limits such as in response to court orders.
Your parents gave you up for adoption at a.docx4934bk
Your biological parents gave you up for adoption as a young child because they could not financially support you at the time. Thirty years later, they found you and one of your biological parents needs a kidney transplant. You are the best match to donate a kidney. You must determine whether you have a moral obligation to donate your kidney to your biological parent based on philosophical perspectives of ethics and your own cultural worldview.
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This study aimed at identifying the issue, challenges and opportunities from the health consumers in
Tanzania towards interoperability of electronic health records. Reaching that level of seamless data
sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose
data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing
that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health
information exchange through interoperable EHRs. The study was conducted in three major cities of
Tanzania to identify the security, privacy and confidentiality issues of information sharing together with
related challenges to data sharing. This was in order to come up with a clear picture of how to implement
some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer
usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed
and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73%
were highly concerned about the privacy and security of their information. 75% believed that introduction
of various security mechanisms will make EHRs more secure and thus better. We conducted a number of
chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age,
computer use, EHRs knowledge and the concerns for privacy and security.The study also showed that there
was just a small difference of 8.5% between those people who think EHRs are safer than paper records and
those who think otherwise. The general observation of the study was that in order to make EHRs successful
in our Hospitals then the issue of security, and health consumer involvement were they two key towards the
road of successful EHRs in our hospitals practices and that will make consumers more willing to allow
their records to be shared among different health organizations. So besides the issues identified, this study
helped us to identify the key requirements which will be implemented in our proposed framework.
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An Emergent Research And Policy Framework For TelehealthYasmine Anino
This document proposes a framework to guide research and policy on telehealth. An expert group developed the framework to integrate regulatory, operational, and clinical factors influencing telehealth. The framework encompasses the policy context for telehealth, delivery system factors, and outcomes of telehealth interventions. Feedback suggested the framework could help educate on telehealth value and barriers like costs and culture. However, questions remain on disseminating and using the framework to coordinate policy, research, and implementation efforts.
Journal of Management Research ISSN 1941-899X 2016, Vol..docxtawnyataylor528
Journal of Management Research
ISSN 1941-899X
2016, Vol. 8, No. 4
www.macrothink.org/jmr 68
Factors Influencing Consumer Choice of Private Dental
Care Provider in Saudi Arabia
Ala'Eddin Mohammad Khalaf. Ahmad
Associate Professor of Health Marketing, Faculty of Economics and Administration
King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia
E-mail: [email protected]; [email protected]
Received: July 26, 2016 Accepted: Sep 23, 2016 Published: October 1, 2016
doi:10.5296/jmr.v8i4.10004 URL: http://dx.doi.org/10.5296/jmr.v8i4.10004
Abstract
This research is intended to explore the factors influencing consumer choice of private dental
care providers in Saudi Arabia. The current research is descriptive analytical. A purposive
sampling technique was employed to recruit 220 consumers who visited a private dental care
provider. This research showed that factors influencing consumers' choice (information
sources, dentist attributes, dental practice attributes, and demographics) had a positive effect
on consumers' choices of the private dental providers on the one hand. On the other hand, the
demographic factor had no effect on brand. The paper contributes to previous research by
adding to existing knowledge regarding the factors influencing consumer choice of private
dental care provider in Saudi Arabia. The paper makes key recommendations towards
studying the factors influencing the consumers' choice.
Keywords: information sources, dentist attributes, dental practice attributes, consumer choice,
dental practice, Saudi Arabia
Journal of Management Research
ISSN 1941-899X
2016, Vol. 8, No. 4
www.macrothink.org/jmr 69
1. Introduction and Research Questions
A potential healthcare consumer, when looking for and deciding on a healthcare services
provider, considers his or her problems or questions (Kotler, 2001). This problem recognition
is often referred to as self-perceived need, self-assessed need, or subjective need, because it
refers to the need that the patient identifies (Lundegren, 2012). Since perceived need or
problem recognition initiates a potential healthcare consumer to actively pursue information
to choose a healthcare provider (Kotler, 2001) and the consumer behavior of choosing a
healthcare provider may differ according to perceived need, healthcare marketers and
healthcare providers who seek to promote their practice might wonder how the process by
which potential healthcare consumers’ choose their provider differs according to their
self-perceived need.
