Medicine, Health Care Patient-centered Medical Home Model Improves… Published: November 21, 2017.Released by University of Pittsburgh Schools of the Health Sciences PITTSBURGH, Nov. 20, 2017 - Data from more than 800 Veterans Health Administration (VHA) primary care clinics revealed that national implementation of a patient-centered medical home model was effective […]
TY - JOUR. T1 - Review of the patient-centered communication landscape in multiple myeloma and other hematologic malignancies. AU - LeBlanc, Thomas W.. AU - Baile, Walter F.. AU - Eggly, Susan. AU - Bylund, Carma L.. AU - Kurtin, Sandra. AU - Khurana, Monica. AU - Najdi, Rani. AU - Blaedel, Julie. AU - Wolf, Jeffrey L.. AU - Fonseca, Rafael. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Objectives: To identify factors limiting and facilitating patient-centered communication (PCC) in the United States hematology-oncology setting, with a focus on multiple myeloma (MM), given the limited attention to PCC and rapid pace of change that has taken place in this setting. Methods: A literature search was performed from 2007 to 2017 to identify published articles and congress abstracts related to clinician-patient communication and treatment decision-making in oncology. Search results were evaluated by year of publication and disease area. A thematic assessment was performed to identify factors limiting and ...
News release, Nov. 16, 2017. JACKSON, MI -- All six Center for Family Health medical sites in Jackson County are now recognized for advancing quality care, as certified by a national leader in health-care accreditation.. The National Committee for Quality Assurance (NCQA) has certified the Center for Family Health at LifeWays as a Patient-Centered Medical Home at Level 3, the highest level possible.. That certification means CFH at LifeWays meets rigorous standards of patient-centered care also achieved last month by CFHs four school health centers and earlier this year by the Centers Downtown Facility at 505 N. Jackson Street.. "We are among an elite group of practices that demonstrate ongoing commitment to advancing quality in health care," said Kim Hinkle, Quality Improvement Director for CFH. "We are proud to put our patients at the center of care.". The Patient-Centered Medical Home is a primary-care model with high standards of access, teamwork, and technology. Research shows it can ...
As the patient-centered medical home (PCMH) model emerges as a key vehicle to improve the quality of healthcare and to control costs, many AF4Q communities are implementing pilot programs that promise to reinvigorate primary care as the driver of larger changes within regions.. For AF4Q communities, patient-centered medical home initiatives promise to move the dial on key dashboard indicators, enabling consumer-driven care, activating patient engagement, rationalizing and coordinating processes and ultimately improving outcomes.. This update from the Ambulatory Quality Network highlights the implementation of PCMH pilot projects across numerous alliances. The document summarizes common themes found throughout the projects, including necessities for success as well as barriers to overcome. Snapshots from three participating communities (Cincinnati, Maine and Western New York) are provided to give a more in-depth look at development, implementation and adoption of these programs.. Read the full ...
World congress on medical home models and chronic conditions coming May 19,20 in Virginia. Are you going? Our Chief Medical Officer, Matt Narrett will be there. Check it out and if you go there from here you can receive a $500 discount, PROMO CODE below.This code cannot be used for the government rate or applied towards a current registration.The website for the event is http://www.worldcongress.com/CCC
Overview: Given the range of skills required to successfully manage and cope with atopic dermatitis (AD), multidisciplinary interventions have been developed to transfer necessary knowledge and tools to patients, with the aim of improving outcomes such as disease control, adherence, and quality of life. We review the evidence for different approaches to multidisciplinary interventions in atopic dermatitis for adults with severe AD and emphasize the common elements of successful programs. This activity will serve to educate healthcare professionals on the emergence of new agents and clinical data within the therapeutic area. Continuing education will improve the clinicians knowledge of AD and its treatment, allowing for appropriate use of medication, improved patient-centered communication and adherence, and enhanced health-related quality of life. Due to the complexities of the disease, a multidisciplinary, patient-centered management approach is ideal for the patient with AD ...
