WFRF:(Neuhauser D)
Search: WFRF:(Neuhauser D) > The meaning of vari...
- 17 of 18
- Previous record
- Next record
- To hitlist
The meaning of variation to healthcare managers, clinical and health-services researchers, and individual patients
-
- Neuhauser, D. (author)
- Case Western Reserve University
- Provost, L. (author)
-
- Bergman, Bo, 1943 (author)
- Chalmers tekniska högskola,Chalmers University of Technology
- show more...
- show less...
- (creator_code:org_t)
- 2011-03-30
- 2011
- English.
- In: BMJ Quality and Safety. - : BMJ. - 2044-5415 .- 2044-5423. ; 20:SUPPL. 1, s. I36-I40
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- Healthcare managers, clinical researchers and individual patients (and their physicians) manage variation differently to achieve different ends. First, managers are primarily concerned with the performance of care processes over time. Their time horizon is relatively short, and the improvements they are concerned with are pragmatic and 'holistic.' Their goal is to create processes that are stable and effective. The analytical techniques of statistical process control effectively reflect these concerns. Second, clinical and health-services researchers are interested in the effectiveness of care and the generalisability of findings. They seek to control variation by their study design methods. Their primary question is: 'Does A cause B, everything else being equal?' Consequently, randomised controlled trials and regression models are the research methods of choice. The focus of this reductionist approach is on the 'average patient' in the group being observed rather than the individual patient working with the individual care provider. Third, individual patients are primarily concerned with the nature and quality of their own care and clinical outcomes. They and their care providers are not primarily seeking to generalise beyond the unique individual. We propose that the gold standard for helping individual patients with chronic conditions should be longitudinal factorial design of trials with individual patients. Understanding how these three groups deal differently with variation can help appreciate these three approaches.
Subject headings
- TEKNIK OCH TEKNOLOGIER -- Maskinteknik -- Produktionsteknik, arbetsvetenskap och ergonomi (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Mechanical Engineering -- Production Engineering, Human Work Science and Ergonomics (hsv//eng)
- NATURVETENSKAP -- Matematik -- Sannolikhetsteori och statistik (hsv//swe)
- NATURAL SCIENCES -- Mathematics -- Probability Theory and Statistics (hsv//eng)
Publication and Content Type
- art (subject category)
- ref (subject category)
Find in a library
- BMJ Quality and Safety (Search for host publication in LIBRIS)
To the university's database
- 17 of 18
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Neuhauser, D.
- Provost, L.
- Bergman, Bo, 194 ...
- Blanchard, C.E.
- About the subject
-
- ENGINEERING AND TECHNOLOGY
- ENGINEERING AND ...
- and Mechanical Engin ...
- and Production Engin ...
-
- NATURAL SCIENCES
- NATURAL SCIENCES
- and Mathematics
- and Probability Theo ...
- Articles in the publication
- BMJ Quality and ...
- By the university
- Chalmers University of Technology
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