Perceived need varies from other needs such as normative need, expressed need, and relative
need. Normative need compares health indicators to asocial norm or predetermined desired
standards. Expressed need, or utilization, is worked out according to the consumer numbers
who actually used medical services. Relative need relates to the equity of services (Kuthy and
Siegal, 2003). Furthermore, perceived ne ...
Running Head IMPROVEMENT FOR THE HEALTHCARE ORGANIZATION .docxcharisellington63520
Running Head: IMPROVEMENT FOR THE HEALTHCARE ORGANIZATION
1
IMPROVEMENT FOR THE HEALTHCARE ORGANIZATION
8
Introduction
There are several healthcare areas that require improvement, and some of them include health care literacy among patients as well as the underserved population (Grover, 2010). Health literacy refers how well people to that which individuals gain, process, and comprehend fundamental health information and services so as to make suitable health decisions. On the other hand, there are several instances in the
healthcare centers where some of the population underserved. For this reason, these two areas require improvement that then contributes to the better provision of services in the healthcare sectors.
Data needed to monitor improvement
The data that is required to monitor improvement of health care literacy among patients include health outcomes as well as the degree to which preventive care used.Low levels of health literacy linked with poor health outcomes and inadequate use of preventive care (Healthcare, 2013).The other data to gather include health care costs and expenditures since patients with low health literacy appear
to have elevated healthcare costs and health care expenditures (Grover, 2010). Up to one-half of the US population has inadequate health literacy; aged and low-income persons are most probable to have low health literacy.
Health insurance literacy is also low, mainly among individuals with low incomes. In the case of underserved population, it includes appliance of the Index of Medical Underservice (IMU) to data on a service area to gain a score for the area (Healthcare, 2013). The IMU scale ranges from 0 to 100, where 0 represents totally underserved, and 100 represents top served or least underserved. Under the established criteria, every service area found to have an IMU of 62.0 or less qualifies for description as an MUA (Carnevale, 2012).
Data collection tools
Survey Methodology
The information collected by this Tool includeshospital demographics and characteristics such as facility and service-line provisions, beds, amenities, finance and recruitment of employees (Grover, 2010). All these are important data for evaluating underserved population in the healthcare sector. Similarly, facility and service line provisions enable evaluation of healthcare literacy.
The strength of survey method in health literacy includes a provision of a methodology of programs to include the managers in the whole planning process from collection of data to the expansion of action plans. The weakness of this method involves partiality in the sample (Carnevale, 2012).There is no objective sampling method. The main informants chosen involuntarily may provide a narrow and partial view of the troubles.
The strength of survey in underserved population involves the provision of a foundation for including community leaders in the planning process. On the other hand, the weakness of s.