The Patient-Centered Medical Home (PCMH) is a primary care model that provides coordinated and comprehensive care to patients to improve health outcomes. This paper addresses practical issues that arise when transitioning a traditional primary care practice into a PCMH recognized by the National Committee for Quality Assurance (NCQA). Individual organizations experiences with this transition were gathered at a PCMH workshop in Alexandria, Virginia in June 2010. An analysis of their experiences has been used along with a literature review to reveal common challenges that must be addressed in ways that are responsive to the practice and patients’ needs. These are: NCQA guidance, promoting provider buy-in, leveraging electronic medical records, changing office culture, and realigning workspace in the practice to accommodate services needed to carry out the intent of PCMH. The NCQA provides a set of standards for implementing the PCMH model, but these standards lack many specifics that will be
There are many reasons for your practice to focus on Patient-Centered Medical Home (PCMH) services. It benefits patients. It benefits the community. It
The Patient-Centered Medical Home (PCMH) program gives our members access to primary health care providers who take a team approach to meet the members complete and individual health care needs. The PCMH program helps ensure access to care and offers the personalized attention necessary for individuals to achiever their best health states.. We believe in the PCMH model of care because it works. Our current active population of 307,827 members receives care from 1,288 providers in more than 30 groups at 294 locations statewide. ...
Patient-centeredness and quality management in Dutch diabetes care organizations after a 1-year intervention Marjo JE Campmans-Kuijpers,1 Lidwien C Lemmens,2 Caroline A Baan,2 Guy EHM Rutten1 1Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, 2Centre for Nutrition, Prevention and Health Services, National Institute of Public Health and the Environment, Bilthoven, Utrecht, the Netherlands Background: More focus on patient-centeredness in care for patients with type 2 diabetes requests increasing attention to diabetes quality management processes on patient-centeredness by managers in primary care groups and outpatient clinics. Although patient-centered care is ultimately determined by the quality of interactions between patients and clinicians at the practice level, it should be facilitated at organizational level too. This nationwide study aimed to assess the state of diabetes quality management on patient-centeredness at organizational level and its
This article is from a peer-reviewed journal article on Sawtooth Softwares ACBC (Adaptive CBC) approach. Indeed, most ACBC research has been published at the Sawtooth Software and joint SKIM/Sawtooth Software conferences, which arent subject to a formal academic review process. Were pleased to point you to an article recently published in a peer-reviewed healthcare economics journal entitled "The Patient: Patient-Centered Outcomes Research".. The article is authored by Charles E. Cunningham, Ken Deal, and Yvonne Chen.. The authors review previous ACBC studies involving consumer electronics, home purchases, PCs, automobiles, fast food, mobile telephone, chemical products, and consumer durables. They conclude:. "A review of randomized trials and cross-over studies suggests that, although ACBC surveys require more time than conventional approaches to CA, informants find ACBC surveys more engaging. In most studies, ACBC surveys yield lower standard errors, improved prediction of hold-out task ...
In 2013, Governor Kasich convened a CEO-level Advisory Council on Payment Innovation to help transform Ohio from volume-based fee-for-service payments to value-based payments that reward better health outcomes. The council identified experts to assist the state in designing value-based payment models that (1) support patient-centered medical homes and (2) reduce the incentive to overuse unnecessary services within high-cost episodes of care. Together, these models have the potential to benefit up to 90 percent of the states population by paying for what works to maintain and improve health while holding down the total cost of care.. In December 2014, Ohio was awarded a federal State Innovation Model (SIM) test grant to implement a payment model that increases access to patient-centered medical homes (PCMH) statewide as well as to implement an episode-based payment model statewide.. OHT Payment Innovation Website. Episode-Based Payment Model. Patient-Centered Medical Home Model. ...
The drive toward value-based care is requiring the healthcare industry to make a 180-degree turn from where we were just a few years ago. Were moving away from a system focused on treating sickness to one that strives for wellness; from encouraging volume to demanding value; from filling beds to penalizing readmissions; and finally, from a system centered on the provider to one that rightfully revolves around the patient.. This new environment demands care that places the patients needs at the forefront. One area where this patient-centered approach is sorely lacking is measure sets. The majority of measures used today are process-based and understandably focus on whether clinicians adhere to established standards of care. But an overabundance of these measures shifts the care teams focus away from patient-centered care and outcomes and instead has them concentrating on complying with the processes. To keep patients at the center, we must also have condition-specific outcomes measures that ...
