Abstract:
:Periodic review of professional competence or performance is on the public agenda as a response to rising malpractice suits, iatrogenic morbidity, and mortality resulting directly from professional incompetence, and the inadequacy of current licensing and discipline systems. This article reviews several continuing competency programs, such as mandatory education, as well as recent experiments in selective performance evaluation. The evaluation literature suggests that mandatory continuing education and most peer review programs are not sufficiently related to improvement of performance. An Ontario experiment provides useful data and insight about a positive reinforcement (nonpunitive) independent peer review process. Policymakers should consider, as an alternative to mandatory continuing education, directing professional associations, professional schools, and regulatory boards to design cost effective review procedures which selectively monitor performance.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Mandelbaum Ldoi
10.1177/016327878701000306subject
Has Abstractpub_date
1987-09-01 00:00:00pages
342-58issue
3eissn
0163-2787issn
1552-3918journal_volume
10pub_type
杂志文章abstract::This article describes the use of formative evaluation in assessing the feasibility of implementing a new service integration effort. The Child Health Initiative, a nine-site, national demonstration project funded in 1991 by the Robert Wood Johnson Foundation, sought to implement systemic change through the creation o...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879802100104
更新日期:1998-03-01 00:00:00
abstract::In any survey where some of the invited participants fail to respond estimates may be biased. The literature on survey nonresponse is substantial, and the intellectual focus has typically been on the nonresponse of individuals. An important yet less scrutinized area in the analysis of nonresponse is in organizational ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278717713569
更新日期:2017-01-01 00:00:00
abstract::For meta-analyses of observational epidemiology studies, unadjusted and adjusted study estimates are often extracted. However, there is evidence of selective reporting of adjusted study estimates. We investigate adjustment reporting bias, examining the reasons why some studies do not contribute an adjusted estimate to...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/0163278708324438
更新日期:2008-12-01 00:00:00
abstract::Interviewers administered the Rosenberg Self-Esteem scale (RSES) to five groups of Black (formal township and informal settlement), White, Indian, and mixed race adult residents of Greater Pretoria. The results demonstrated that the RSES was psychometrically sound for the five groups. The minimal effects of sociodemog...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713504214
更新日期:2015-06-01 00:00:00
abstract::The Clinical and Translational Science Awards (CTSA) program sponsors an array of innovative, collaborative research. This study uses complementary bibliometric approaches to assess the scope, influence, and interdisciplinary collaboration of publications supported by single CTSA hubs and those supported by multiple h...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719839435
更新日期:2020-09-01 00:00:00
abstract::Surveys of physicians are an important tool to assess opinions and self-reported behaviors of this policy-relevant population. However, this population is notoriously difficult to survey and plagued with low and falling response rates. In order to evaluate the potential import of response rate, we examine the presence...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711435542
更新日期:2012-12-01 00:00:00
abstract::Health policy makers rely on survey estimates of physician practice costs to set reimbursement rates. The Health Care Financing Administration has just funded a multimillion dollar effort to collect survey data that will be used to revise payments under the Medicare Fee Schedule. However, the ability of large-scale ph...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879601900102
更新日期:1996-03-01 00:00:00
abstract::In recent years attention in developing countries has concentrated upon strategies to improve the equitable provision of essential health care--the primary health care approach. Very little work has been reported in connection with the quality of medical care, and yet for the successful outcome of care it is necessary...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878300600405
更新日期:1983-12-01 00:00:00
abstract::Although it is increasingly common, meta-analysis is still a relatively new addition to the toolbox of research strategies. Partially because of its newness and partially because its early enthusiasts may have overstated its presumed contributions, a number of common misunderstandings have developed about the meta-ana...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879501800305
更新日期:1995-09-01 00:00:00
abstract::The purpose of this study was to determine if already-existing staff in a rural health department could effectively increase access of their clients to Medicaid. All "sliding fee" patients seeking services were asked a series of questions to determine their categorical eligibility for Medicaid. Those identified as pot...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879101400403
更新日期:1991-12-01 00:00:00
abstract::Workshops on new methods in the health professions have often been evaluated for participant reaction and understanding of the material. But behavior change on the job following workshops has seldom been assessed. Rehabilitation professionals in seven states were surveyed to determine use of behavior management proced...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327877900200404
更新日期:1979-12-01 00:00:00
abstract::This article summarizes the results of a critical review of several cost-benefit analyses (CBA) of health care programs. With pertinent examples, it is demonstrated that the results and conclusions of a study depend upon the assumptions and methods underlying the measurement of costs and benefits in a CBA. Given the i...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327878400700302
更新日期:1984-09-01 00:00:00
abstract::People with psychiatric disabilities need to be able to express their views about their support, for example, the provision of meaningful activity in supported accommodation. Brief scales may be necessary to avoid strain and discomfort for this group. The aim was to develop a brief version of Perceived Meaning in Acti...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719845036
更新日期:2020-12-01 00:00:00
abstract::In recent years evaluation has mushroomed dramatically as a discipline. A number of evaluation "models" or approaches have been conceived, and varieties of social science methods have been employed serving several evaluative purposes. Missing from the health profession's literature on evaluation is a discussion of the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878500800202