Towards EHR Interoperability in Tanzania Hospitals : Issues, Challenges and O...IJCSEA Journal
This study aimed at identifying the issue, challenges and opportunities from the health consumers in Tanzania towards interoperability of electronic health records. Reaching that level of seamless data sharing among Hospitals needs the cooperation of all stakeholders especially the health consumer whose data are the ones to be shared. Without their acceptance that means there is nothing to share. Recognizing that we conducted a study in Tanzania to identify the challenges, issues and opportunities towards health information exchange through interoperable EHRs. The study was conducted in three major cities of Tanzania to identify the security, privacy and confidentiality issues of information sharing together with related challenges to data sharing. This was in order to come up with a clear picture of how to implement some EHRs that will be trusted by health consumers. The participants (n=240) were surveyed on computer usage, EHRs knowledge, demographics, security and privacy issues. A total of 200 surveys were completed and returned (83.3% response rate). Among them 67.5% were women, 62.6% had not heard of EHRs, 73% were highly concerned about the privacy and security of their information. 75% believed that introduction of various security mechanisms will make EHRs more secure and thus better. We conducted a number of chi-square tests (p<0.05) and we realized that there was a strong relationship among the variable of age, computer use, EHRs knowledge and the concerns for privacy and security. The study also showed that there was just a small difference of 8.5% between those people who think EHRs are safer than paper records and those who think otherwise. The general observation of the study was that in order to make EHRs successful in our Hospitals then the issue of security, and health consumer involvement were they two key towards the road of successful EHRs in our hospitals practices and that will make consumers more willing to allow their records to be shared among different health organizations. So besides the issues identified, this study helped us to identify the key requirements which will be implemented in our proposed framework
This report evaluates a pilot partnership between HASA and HHC-COBRA to improve client outcomes. The partnership formalized collaboration between their case management teams. It increased client attendance at HIV primary care appointments by 25% and reduced the need for emergency housing. Expansion of the partnership has the potential to improve client health and quality of life while lowering costs associated with emergency housing. The success was driven by improved communication between teams and a focus on meeting client needs.
The impact of nurse practitioner regulations onpopulation acdaniatrappit
The impact of nurse practitioner regulations on
population access to care
Donna Felber Neff, PhD, RN, FNAPa,*, Sul Hee Yoon, PhDb, Ruth L. Steiner, PhDc,
Ilir Bejleri, PhDb, Michael D. Bumbach, PhD, FNP-BCd, Damian Everhart, PhD, RNe,
Jeffrey S. Harman, PhDf
a College of Nursing, University of Central Florida, Orlando, FL
b Department of Urban and Regional Planning, University of Florida, Gainesville, FL
c Center for Health and the Built Environment, Department of Urban and Regional Planning, University Of Florida, Gainesville, FL
d College of Nursing, Department of Family, Community, and Health System Science, University of Florida, Gainesville, FL
e Centers for Medicare and Medicaid Services, University of Central Florida, Palm City, FL
f Department of Behavioral Sciences & Social Medicine, College of Medicine, Florida State University, Tallahassee, FL
A R T I C L E I N F O
Article history:
Received 15 November 2017
Accepted 5 March 2018
Available online 8 March 2018.
Keywords:
Nurse practitioner scope of
practice
Population access to care
Drive time
State NP practice regulations
A B S T R A C T
Background: By 2025, experts estimate a significant shortage of primary care pro-
viders in the United States, and expansion of the nurse practitioner (NP) workforce
may reduce this burden. However, barriers imposed by state NP regulations could
reduce access to primary care.
Purpose: The objectives of this study were to examine the association between three
levels of NP state practice regulation (independent, minimum restrictive, and most
restrictive) and the proportion of the population with a greater than 30-min travel
time to a primary care provider using geocoding.
Methods: Logistic regression models were conducted to calculate the adjusted odds
of having a greater than 30-min drive time.
Findings: Compared with the most restrictive NP states, states with independent
practice had 19.2% lower odds (p = .001) of a greater than 30-min drive to the closest
primary care provider.
Discussion: Allowing NPs full autonomy to practice may be a relatively simple policy
mechanism for states to improve access to primary care.
Cite this article: Neff, D. F., Yoon, S. H., Steiner, R. L., Bejleri, I., Bumbach, M. D., Everhart, D., & Harman,
J. S. (2018, JULY/AUGUST). The impact of nurse practitioner regulations on population access to care. Nursing
Outlook, 66(4), 379–385. https://doi.org/10.1016/j.outlook.2018.03.001.
Background
The benefits of an adequate supply of primary care pro-
viders on patient health have been well documented in
the scientific literature, including improved care coor-
dination and better overall patient outcomes (Macinko,
Starfield, & Shi, 2007; Starfield, Shi, & Macinko, 2005).
However, a shortage of primary care physicians (MDs)
in the United States is estimated to exceed 52,000 by
2025 (Petterson et al., 2012), most notably in key geo-
graphic locations, including medically underserved and
health professional shortage ...