Nowadays, many people around the world are seeing their lives being shattered and even shortened due to one or more chronic conditions. Chronic illness is a dynamic ongoing process that is determined by a complexity of factors. Patient literacy, motivation, emotional well-being, and resources play an important role on patient adaption and are important challenges for healthcare providers. A systematic patient-centered approach that enables chronic patients to play an active role in their condition management and in the decision-making process on a day-to-day basis is required. However, some studies show that health professionals do not always guide their actions by Patient-centered orientation, either by personal issues or by professional and/or institutional barriers. The present chapter aimed to provide a comprehensive approach to patient-centered care in chronic disease and offer a structured guideline as a tool for formal academic education in chronic patient-centered care. This chapter is
The Nurse Practice Development Unit recognizes the need to continually improve the Standards of healthcare & the clinical learning environment in order to promote high quality, safe care to patients and support students to achieve their potential. Progress has been made with many advances facilitating an improved patient journey e.g. nurse prescribing, leading in uncertain times and policies guiding optimal care delivery. The underlying drivers in this process are Clinical Care Programmes, national standards, NMBI, learning from adverse incidences, feedback from patients, nursing staff and undergraduate nursing students. Enabling and sustaining change is the heart of practice development and we aim to achieve this using creative and innovative ways of engaging with and motivating staff. The NPDU are responsible for co-ordinating the clinical components of the BSc General nursing and BSc Integrated Childrens & General nursing undergraduate degree programmes, ensuring an optimal clinical learning ...
Historical luminaries such as Hippocrates and Osler exhorted physicians to place the patients interests above their own, and to consider patient values for medical decision-making. Nevertheless, only in recent decades has the medical profession begun to shift from a paternalistic "doctor knows best" stance towards one explicitly endorsing patient-centered, evidence-based, [50-52] shared decision-making [53-55]. The growing strength of patient-orientated shared decision-making in the U.S. is exemplified by the focus on patient-centered medical homes, [56, 57] the emphasis on patient-oriented evidence that matters (POEMs), [58-60] and the Patient-Centered Outcomes Research Institute (PCORI) [61]. In the U.K., the importance of patient-oriented decision-making is highlighted in the Equity and Excellence NHS white paper and in the National Health Service Constitution [62, 63]. Following these directives, the NICE lipid guidelines state, "Treatment and care should take into account individual needs ...
Patient-Centered Medical Home and Supporting Programs Contribute to Historic Slowing of Health Care Cost Growth 15 Percent Decrease in Hospital Inpatient Use a Key Factor PR Newswire BA
104 A LOOK TO THE FUTURE Profile: Incorporating Routine Behavioral Health Screenings Into the Patient-Centered Medical Home Background Management of chronic diseases can be challenging in primary care,
Patient-centeredness is necessary for quality of care. Wide-spread incorporation of patient-centered practices across the health system is challenging in low and middle income countries (LMICs) given the complexity of scarce resources, competing priorities and rapidly changing social, economic and political landscapes. Health service managers and policy makers in these settings would benefit from a framework that allows comprehension and anticipation of forthcoming challenges for optimizing patient-centeredness in healthcare delivery. We set out to formulate such a framework, based primarily on analysis of general patterns of healthcare system evolution in LMICs and the current literature. We suggest that optimization of patient-centeredness in LMICs can be thought of as occurring in four phases, in accordance to particular patterns of macro transitions. Phase I is characterized by a deeply fragmented system based on conventional clinical approaches, dealing primarily with simple acute conditions. In
A large number of taxonomies are used to rate the quality of an individual study and the strength of a recommendation based on a body of evidence. We have developed a new grading scale that will be used by several family medicine and primary care journals (required or optional), with the goal of allowing readers to learn one taxonomy that will apply to many sources of evidence. Our scale is called the Strength of Recommendation Taxonomy. It addresses the quality, quantity, and consistency of evidence and allows authors to rate individual studies or bodies of evidence. The taxonomy is built around the information mastery framework, which emphasizes the use of patient-oriented outcomes that measure changes in morbidity or mortality. An A-level recommendation is based on consistent and good-quality patient-oriented evidence; a B-level recommendation is based on inconsistent or limited-quality patient-oriented evidence; and a C-level recommendation is based on consensus, usual practice, opinion, disease
At its November 2008 planning session, the Board of Trustees of the American Association of Medical Assistants (AAMA) directed AAMA Executive Director and Legal Counsel Donald A. Balasa, JD, MBA, to represent the AAMA at the December 2008 Conference on Practice Improvement: Blueprint for the Medical Home, sponsored by the American Academy of Family Physicians and the Society of Teachers of Family Medicine. The meeting focused on providing resources and sharing experiences about how primary care medical practices can incorporate elements of the Patient-Centered Medical Home (PCMH) model into the delivery of care. What follows is Executive Director Balasas report.. The Patient-Centered Medical Home. In 2007 the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), the American College of Physicians (ACP), and the American Osteopathic Association (AOA)-representing approximately 333,000 physicians-issued Joint Principles of the Patient-Centered Medical Home (Joint ...
