Abstract:
:The authors describe the customary tools used by health services researchers to conduct economic evaluations of health interventions. Recognizing the inherent challenges of these tools for utilization in contemporary public health practice, we recommend a practical cost-benefit analysis (PCBA) to allow public health practitioners to assess the economic merits of their existing public health programs. The PCBA estimates what health effects and corresponding medical cost avoidance would be required to support the costs associated with implementing a community-based prevention program. We apply the PCBA to evaluate a statewide evidence-based falls prevention program for seniors in Texas. We estimate a positive return on realized costs due to avoided direct and indirect medical expenses if the program averts 7 falls among 140 participants within the first year. While acknowledging the demonstrated health-related benefits of public health interventions, we provide a practical ex-post economic evaluation methodology to assess return on investment as a more simplistic yet effective alternative for public health practitioners versus contemporary analyses of health services researchers.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Miller TR,Dickerson JB,Smith ML,Ory MGdoi
10.1177/0163278710393955subject
Has Abstractpub_date
2011-06-01 00:00:00pages
201-25issue
2eissn
0163-2787issn
1552-3918pii
0163278710393955journal_volume
34pub_type
杂志文章abstract::Cluster analysis can be a useful statistical technique for setting minimum passing scores on high-stakes examinations by grouping examinees into homogenous clusters based on their responses to test items. It has been most useful for supplementing data or validating minimum passing scores determined from expert judgmen...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278707307904
更新日期:2007-12-01 00:00:00
abstract::The authors compared three approaches to feedback of clinical audit findings relating to miscarriage in 15 Scottish maternity services (printed report alone; report plus action planning letter; report plus face-to-face facilitated action planning). Clinicians were surveyed to measure theory of planned behavior constru...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706297337
更新日期:2007-03-01 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::In this concluding article, the authors describe factors that influence the international translation of programs. These include language, control over the translation process, local normative challenges to translation, program adaptation, and globalization. The authors suggest that systematic efforts at language tran...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278708320168
更新日期:2008-09-01 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::This study compares five methods of ranking Likert ratings on frequency and severity scales. Data were drawn from an international online survey conducted as part of a practice analysis with 91 diplomates of the American Chiropractic Board of Radiology. A total of 129 clinical presentations had been rated on two scale...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278711425041
更新日期:2012-12-01 00:00:00
abstract::Patient satisfaction has been related to patient compliance, doctor-patient information exchange, and continuity of care. However, the construct of patient satisfaction is not well defined; its measurement has typically consisted of the anecdotal generation of questions that may not tap issues of concern to patients. ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878400700106
更新日期:1984-03-01 00:00:00
abstract::This article provides an analysis of the way in which placebo effects could be investigated and taken into account, supported by a description of some of the major articles that have been published on this topic. Based on conceptual, theoretical, and methodological issues, the authors highlight some of the reasons for...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/0163278703026002003
更新日期:2003-06-01 00:00:00
abstract::In this article, we review three innovative methods: multiform protocols, visual analog scaling, and the retrospective pretest-posttest design that can be used in evaluation research. These three techniques have been proposed for decades, but unfortunately, they are still not utilized readily in evaluation research. O...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/0163278718759396
更新日期:2018-06-01 00:00:00
abstract::Prevalence of hepatitis C (HCV) in injection drug users (IDUs) is high and once HCV has been detected, follow-up medical care is essential. Six hundred and one current and former IDUs who tested positive for HCV antibodies received referrals for medical care. Twenty-four percent (147) of participants returned to be in...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706296003
更新日期:2006-12-01 00:00:00
abstract::Survey response rates for physicians are falling generally, and surveys of physicians tend to have lower response rates than those of the general population. To maximize response, respondents are often given a choice of modes in which to respond. The aim of this article is to describe mode response patterns and identi...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278718807744
更新日期:2019-03-01 00:00:00
abstract::Persons with Chronic Fatigue Syndrome (PWCs) completed and returned by mail a brief survey of open- and closed-ended items designed to assess their utilization and preferences for a variety of services. A total of 984 middle-aged adults diagnosed with Chronic Fatique Syndrome (CFS) from across North America returned t...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879601900204
更新日期:1996-06-01 00:00:00
abstract::This article describes a protocol that was employed to validate the content of the National Board Dental Hygiene Examination (NBDHE) using two separate practice analyses. The protocol consisted of the following phases: (1) the careful definition of the domain of knowledge and skills required for successful entry-level...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713501073
更新日期:2014-12-01 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::U.S. medical students who have been unable to gain acceptance into medical schools have long sought alternative pathways into American medical practice. The Medical College of Georgia (MCG) has had a transfer program since 1977 to facilitate entry of Georgia Transfer students into the third-year clinical rotations. Af...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878500800307
更新日期:1985-09-01 00:00:00
abstract::Obtaining a high response rate in survey research can bolster statistical power, reduce sampling error, and enhance the generalizability of the results to the population surveyed. We describe a mail survey designed to achieve a high return rate of completed questionnaires from members of the American Psychological Ass...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01678702025002002
更新日期:2002-06-01 00:00:00
abstract::The standard-setting literature is filled with contributions in which issues associated with standards are discussed and various methods for setting standards are presented and reviewed. Almost no attention has been given to guidelines for helping standard-setting groups or committees address the issues and technical ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878300600101
更新日期:1983-03-01 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::A needs assessment is a research and planning activity designed to determine a community's service needs and utilization patterns. One of the most practical ways to plan services is to gather information accurately about a defined population and use that information to revise existing programs or develop new ones. Unf...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878400700206
更新日期:1984-06-01 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::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::It is generally believed that culturally competent clinical practice depends in part on the development of positive attitudes toward the care of immigrant patients. However, few tools exist to measure such attitudes in physicians. The authors operationalized ''culturally competent attitudes'' to include a high level o...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278710370157
更新日期:2010-12-01 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::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::This article reports a study of the process of selecting and evaluating general surgery residents. In personnel psychology terms, a job analysis of general surgery was conducted using the Critical Incident Technique (CIT). The researchers collected 235 critical incidents through structured interviews with 10 general s...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879301600105
更新日期:1993-03-01 00:00:00
abstract::Normalization has gained wide acceptance as a goal that residential institutations for the mentally retarded should strive to achieve, but many organizations have been shown to have difficulty achieving the goal. Theories developed from the organizational contingency perspective suggest that organizations with bureauc...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878000300105
更新日期:1980-03-01 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::The purpose of this article is to introduce and describe a statistical model that researchers can use to evaluate underlying mechanisms of behavioral onset and other event occurrence outcomes. Specifically, the article develops a framework for estimating mediation effects with outcomes measured in discrete-time epochs...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278713512124
更新日期:2015-09-01 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::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