Impact of donor-driven health financing policies on perceived quality of serv...valéry ridde
Presentation realised by Lara Gautier & Valéry Ridde for the 9th Pan-European Conference on International Relations - Wednesday 23 - Saturday 26 September 2015, Giardini Naxos, Sicily, Italy
Quantitative/Mixed-Methods
American InterContinental University
March 27, 2018
Running head: QUANTITATIVE/MIXED-METHODS
1
QUANTITATIVE/MIXED-METHODS
2
Quantitative/Mixed-Methods
Abstract
Case studies which are done in the field of medicine work towards improving the health of the population. There are some of the parts contained in case studies which are abstract, results, limitations of results, conclusions, and applications. The common statistical methods used in research are descriptive numerical and qualitative thematic analyses. The results of the studies show that equal participation of individuals in the health sector will help boost public health. Limitations of results are that although some strategies may work towards improving health sector, not all of them are effective.
Public health is an important sector in any country for it directly affects the economy of the nation. There need to be certain ways which should be employed with the aim of supporting and improving public health. In this paper, I am going to examine 4 contemporary peer-reviewed articles which employ quantitative or mixed-methods concerning ways on how to improve the health of the public. The interest of the paper is to aid in achieving the best impact in public health sector via using programs which will improve health outcomes drastically. Enhancement of public health will in return help to improve the well-being of populations across the world. Public health awareness on how to avoid unhealthy lifestyles should be created.
In the articles, samples and populations used were appropriate for it showed the real representative of the population at hand. All the samples used in the 4-contemporary peer-reviewed articles fulfilled the rule of thumb hence making them appropriate. The samples used were suitable for they were used to estimate the population parameters for it stood for the entire inhabitants. The samples used were larger but not too large to consume more resources of money and time. The larger sample has helped to produce accurate results making the samples valid and appropriate. The appropriateness of the samples used in these articles, it has been proved via usage of target variance. In using target variance an estimate to be derived from the model eventually attained.
Each article which has been used includes having results, limitations of results, conclusions, and applications. The first contemporary peer-reviewed article is entitled, Refugee women’s involvements of maternity-care facilities in Canada: a methodical review using a description synthesis written by Gina MA Higginbottom, Myfanwy Morgan, Miranda Alexandre, Yvonne Chiu, Joan Forgeron, Deb Kocay and Rubina Barolia. The article was published 11 February 2015. The results show that there needs to have a healthier understanding of the aspects that produce discrepancies in availability, adequacy, and outcomes during parenthood care (Higginbottom, Morgan, Alexandre, Chiu, Forg ...
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Analysis of Biostatistical Article Discussion Paper.docx
1. Analysis of Biostatistical Article Discussion Paper
Analysis of Biostatistical Article Discussion PaperIntroductionVujicic, Yarbrough and
Nasseh (2014) presented the results of a quantitative study that intended to review how the
Affordable Care Act affects dependent coverage policy regarding utilization and barriers to
use of private coverage. This is informed by the fact that the Act’s coverage policy was
reviewed thereby creating an opportunity for employers to expand their dental cover even
as they expanded their medical cover. The study concedes that oral health is a source of
concern since it is linked to general health such that adequate dental care is anticipated to
avert higher medical costs and needs. The authors call to attention the fact that the public’s
access to dental services has reduced since the beginning of the 21st century owing to a
reduction in coverage benefits, making it difficult for dependents to access dental services
since they are not included in the plan. This effect has been evidenced by the increasing
number of people who visit emergency services owing to dental needs, citing reduced
benefits as being responsible for their condition. The authors anticipate that the current
study will provide an objective review of the Act, showing that the increased dependency
coverage will make the public more inclined to access dental services since they will be
cheaper (Vujicic, Yarbrough & Nasseh, 2014)Analysis of Biostatistical Article Discussion
Paper.ORDER YOUR PAPER HERELiterature reviewThe article presents a literature review
at its beginning. It is directed by the intention and purpose of the study with a focus on
rlevance and publication recency. In fact, it is directed by reliable, peer-reviewed and valid
literature sources and publications that present informaton and data that is relevant to the
study objective. In this case, 37 publications were sources to direct the literature review.