The Arthritis Foundation believes people with arthritis should not fear that they will be unable to afford or access health care, including physicians, medications and other treatments. Learn more about our policy priorities for health care reform replacement legislation.
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Patients are very much at the center of what FDA does, and the agency has long sought input from patients and caregivers regarding their treatment options and needs. For many years, FDA has included the patient perspective at advisory committee meetings and during the review of new medical products in selected meetings with FDA and product developers.. More recently, FDA has encouraged and fostered the use of patient-reported outcome measures in clinical trials, such as impact on quality of life or pain control, to support labeling claims in medical product development. We are excited about our current efforts to expand the role of the patient perspective: the agencys Patient-Focused Drug Development initiative. Part of FDAs commitment under thefifth authorization of the Prescription Drug User Fee Act (PDUFA V), this initiative will gather patients perspectives on the impact of a condition on daily life and the available therapies to treat that condition. Read more. ...
Kline VT, Kline JM. Kline V.T., Kline J.M. Kline, Vanessa T., and Jonathan M. Kline.Esophageal Varices: Banding the Bleeding Level I. In: Schwinghammer TL, Koehler JM, Borchert JS, Slain D, Park SK. Schwinghammer T.L., Koehler J.M., Borchert J.S., Slain D, Park S.K. Eds. Terry L. Schwinghammer, et al.eds. Pharmacotherapy Casebook: A Patient-Focused Approach, 10e New York, NY: McGraw-Hill; . http://accesspharmacy.mhmedical.com/content.aspx?bookid=2047§ionid=155245968. Accessed December 15, 2017 ...
The PCMH Resource Center provides policymakers, researchers, and implementers with access to evidence-based resources about the medical home and its potential to transform primary care and improve the quality, safety, efficiency, and effectiveness of U.S. health care. Researchers seeking to improve evaluations of the medical home can view papers describing what we know about the medical home and its effects and areas in which further research is needed, as well as information on evaluation methods and measures. Policymakers can explore resources on policy options for implementing key aspects of the medical home to improve primary care delivery, including information about the activities of Federal Agencies in this area. Implementers will find information about primary care transformation and practice facilitation, including case studies of exemplar programs and guidance regarding starting a practice facilitation program.. ...
To establish medical homes, primary care providers must significantly restructure their practices to ensure care is offered in the most convenient and efficient way possible, institute new scheduling procedures, train staff for team-based roles, and engage patients in a new paradigm of care, according to a case study on the Veterans Health Administrations (VA) initiative to build patient-centered medical homes. In 2010, VA launched a program to create patient-centered medical homes in more than 900 primary care clinics over a 3-year period. In addition to improving chronic disease management, VAs initiative aims to increase access to care, intensify preventive health services, and improve coordination of care as patients move from primary care to specialty care providers and between the VA and private health care systems. VA modeled its approach on those developed in other integrated health care deliv-ery systems, including Kaiser Permanente, Geisinger Health System, and Duke University ...
That being said, the writing committee notes throughout the document that patients need to be informed and engaged in their own care. "Patient preference is very important in terms of directing care, so the answer may not be the same for every patient," said Julius M. Gardin, MD, FACC, of Hackensack University Medical Center and vice chair of the writing committee. "Additionally, to provide quality care, we need to consistently devote time to each patient to educate them about the things that they can do in terms of self-care - stopping smoking, watching their diet, losing weight, getting regular exercise and taking their medications as prescribed.". The writing committee also took a stance on when to use more invasive strategies. For the vast majority of patients with stable disease - even those with considerable ischemia - medical management is warranted before considering revascularization by placing a stent in the blocked artery or through surgical bypass grafting. "Overall, there is a ...
Figure 2 Antihyperglycemic therapy in type 2 diabetes: general recommendations. Moving from the top to the bottom of the figure, potential sequences of antihyperglycemic therapy. In most patients, begin with lifestyle changes; metformin monotherapy is added at, or soon after, diagnosis (unless there are explicit contraindications). If the HbA1c target is not achieved after ∼3 months, consider one of the five treatment options combined with metformin: a sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, or basal insulin. (The order in the chart is determined by historical introduction and route of administration and is not meant to denote any specific preference.) Choice is based on patient and drug characteristics, with the over-riding goal of improving glycemic control while minimizing side effects. Shared decision making with the patient may help in the selection of therapeutic options. The figure displays drugs commonly used both in the U.S. and/or Europe. Rapid-acting ...
