Outcome and Process Assessment (Health Care)

Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

OBJECTIVE: This paper describes the treatments and treatment outcome measures used by licensed naturopathic physicians in the United States who treat people with multiple sclerosis (MS). DESIGN: A cross-sectional mail survey was used. SUBJECTS: The participants were licensed naturopaths who were members of the American Association of Naturopathic Physicians. OUTCOME MEASURES: Outcome measures included practitioner demographics; patient demographics by practitioner report; recommended therapies; perceived effectiveness of treatments for MS; methods for measuring treatment effectiveness.

Author(s): 
Shinto, Lynne
Calabrese, Carlo
Morris, Cynthia
Sinsheimer, Shannon
Bourdette, Dennis
Publication Title: 
BMC complementary and alternative medicine

BACKGROUND: The aim of this study was to assess the effectiveness of homeopathy compared to conventional treatment in acute respiratory and ear complaints in a primary care setting. METHODS: The study was designed as an international, multi-centre, comparative cohort study of non-randomised design.

Author(s): 
Haidvogl, Max
Riley, David S.
Heger, Marianne
Brien, Sara
Jong, Miek
Fischer, Michael
Lewith, George T.
Jansen, Gerard
Thurneysen, André E.
Publication Title: 
Forschende Komplementärmedizin (2006)

This paper focuses on the worldview hypotheses and research design approaches from nonlinear dynamical complex systems (NDS) science that can inform future studies of whole systems of complementary and alternative medicine (WS-CAM), e.g., Ayurveda, traditional Chinese medicine, and homeopathy. The worldview hypotheses that underlie NDS and WS-CAM (contextual, organismic, interactive-integrative - Pepper, 1942) overlap with each other, but differ fundamentally from those of biomedicine (formistic, mechanistic).

Author(s): 
Bell, Iris R.
Koithan, Mary
Pincus, David
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Population-based assessment of medical care provides information on the quality of care generated by a health care facility over a range of services. Patient chart review was undertaken via "tracer analysis" at two ambulatory care teaching clinics to obtain a measure of the clinical services provided by chiropractic interns for a range of diagnoses. The assessment indicated that chiropractic interns perform best when rendering care for spinal conditions.

Author(s): 
Bohm, J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

PURPOSE: The objective of the study was to compare chiropractic management and medical management of low back pain of musculoskeletal etiology in a multispecialty group practice. STUDY DESIGN: The design was a retrospective cohort study in which the subcohorts were defined by source of low back pain care and identified before follow-up was complete. Data collection occurred at the end of the third month following their initial visits.

Author(s): 
Hurwitz, E. L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Examiner reliability is often investigated to make generalizations about a profession's performance with various diagnostic tests. Although the evaluation of interexaminer reliability is straightforward, assessment of intraexaminer reliability can be problematic. Estimations of intrarater reliability can be inflated due to correlated error and the difficulty in blinding the examiners.

Author(s): 
Haas, M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To establish an infrastructure to collect accurate data from ambulatory settings. DESIGN: The program was developed through an iterative model governed by a process of formative evaluation. The three iterations were a needs assessment, feasibility study and pilot project. Necessary program components were identified as infrastructure, practitioner-researcher partnership, centralized data management and standardized quality assurance measures.

Author(s): 
Hawk, C.
Long, C. R.
Boulanger, K.
Publication Title: 
Statistical Methods in Medical Research

In a randomized clinical trial to assess the effectiveness of different strategies for treating low-back pain in a managed-care setting, 681 adult patients presenting with low-back pain were randomized to four treatment groups: medical care with and without physical therapy; and chiropractic care with and without physical modalities. Follow-up information was obtained by questionnaires at two and six weeks, six, 12 and 18 months and by a telephone interview at four weeks.

Author(s): 
Yu, Fei
Morgenstern, Hal
Hurwitz, Eric
Berlin, Thomas R.
Publication Title: 
Statistical Methods in Medical Research

In a randomized clinical trial to assess the effectiveness of different strategies for treating low-back pain in a managed-care setting, 681 adult patients presenting with low-back pain were randomized to four treatment groups: medical care with and without physical therapy; and chiropractic care with and without physical modalities. Follow-up information was obtained by questionnaires at two and six weeks, six, 12 and 18 months and by a telephone interview at four weeks.

Author(s): 
Yu, Fei
Morgenstern, Hal
Hurwitz, Eric
Berlin, Thomas R.
Publication Title: 
The Spine Journal: Official Journal of the North American Spine Society

BACKGROUND: By using a unique, prospective study of occupational back pain claims, we examined health-care satisfaction by provider type and its effect on return to work. PURPOSE: We estimated satisfaction differentials by provider type, decomposing overall satisfaction into two components: bedside manner and effectiveness of care. We also examined how health-care satisfaction affects the duration of jobless claims.

Author(s): 
Butler, Richard J.
Johnson, William G.

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