These publications included books, official agency commniques, websites and journal
articles. Besides that, the publications included quantitative and qualitative studies offer
relevant information to explain the concept of the Affordable Care Act, the changes intended
for the Act, and how they affected access to care as well as coverage. In addition, the
literature sources were published within four years of the article’s publication (except for
five literature sources that were published in 2000, 2002, 2005, 2007 and 2009
respectively. These publication dates are indicative that at the time of the article’s
publication, the information that was used in the literature review wvs current and included
up-to-date information and data on the present study objective thus improving the article’s
relevance within the medical care environment. Although there was no evaluation to
determine the weaknesses and strengths of the publications used in the literature review, it
can be accepted that they were relevant, valid and reliable to the study since they
2. contributed to discussions about the same subject as the article (Vujicic, Yarbrough &
Nasseh, 2014)Analysis of Biostatistical Article Discussion Paper.Theoretical framework and
hypothesesAlthough the theoretical framework was not explicitly desribed in the article, it
was implied. In this case, the article’s introduction acted as the theoretical framework
where the authors’ offer the basis for the research. It aquired perceptions from past
publications then amalgamated these perceptions into a rational context (Treiman, 2015).
Vujicic, Yarbrough and Nasseh (2014) identified a unique viewpoint from which the
discussions were developed. In this case, it was designed from the perspective of a research
study that reviewed the spillover effects of the Affordable Care Act, particularly how it has
affected private dental benefits coverage. For that matter, the authors were keen to offer an
objective opinion regarding the changes that have been experienced in the form of
increased coverage by private dental services managed by employers, and how this effect
can be credited to the policy changes in the Act. In line with this understanding was the
hypothesis that the private dental benefits coverage was expanded to include more
dependents so as to match the Act. Of course, the theoretical framework identified the Act
as the most likely source of the change since it is the only variable that has changed. In
addition, the framework identified the National Health Interview Survey (NHIS) as a unique
platform from which to collect secondary data regarding changes in dental benefits
coverage, particularly the position that cost plays in visits and access to dental services, and
how these figures have changed over time. It is apparent that the authors applied grounded
theory in the study since the theoretical framework was advanced under the supposition
that changes to the Act accounted for the increased access to dental services and coverage
noted in private institutions (Vujicic, Yarbrough & Nasseh, 2014).MethodologyVujicic,
Yarbrough and Nasseh (2014) applied a retrospective approach that used differences-in-
difference model to determine the relationship between the study variables. In this case, the
independent variable was the subjects’ ages while the dependent variable was the coverage
of private dental benefits, utilization of dental care, and financial barriers that would limit
access to dental care. For that matter, the subjects were divided into two age groups, one
age group was between 19 and 25 years of age while the second age group was between 26
and 34 years of age. Using secondary data collected from NHIS, the research intended to
show that private dental coverage reduced owing to changes in the Act, even as utilization
of dental services increased since financial barriers had been eliminated. Towards this end,
annual medical summary data was collected for the periods from 2008 to 2012. It was
noted 92,171 observations contained the dental benefits coverage data, 38,204
observations had dental care utilization data, while 38,331 observations had financial
barriers to dental care data. The collected data was subjected to statistical analysis in which
differences between the periods before and after the change in the Act were noted. The
statistical analysis uses STATA version 12 software to compute the relevant statistics and
present the results. The differences in the two periods were attributed to the change,
particularly its effects in the 19 to 25 years age group, with the 26 to 34 years age group
used as the control group to show that any differences noted were the result of the changes
to the Act (Vujicic, Yarbrough & Nasseh, 2014)Analysis of Biostatistical Article Discussion
Paper.It is evident that the study applied a secondary research approach that used
3. quantitative data. This was the best approach for collecting the required data. Although a
qualitative approach could have collected similarly useful data, it would have been more
cumbersome and expensive to carry out (Babbie, 2016). Besides that, a qualitative approach
would have made it difficult to generalize the results since it would have used a smaller
sample of participants, unlike the present approach that had a larger number of participants
that improve the results generalizability (Creswell, 2013).The reliability and validity of the
data collection approach was not determined. This is clear from the absence of reliability
and validity test controls. Still, the statistical approach shows that the study population
were strongly linked. This indicates that the sample was from the same population (Mackey
& Gass, 2015). It is notable that the study relied on retrospective data collected through
reliable tools. The tools used interval level of measurement that used numerical measures
with statistical significance. It must be mentioned that it would be difficult to question the
reliability of official government statistics (particularly those linked to health care) since
they are the standard approaches that are applied to direct government policies and
practices (Bryman & Bell, 2015; Howell, 2013). As a result, it can be assumed that the data
collection approach applied in the study presented reliable and valid data.ORDER YOUR
PAPER HERESampleThe study sample comprised of a population divided into two groups.