Providing a wide range of questions for all doctors wishing to take the Professional and Linguistics Board Test required for foreign nationals who want to practice in the UK, this title is a comprehensive primer for the examination. Presented in a workbook style, with spaces for the answers to be entered, it provides a wide range of questions examining over 1250 extended matching questions. It also includes contact details for key UK medical organizations and institutions and guidance to PLAB candidates from the General Medical Council.
Kavas beneficial effects as a natural therapy with few side effects have become internationally contentious. 1 Reports of potentially fatal liver toxicity observed in patients who used kava-based products, or extracts of kava, 2, 3 led to the withdrawal of kavabased therapies from sale in Germany, France, Switzerland and the United Kingdom in late 20011 and now Canada in 2002. 4 Medical alerts have been issued in the United States. 5 In Australia, kava products are the subject of a voluntary recall alert. 6 This was in response to a recent report of a Melbourne woman aged 56 who died despite a liver transplant for fulminant hepatic failure. She had been otherwise well prior to this. For 3-4 months before the onset of liver failure she had been taking five herbal remedies, one of which contained kava. While these controversies were evolving, Aboriginal people in Arnhem Land have ...
The AAFP recently joined five other national family medicine organizations to release Joint Principles: Integrating Behavioral Health Care Into the Patient-Centered Medical Home. Published in the March/April Annals of Family Medicine, the new document complements the Joint Principles of the Patient-Centered Medical Home (PCMH) and was created to address bringing behavioral health into the PCMH model.
An editorial in CMAJ (Canadian Medical Association Journal) says that the main challenge to providing patient-centered health care is education
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
Theories of relationship-centered care. The concept of relationship-centered care (RCC) (1) and the related theory of human interaction designated Complex Responsive Processes of Relating (2) remain exceptionally fruitful ways of thinking about doctors and patients. Relationship-centered care includes attention to the personhood of both doctor and patient, as well as their respective roles; awareness of the importance of emotions in both the patient and the doctor; and recognition of the reciprocity of influences from both doctor and patient (and from the wider healthcare system and society itself) on the relationship itself (1,3,4). RCC challenges the notion of compassionate detachment and instead explores connection and engagement with patients as the most appropriate and moral foundation for relationship.. The theory of Complex Responsive Processes of Relating (2) highlights the nonlinear, reciprocal, and self-organizing nature of human interaction. It specifies that patterns of meaning and ...
It is my privilege and honor to serve as the first permanent Associate Director of the Healthcare Delivery Research Program within NCIs Division of Cancer Control and Population Sciences. I join the program with great enthusiasm for continuing to enhance our data resources, measures, and grant portfolio and for strengthening our relationships with other agencies, organizations, and partners. I am committed to building on the excellent foundation created since the programs 2015 beginnings and I am enormously grateful to my colleague, Ann Geiger, who has served so effectively as HDRPs Acting Associate Director for nearly two years.. By way of introduction, I joined NCI from Moffitt Cancer Center where I served as Associate Center Director for Population Science, Over the past 30 years, my research has largely focused on patient-centered health outcomes, behavioral aspects of cancer prevention and detection, and supportive care medicine. I have worked closely with the American Society of ...
Risk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
Impact of the Patient-centered Medical Home Model on Selected Patient Outcomes and Staff Satisfaction in a Primary Care Clinic in a Military Treatment ...
Our study found a beneficial relationship between numerous health outcomes and the medical home in children without special health care needs. Although some of the effect sizes were modest, the health care utilization outcomes (preventive visits, outpatient sick visits, and ED sick visits) were robust (∼30%).. Children without special health care needs compose the majority of the pediatric population (,80% in this national dataset). The AAP has long promoted the medical home for all children,4 and the Affordable Care Act of 2009 promotes the patient-centered medical home; this study provides further evidence supporting these policies. Our findings are significant given that studies to date have focused primarily on CSHCN. Although some studies have included all children, it was unclear if the positive associations found were due solely to the effect of CSHCN in the study populations, or if they exist independent of CSHCN.12,30-41 Our findings suggest that the benefits of the medical home for ...
