Measures of Health Literacy


Book Description

Health literacy-the ability for individuals to obtain, process, and understand basic health information and services to facilitate appropriate health decisions-is increasingly recognized as an important facet of health care and health outcomes. Although research on health literacy has grown tremendously in the past decade, there is no widely agreed-upon framework for health literacy as a determinant of health outcomes. Most instruments focus on assessing an individual's health literacy, yet the scope of health literacy reaches far beyond an individual's skills and abilities. Health literacy occurs in the context of the health care system, and therefore measures of health literacy must also assess the demands and complexities of the health care systems with which patients interact. For example, measures are needed to determine how well the system has been organized so that it can be navigated by individuals with different levels of health literacy and how well health organizations are doing at making health information understandable and actionable. To examine what is known about measures of health literacy, the Institute of Medicine convened a workshop. The workshop, summarized in this volume, reviews the current status of measures of health literacy, including those used in the health care setting; discusses possible surrogate measures that might be used to assess health literacy; and explores ways in which health literacy measures can be used to assess patient-centered approaches to care.




Health Measurement Scales


Book Description

A new edition of this practical guide for clinicians who are developing tools to measure subjective states, attitudes, or non-tangible outcomes in their patients, suitable for those who have no knowledge of statistics.




Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies


Book Description

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.




Measuring the Quality of Health Care


Book Description

The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.




Measuring Health and Wellbeing


Book Description

Building on the core competences for public health, this book focuses on key areas of surveillance and assessment of the population′s health and wellbeing. It is concerned with assessing and describing the needs, health and wellbeing of specific populations, communities and groups. The authors also look at how to monitor these aspects of public health and explore qualitative and quantitative methods for measuring, analysing and interpreting health and wellbeing, needs and outcomes. Case studies, activities and research summaries are used throughout the book to help the reader understand how to apply theory to practice.




The Measurement of Health and Health Status


Book Description

The Measurement of Health and Health Status: Concepts, Methods and Applications from a Multidisciplinary Perspective presents a unifying perspective on how to select the best measurement framework for any situation. Serving as a one-stop shop that unifies material currently available in various locations, this book illuminates the intuition behind each method, explaining how each method has special purposes, what developments are occurring, and how new combinations among methods might be relevant to specific situations. It especially emphasizes the measurement of health and health states (quality-of-life), giving significant attention to newly developed methods. The book introduces technically complex, new methods for both introductory and technically-proficient readers. Assumes that the best measure depends entirely on the situation Covers preference-based methods, classical test theory, and item response theory Features illustrations and animations drawn from diverse fields and disciplines




Accounting for Health and Health Care


Book Description

It has become trite to observe that increases in health care costs have become unsustainable. How best for policy to address these increases, however, depends in part on the degree to which they represent increases in the real quantity of medical services as opposed to increased unit prices of existing services. And an even more fundamental question is the degree to which the increased spending actually has purchased improved health. Accounting for Health and Health Care addresses both these issues. The government agencies responsible for measuring unit prices for medical services have taken steps in recent years that have greatly improved the accuracy of those measures. Nonetheless, this book has several recommendations aimed at further improving the price indices.




Measuring and Valuing Health Benefits for Economic Evaluation


Book Description

There are not enough resources in health care systems around the world to fund all technically feasible and potentially beneficial health care interventions. Difficult choices have to be made, and economic evaluation offers a systematic and transparent process for informing such choices. A key component of economic evaluation is how to value the benefits of health care in a way that permits comparison between health care interventions, such as through costs per quality-adjusted life years (QALY). Measuring and Valuing Health Benefits for Economic Evaluation examines the measurement and valuation of health benefits, reviews the explosion of theoretical and empirical work in the field, and explores an area of research that continues to be a major source of debate. It addresses the key questions in the field including: the definition of health, the techniques of valuation, who should provide the values, techniques for modelling health state values, the appropriateness of tools in children and vulnerable groups, cross cultural issues, and the problem of choosing the right instrument. This new edition contains updated empirical examples and practical applications, which help to clarify the readers understanding of real world contexts. It features a glossary containing the common terms used by practitioners, and has been updated to cover new measures of health and wellbeing, such as ICECAP, ASCOT and AQOL. It takes into account new research into the social weighting of a QALY, the rising use of ordinal valuation techniques, use of the internet to collect data, and the use of health state utility values in cost effectiveness models. This is an ideal resource for anyone wishing to gain a specialised understanding of health benefit measurement in economic evaluation, especially those working in the fields of health economics, public sector economics, pharmacoeconomics, health services research, public health, and quality of life research.




Measuring Health From The Inside


Book Description

"Carolyn and Annika bring decades of expertise in the care of patients with Anorexia, Bulimia, Binge Eating Disorder, and the many related atypical and subsyndromal variants. Their clinical wisdom, understanding of the experience of sufferers and those who love them, and understanding of these illnesses and the recovery process infuse these pages." -Diane Mickley, MD, Director, Wilkins Center for Eating Disorders The ever changing field of eating disorder treatment needs innovative new techniques and approaches. As the number of people with these challenging disorders increases at an alarming rate, treatment has not kept pace. The death rate for Anorexia Nervosa in the U.S. is twelve times higher than all other leading causes of death combined for the 15-to-24 age group. Measuring Health from the Inside is a major step forward in treating patients with eating disorders. This important book explains how two simple measurement techniques-Metabolic Testing and Body Composition Analysis-can help patients make rapid progress in understanding their condition and tracking their progress toward recovery. Thousands of patients have been successfully diagnosed and treated by this technology at Carolyn's clinic and Annika's private practice. In Measuring Health from the Inside, they explain how the information from the tests can be used to help treat patients not only for their underlying eating disorder but also for the malnutrition that almost always accompanies-and worsens-the condition. Based on their extensive experience, they offer practical guidance for therapists, patients, and loved ones on the often overlooked importance of nutrition in treating eating disorders.




Measuring Health


Book Description

This book offers a comprehensive guide to measures of health and is an essential reference resource for all health professionals and students.