In this case, the first group consisted of persons between 19 and 25 years of age while the
control group was comprised of persons between 26 and 34 years of age. The inclusion
criteria was participations in the NHIS, since the data used in the research was from
secondary sources. Any individual who provided data to the NHIS but had some missing
values was excluded from the study since the information they provided was considered
incomplete. As earlier indicated, 92,171 observations contained the dental benefits
coverage data, 38,204 observations had dental care utilization data, while 38,331
observations had financial barriers to dental care data. These numbers were considered
adequate for the study since they were the whole population of subjects that qualified for
the study. Still, there may be a need to look for a larger sample since the population of
interest is very large and the observations only cover a small fraction of that population
(Vujicic, Yarbrough & Nasseh, 2014) Analysis of Biostatistical Article Discussion Paper.Data
analysisData analysis was conducted using STATA software version 12. STATA is a
specialized data analysis software that has the capacity to analyze data, determine trends,
develop codebooks, offer statistically significant models, and present the outcomes of the
analysis in the forms of tables, charts and graphs. In the present case, the software analysis
presenting an understanding of data trends and determining its main characteristics. For
that matter, the analysis was conducted while controlling for research variables that
included region, marital status, gender, race/ethnicity, employment status, and educational
attainment, as well as coverage of dental benefits, financial barriers, and utilization of dental
care. In addition, the analysis included models for linear and quadratic time trends, along
with computations for complex sampling designs (Monette, Sullivan & DeJong, 2013; Vujicic,
Yarbrough & Nasseh, 2014). Data analysis made use of difference-in-differences analysis
that evaluated the study variables. In addition, it included quadratic and linear time trends
that were adjusted for pre-existing coverage trends. Also, the analysis used linear
probability modelling and t statistics. The study applied percentage as the statistical
4. procedure with the findings intended to compare the sample as a proportion of the
population (Vujicic, Yarbrough & Nasseh, 2014).The data analysis approach is appropriate
since it recognized that suitable instruments must be complemented with suitable
procedures and scales to make certain that the study meets its intentions. This is an
indication that the correct data would be collected to address the study objectives. This is
clarified through the study focus on care statistics as the dependent variable and the
Affordable Care Act as the independent variable. In addition, it indicates that the required
information was availed in terms of the dependent and independent variables (Rowe,
2015)Analysis of Biostatistical Article Discussion Paper.ResultsThe study determined that
following the introduction of the Act, private dental benefits coverage for persons between
19 and 25 years of age reported a higher increase when compared to persons between 26
and 34 years of age. A 5.6% (p<0.001) increase was reported in 2011 and an increase of
6.9% (p<0.001) was reported in 2012. In addition, dental care utilization for persons
between 19 and 25 years of age reported a higher increase when compared to persons
between 26 and 34 years of age. A 2.8% (p=0.062) increase was reported in 2011 and an
increase of 3.3% (p=0.038) was reported in 2012. With regards to financial barriers to
dental care, mixed results were reported for the two years. In 2011, persons between 19
and 25 years of age reported a 2.1% (p=0.068) decrease when compared to persons
between 26 and 34 years of age, although a 2.0% (p=0.087) increase was reported in 2012.