Last week, I met Alexis Watkins. Alexis has been a patient of Dr. Gregory Small, at our Texas Station primary care office, for several years and has worked closely with RN Care Manager Vergie OGarro. Alexis, who is 65 years young, is being managed for type II diabetes, hypertension, and high cholesterol, among other conditions. She has seen significant improvement in her health because of the comprehensive coordination of her care. Vergie works with her to help her maintain proper diet and exercise as well as how to take her medications appropriately. She says, "When I first came in to the practice, Vergie took the time to really listen to me. She heard me and didnt overwhelm me. She took it one step at a time and that means everything. She and Dr. Small really know me and have helped me get my diabetes under control ...
Patient empowerment is the central theme at the core of the Patient-Centered Guides series. We believe that people are empowered when they have the knowledge and skills to partner with their doctor or healthcare provider to get the best medical care possible. We publish books that contain clear, concise, easy to understand information about the medical, practical and emotional aspects of health issues. All of our authors are experts in specific conditions and diseases and are the driving forces behind building strong and networked communities of patients, families and caregivers. In addition to our books, we publish information on the web (www.patientcenters.com). Our site is an extension of our mission to empower individuals to become informed health-conscious consumers. Patient-Centered Guides is a division of OReilly & Associates, Inc. OReilly is recognized worldwide for its technical books that fill a void and provide value to people who are experiencing information pain. OReilly ...
The mission of the American Association of Medical Assistants is to provide the medical assistant professional with education, certification, credential acknowledgment, networking opportunities, scope-of-practice protection, and advocacy for quality patient-centered health care. ...
A panel of healthcare professionals gives an outlook of the next five years in medicine and whats to come for open, patient-centered health.
Patients are benefiting from the high quality, comprehensive, patient-centered health care services provided by NPs now more than ever before. Couple that with news that NPs conducted an estimated 1.02 billion patient visits last year alone, and its easy to see why millions of Americans are making…
Dying patients often receive aggressive, expensive treatment that many would reject if they had a fuller understanding of their options, writes Dr. Angelo Volandes. A series of videos showing what end-of-life care really looks like has allowed patients at a handful of hospitals to make better informed choices. An intervention that first and foremost leads to better patient-centered health care - and also happens to lower costs - is a good thing, and more hospitals should embrace it.
I have a diverse background, broad interests, and experiences that I hope will help me further the Colleges mission of transforming cardiovascular care and improving heart health. I started my career in cardiovascular imaging and general cardiology at Baylor College of Medicine and have been teaching and practicing cardiology since 1985 at The Methodist Hospital in Houston. I currently direct the Cardiovascular Imaging Institute at the Methodist DeBakey Heart and Vascular Center, a unique Institute that encompasses all imaging modalities for improved education, research, and patient care. Throughout the years, I have been passionate about educating cardiology fellows, practicing physicians and the cardiac care team. Equally exciting to me is clinical research to advance the field for better diagnosis and treatment. It is my research experiences and relationships with patients that have inspired me to adopt team-based and patient centered care. My service as treasurer of the College together ...
Strength of Recommendation Taxonomy (SORT):A Patient-Centered Approach to Grading Evidencein the Medical Literature Mark H. Ebell, MD, MS, Jay Siwek, MD, Barry D. Weiss, MD,Steven H. Woolf, MD, MPH, Jeffrey Susman, MD, Bernard Ewigman, MD, MPH, andMarjorie Bowman, MD, MPA A large number of taxonomies are used to rate the quality of an individual study and the strength of arecommendation based on a body of evidence. We have developed a new grading scale that will be usedby several family medicine and primary care journals (required or optional), with the goal of allowingreaders to learn one taxonomy that will apply to many sources of evidence. Our scale is called theStrength of Recommendation Taxonomy. It addresses the quality, quantity, and consistency of evidenceand allows authors to rate individual studies or bodies of evidence. The taxonomy is built around theinformation mastery framework, which emphasizes the use of patient-oriented outcomes that measurechanges in morbidity or mortality. An ...
On May 29, 2019, Hyman, Phelps, & McNamara, P.C.s (HP&Ms) James Valentine and Larry Bauer submitted a comment to FDAs docket for the meeting that summarized their analysis of the 16 externally-led Patient Focused Drug Development (PFDD) meetings that HP&M has been involved in helping to plan and moderate. After each PFDD meeting, a Voice of the Patient report is written that summarizes the findings from the meeting. These reports are in the public domain and can be accessed by anyone wanting to learn about how specific rare diseases affect patients and families. HP&M systematically reviewed the 12 reports that were currently available to explore what commonalities might exist between rare disease patient groups and what symptoms are unique.. The Voice of the Patient reports nicely capture patients experiences by directly quoting them. ...
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