更新日期:1985-06-01 00:00:00
abstract::Assessing bowel function (BF) in prostate cancer can help determine therapeutic trade-offs. We determined the components of BF commonly assessed in prostate cancer studies as an initial step in creating an item bank for clinical and research application. We analyzed six archived data sets representing 4,246 men with p...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705275338
更新日期:2005-06-01 00:00:00
abstract::The objectives of this study were to explore the meaning of scientific evidence as it is understood by primary care physicians. Individual interviews were conducted with actors chosen for their roles in the production and use of knowledge: 22 family physicians, 13 specialist physicians, and 6 researchers. Two situatio...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278707311870
更新日期:2008-03-01 00:00:00
abstract::The gap between evidence-based guidelines for clinical care and their application in medical settings is well established and widely discussed. Effective interventions are needed to help health care providers reduce this gap. Whereas the development of clinical practice guidelines from biomedical and clinical research...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705284443
更新日期:2006-03-01 00:00:00
abstract::This article summarizes research on Type II translation of prevention interventions aimed at enhancing the adoption of effective programs and practices in communities. The primary goal of Type II translation is to institutionalize evidence-based programs, products, and services. First, the authors describe theoretical...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706290408
更新日期:2006-09-01 00:00:00
abstract::When using patient self-report of processes of care as part of measuring quality performance, validity and reliability are important considerations. In this study, the congruence of patient report of recommendations of screening follow-up care was compared with record audit data. Survey data were collected from a rand...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705278273
更新日期:2005-09-01 00:00:00
abstract::Most chronic fatigue syndrome (CFS) studies are based on information about patients from primary or tertiary care settings. These patients might not be typical of patients in the general population. This investigation involved examinations of individuals with CFS from a community-based study. A random sample of 18,675...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780022034598
更新日期:2000-09-01 00:00:00
abstract::Rising health care costs in general and hospital costs in particular have placed significant financial strain on federal programs such as Medicare. It was with this in mind that the Reagan administration in 1983 initiated Medicare's new prospective payment system based on diagnostic-related groups (DRGs) to reduce the...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878801100405
更新日期:1988-12-01 00:00:00
abstract::The central purpose of this article is to review the major approaches to evaluation of health care quality in terms of its use of different data sources. The areas of application, advantages, and disadvantages of seven data sources are presented, including direct observation, clinical records, record abstracts, clinic...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878300600302
更新日期:1983-09-01 00:00:00
abstract::Forty-five complementary and alternative medicine (CAM) efficacy randomized controlled trials (RCTs) from high-impact medical journals (NEJM, JAMA, Annals of Internal Medicine, and Archives of Internal Medicine) were reviewed based on their meeting three validity criteria (the existence of a placebo control, moderate ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278709346810
更新日期:2009-12-01 00:00:00
abstract::Like all organizations, health care delivery systems must be concerned with understanding the implicit beliefs, values, and assumptions extant within the organization that ubiquitously motivate and shape the behavior of participating members. The Hospital Culture Scale (HCS) was designed as a way to assess the unique ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879501800205
更新日期:1995-06-01 00:00:00
abstract::The benefits of HIV treatment (Highly Active Antiretroviral Therapy [HAART]) have been less apparent in injecting drug users (IDUs), most probably as a result of poor adherence to treatment. We explored factors related to HIV treatment adherence as reported by 23 IDU-HIV patients and nine health professionals from hea...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711401743
更新日期:2011-09-01 00:00:00
abstract::This article summarizes the development of the caregiver-provider relationship assessment (CPRA) designed to measure family caregivers' perceptions of relationship quality with health care providers. Using an online sample of family caregivers (n = 156), the patient reactions assessment (PRA) was adapted for use with ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711417859
更新日期:2012-03-01 00:00:00
abstract::The Clinical and Translational Science Award (CTSA) program was designed by the National Institutes of Health (NIH) to develop processes and infrastructure for clinical and translational research throughout the United States. The CTSA initiative now funds 61 institutions. In 2012, the National Center for Advancing Tra...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713499586
更新日期:2013-12-01 00:00:00
abstract::Although oral examinations are widely used for making decisions regarding an individual's level of competence, they are frequently of limited reliability. A significant part of the error in oral performance ratings is due to the tendency for some evaluators to be lenient and others to be stringent in their assignment ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879101400107
更新日期:1991-03-01 00:00:00
abstract::This article argues for the increased involvement of people with severe mental illness and consumers of other health and mental health services in evaluation and performance improvement in the organizations from which they receive services. Among other reasons, consumers can bring a different perspective to the select...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278702025003003
更新日期:2002-09-01 00:00:00
abstract::An integral component of interprofessional education (IPE) is the development of a collaboration-ready health-care workforce. While collaboration is a fundamental element of IPE, there is no existing measure of collaboration skills that is not context specific. This article describes the development and initial valida...
journal_title:Evaluation & the health professions
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doi:10.1177/0163278717752438
更新日期:2019-12-01 00:00:00