Additional analysis of the results shows that for private dental benefits coverage for the
treatment and control age group whereby it was noted that there was a general increase in
the proportion of adults’ age between 19 and 25 years of age who benefited from private
dental coverage in the period after the change in the Act. In contrast, it was noted that there
was a lower proportion of adults between 26 and 34 years of age who benefited from
private dental coverage in the period after the change in the Act. The results attributed the
changes to the implementation of the revision of the dependent coverage policy for the Act
whereby younger adults could now be covered by their guardians and parents’ health
insurance, a change that took effect in September 2010. In addition, the researchers noted
that there was a general increase in the utilization of dental services even as the financial
barriers to dental care reduced following the change to the Act (Vujicic, Yarbrough &
Nasseh, 2014)Analysis of Biostatistical Article Discussion Paper.Discussion and
conclusionFollowing the results of the research, the authors noted that the new policy
applied within the Act had a spillover effect in making dental care more affordable and
accessible to the population. It noted that before the Act, young people found it increasingly
difficult to access dental services thereby identifying them as the group most likely forego
dental services until an emergency arises. This explained why young people made the
principal proportion of patients who visited the emergency room seeking dental services,
and accounted for the lowest utilization rate for any age group. In essence, the researchers
noted that after the changes to the Act, more people had their dependents included in their
private dental cover. The implication is that the Act’s dependent coverage policy was
instrumental in influencing private insurance managers to include young adults into the
dependents population. Still, there are concerns that whatever improvements have been
noted in making dental care more accessible and affordable for young people has done very
5. little to address the issue of large numbers of young people seeking emergency dental care.
Rather than looking at the effects as being unintentional and spillover, there is need to
review the Affordable Care Act with the express intention of making dental care more
affordable and acceptable to young people thereby reducing their need for emergency
services since they access care when and if they need it (Vujicic, Yarbrough & Nasseh,
2014).Research utilization implicationsAlthough the research study presented in Vujicic,
Yarbrough and Nasseh (2014) included only a small proportion of the study population of
interest, it explores a novel concept that raises some pertinent questions that should be
explored by policy makers. The use of credible data sources in the form of NHIS and use of
STATA to analyze the data shows that it has applied scientific methods thereby making its
results credible enough to cause the industry to explore the issue further. The study is of
interest to both the public and government since it explores an avenue that would make
medical care more accessible and affordable even as it addresses the problem of young
people increasingly accessing and using emergency dental services. The results clearly
show that while the policy change to the Act had a different primary objective, it had a
secondary effect in the form of making dental care services more affordable and accessible
to young people by increasing dependent coverage ages. Based on the research results, the
government and policy makers can develop strategies for reviewing the Affordable Care Act
with the primary intention of allowing young people to easily and cheaply access such
services (Vujicic, Yarbrough & Nasseh, 2014). Therefore, the study under review has the
benefit of showing that greater coverage allows dependent to enjoy better health and
reduces their need for emergency services by making care more affordable and accessible
Analysis of Biostatistical Article Discussion Paper.Week 5 ProjectAnalysis of Biostatistical
ArticleIdentify a peer-reviewed article from the Online Library that presents statistical
analysis of a pertinent topic of public health interest or importance. Provide a link to this
article and give a brief summary of the article, including hypotheses, methods, and findings.
