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Titolo:
Methodologic issues in the conduct and interpretation of pediatric effectiveness research
Autore:
Kaplan, SH; Greenfield, S; Connolly, GA; Barlow, SE; Grand, R;
Indirizzi:
Tufts Univ, Sch Med, Primary Care Outcomes Res Inst, Boston, MA 02111 USA Tufts Univ Boston MA USA 02111 re Outcomes Res Inst, Boston, MA 02111 USA St Louis Univ, Dept Pediat, St Louis, MO 63103 USA St Louis Univ St LouisMO USA 63103 , Dept Pediat, St Louis, MO 63103 USA Tufts Univ New England Med Ctr, Dept Pediat, Boston, MA 02111 USA Tufts Univ New England Med Ctr Boston MA USA 02111 , Boston, MA 02111 USA
Titolo Testata:
AMBULATORY PEDIATRICS
fascicolo: 1, volume: 1, anno: 2001,
pagine: 63 - 70
SICI:
1530-1567(200101/02)1:1<63:MIITCA>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILD HEALTH; PRACTICE GUIDELINES; FUTURE-DIRECTIONS; MEDICAL-PRACTICE; ILLNESS PROFILE; GENE-THERAPY; FOLLOW-UP; QUALITY; CARE; PREVENTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
54
Recensione:
Indirizzi per estratti:
Indirizzo: Kaplan, SH Tufts Univ, Sch Med, Primary Care Outcomes Res Inst, 750 Washington St,Box345, Boston, MA 02111 USA Tufts Univ 750 Washington St,Box 345 Boston MA USA 02111 11 USA
Citazione:
S.H. Kaplan et al., "Methodologic issues in the conduct and interpretation of pediatric effectiveness research", AMBU PEDIAT, 1(1), 2001, pp. 63-70

Abstract

Effectiveness research represents a number of methodologic challenges not shared with randomized, controlled clinical trials. This practice-based research attempts to translate clinical practices to a wide variety of different practice settings and situations and to diverse patient subgroups. However, because study designs most often used in the conduct of effectiveness research lit-nit the ability to establish firm causal links between medical care and outcomes, it is important to address key methodologic features to generate sound, useable findings. Such features include selection of appropriate outcome measures (with a priori hypotheses linking care to the outcomes chosen), specification of appropriate primary sampling unit, specification of unit of analysis, establishment of appropriate comparison groups, andcase-mix adjustment. Conduct of this type of research in pediatrics presents a number of uniquemethodologic concerns that either do not apply in adult medicine or are particularly acute in pediatrics. To alert policy makers and funders to the unique aspects of pediatric health services research and to provide guidancefor the conduct and interpretation of pediatric effectiveness studies, we have organized and described the methodologic issues associated with the specific type of pediatric care under study (eg, specific disease-prevention,"bundled" care for chronic disease, care for problems with social etiologies, etc). We conclude with a summary of the methodologic steps that are critical to the conduct of sound effectiveness research in pediatrics.

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Documento generato il 07/04/20 alle ore 04:00:55