Research the topic and available data sources. On the basis of the biostatistical methods you
have learned about in this course, analyze the article and its findings.Here are some points
to consider in your analysis:What data are available on this topic?What data does the article
use?Discuss the level of measurement, assumptions that can be made, statistics that can be
calculated from these data, and the general quality of the data.What is the type of study or
study design used?Explain the type of biostatistical study design that the author has
used.Describe the hypothesis or hypotheses that the author intends to test.Explain the
statistics that the author uses to test these hypotheses.What are the article's statistical
findings?Describe the statistical results of the author's analysis.Provide a substantive
interpretation of these findings (What do the results mean in relation to the hypotheses and
the public health topic?).Describe the author's recommendations about this topic based on
his or her findings and hypotheses.If you had been the author, what changes, if any, would
you have made in the study you analyzed?Discuss whether the author made any statistical
errors.Were the correct data used for the questions asked?Were the correct data
available?Were the correct statistics used for the data available?What other data might you
want to collect and why?Do the statistical findings support the author's conclusions?Write a
9 page, double-spaced paper in Word format. Apply APA standards to citation of sources.
6. Utilize at least 8 scholarly sources in your research and be sure to include a references page.
Write in a clear, concise, and organized manner; demonstrate ethical scholarship in
accurate representation and attribution of sources; and display accurate spelling, grammar,
and punctuation.ReferencesBabbie, E. (2016). The basics of social research (7th ed.).
Boston, MA: Cengage Learning.Bryman, A. & Bell, E. (2015). Business research methods (4th
ed.). Oxford: Oxford University Press.Creswell, J. (2013). Research design: qualitative,
quantitative, and mixed method approaches. Thousand Oaks, CA: Sage Publications.Howell,
D. (2013). Fundamental statistics for the behavioral sciences. Belmont, CA:
Wadsworth.Mackey, A., & Gass, S. (2015). Second language research: methodology and
design. London: Routledge.Monette, D., Sullivan, T. & DeJong, C. (2013). Applied social
research: a tool for the human services. Boston, MA: Cengage Learning.Rowe, P. (2015).
Essential statistics for the pharmaceutical sciences. Hoboken, NJ: John Wiley &
Sons.Treiman, D. (2014). Quantitative data analysis: doing social research to test ideas.
Hoboken NJ: John Wiley & Sons.Vujicic, M., Yarbrough, C. & Nasseh, K. (2014). The effect of
the Affordable Care Act's Expanded Coverage Policy on access to dental care. Med Care,
52(8), 715-719.ORDER YOUR PAPER HEREWeek 5 Project Analysis of Biostatistical Article
Identify a peer-reviewed article from the Online Library that presents statistical analysis of
a pertinent topic of public health interest or importance. Provide a link to this article and
give a brief summary of the article, including hypotheses, methods, and findings. Research
the topic and available data sources. On the basis of the biostatistical methods you have
learned about in this course, analyze the article and its findings. Here are some points to
consider in your analysis: • What data are available on this topic? • What data does the
article use? o Discuss the level of measurement, assumptions that can be made, statistics
that can be calculated from these data, and the general quality of the data. • What is the type
of study or study design used? o Explain the type of biostatistical study design that the
author has used. o Describe the hypothesis or hypotheses that the author intends to test. o
Explain the statistics that the author uses to test these hypotheses. • What are the article's
statistical findings? o Describe the statistical results of the author's analysis. o Provide a
substantive interpretation of these findings (What do the results mean in relation to the
hypotheses and the public health topic?). o Describe the author's recommendations about
this topic based on his or her findings and hypotheses. • If you had been the author, what
changes, if any, would you have made in the study you analyzed? o Discuss whether the
author made any statistical errors. • Were the correct data used for the questions asked? •
Were the correct data available? • Were the correct statistics used for the data available? •
What other data might you want to collect and why? • Do the statistical findings support the
author's conclusions? Write a 9 page, double-spaced paper in Word format. Apply APA
standards to citation of sources. Utilize at least 8 scholarly sources in your research and be
sure to include a references page. Write in a clear, concise, and organized manner;
demonstrate ethical scholarship in accurate representation and attribution of sources; and
display accurate spelling, grammar, and punctuation. Analysis of Biostatistical Article
Discussion Paper