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Recently, there has been much open debate with the regulators around the use of ePRO in clinical drug submissions. US and European agencies have approved new drugs that have included ePRO data in the submission dossier, but there are many questions around the adoption of the technology that concern the community. Bill Byrom and Brian Tiplady's ePro addresses these questions, reviews the new FDA guidance, and provides a very contemporary view on this important subject.
Clinical trials --- Outcome assessment (Medical care) --- Data processing.
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Many studies have estimated high rates of return for preprimary education provided to children between the ages of 3 and 6, yet coverage is not universal in high-income countries and is very low in low- and middle-income countries. This study uses a novel dataset of impact estimates from 55 (quasi-) experimental studies conducted around the world and meta-regression methods to investigate whether this preprimary investment is suboptimal. Average effect sizes suggest strong demand for preprimary services when offered and significant improvements in children's cognitive (0.15 sd) and executive functions, social-emotional learning, and behavior (0.12 sd) during the preprimary period, with no significant differences between high and low and middle income countries. Estimates from a more limited set of longitudinal studies indicate persistence of advantages of 0.07 sd in each type of skills beyond the preprimary period, suggesting that investments in preprimary education can make primary instruction more effective. In studies that report separate effects for populations that vary in socio-economic status, disadvantaged children benefit significantly more on average from preprimary interventions. Lastly, benefit-to-cost ratios estimated for a subset of studies conducted in low- and middle-income countries range from 1.7 to 103.5. Taken together, these results imply high returns and room for improvements in efficiency from reallocating the marginal dollar in existing budgets toward preprimary education.
Access and Equity in Basic Education --- Cognitive Outcome --- Early Childhood Development --- Education --- Education For All --- Effective Schools and Teachers --- Meta-Regression --- Non-Cognitive Outcome --- Pre-Primary Education
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Program evaluations often focus on average treatment effects. However, average treatment effects miss important aspects of policy evaluation, such as the impact on inequality and whether treatment harms some individuals. A growing literature develops methods to evaluate such issues by examining the distributional impacts of programs and policies. This toolkit reviews methods to do so, focusing on their application to randomized control trials. The paper emphasizes two strands of the literature: estimation of impacts on outcome distributions and estimation of the distribution of treatment impacts. The article then discusses extensions to conditional treatment effect heterogeneity, that is, to analyses of how treatment impacts vary with observed characteristics. The paper offers advice on inference, testing, and power calculations, which are important when implementing distributional analyses in practice. Finally, the paper illustrates select methods using data from two randomized evaluations.
Control Trials --- Distributional Impact Analysis --- Heterogeneous Treatment Effects --- Outcome Distributions --- Policy Evaluaon --- Treatment Effects
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Quality improvement initiatives take many forms, from the creation of standards for healthprofessionals, health technologies and health facilities, to audit and feedback, and fromfostering a patient safety culture to public reporting and paying for quality. For policymakerswho struggle to decide which initiatives to prioritise for investment, understandingthe potential of different quality strategies in their unique settings is key. 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 providesrecommendations for their implementation. This book is intended to help policy-makers tounderstand concepts of quality and to support them to evaluate single strategies andcombinations of strategies. Quality of care is a political priority and an important contributor to population health. Thisbook acknowledges that "quality of care" is a broadly defined concept, and that it is oftenunclear how quality improvement strategies fit within a health system, and what theirparticular contribution can be. This volume elucidates the concepts behind multiple elementsof quality in healthcare policy (including definitions of quality, its dimensions, related activities, and targets), quality measurement and governance and situates it all in the wider context ofhealth systems research. By so doing, this book is designed to help policy-makers prioritizeand align different quality initiatives and to achieve a comprehensive approach to qualityimprovement.
Outcome assessment (Medical care) --- Medical policy. --- Medical care --- Cost effectiveness. --- Standards.
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With the United States and other developed nations spending as much as 14 percent of their GDP on medical care, economists and policy analysts are asking what these countries are getting in return. Yet it remains frustrating and difficult to measure the productivity of the medical care service industries. This volume takes aim at that problem, while taking stock of where we are in our attempts to solve it. Much of this analysis focuses on the capacity to measure the value of technological change and other health care innovations. A key finding suggests that growth in health care spending has coincided with an increase in products and services that together reduce mortality rates and promote additional health gains. Concerns over the apparent increase in unit prices of medical care may thus understate positive impacts on consumer welfare. When appropriately adjusted for such quality improvements, health care prices may actually have fallen. Provocative and compelling, this volume not only clarifies one of the more nebulous issues in health care analysis, but in so doing addresses an area of pressing public policy concern.
Medical care --- Medical care, Cost of --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Public health --- Cost effectiveness --- Econometric models --- Outcome Assessment (Health Care) --- Cost-Benefit Analysis --- Models, Econometric --- Econometric Models --- Econometric Model --- Model, Econometric --- Benefits and Costs --- Cost Benefit --- Cost Benefit Analysis --- Cost-Effectiveness Analysis --- Cost-Utility Analysis --- Costs and Benefits --- Economic Evaluation --- Marginal Analysis --- Cost Effectiveness --- Cost-Benefit Data --- Analyses, Cost Benefit --- Analyses, Cost-Benefit --- Analyses, Cost-Utility --- Analyses, Marginal --- Analysis, Cost Benefit --- Analysis, Cost-Benefit --- Analysis, Cost-Effectiveness --- Analysis, Cost-Utility --- Analysis, Marginal --- Cost Benefit Analyses --- Cost Benefit Data --- Cost Effectiveness Analysis --- Cost Utility Analysis --- Cost-Benefit Analyses --- Cost-Utility Analyses --- Data, Cost-Benefit --- Economic Evaluations --- Effectiveness, Cost --- Evaluation, Economic --- Evaluations, Economic --- Marginal Analyses --- Assessment, Outcomes --- Outcome Measures --- Outcome Studies --- Outcomes Assessment --- Outcomes Research --- Assessment, Outcome (Health Care) --- Assessments, Outcome (Health Care) --- Assessments, Outcomes --- Measure, Outcome --- Measures, Outcome --- Outcome Assessments (Health Care) --- Outcome Measure --- Outcome Study --- Outcomes Assessments --- Research, Outcomes --- Studies, Outcome --- Study, Outcome --- United States. --- E-books --- Cost and Benefit --- Benefit and Cost --- medical, medicine, hospital, healthcare, wellness, economics, economy, industry, finance, financial, income, united states, usa, america, american, developing countries, developed world, gdp, policy, analyst, analysis, production, service, job, career, workplace, mortality, death, illness, products, services, quality, prices, congresses, cost, theoretical, measurement, nonprofit, national, depression, treatment.
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Reliable evidence on the results of investments at the community level is in short supply. While communities have played a large role in the HIV/AIDS response, their contributions and innovative approaches to HIV prevention, treatment, care and support have not always been the focus of systematic and rigorous evaluations. To address this gap, seventeen analytical pieces were undertaken including evaluations in Burkina Faso, India, Kenya, Lesotho, Nigeria, Senegal, South Africa and Zimbabwe over a three -year period (early 2009 to early 2012) to build a robust pool of evidence on the effects of
AIDS (Disease) --- HIV (Viruses) --- Outcome assessment (Medical care) --- Prevention. --- Assessment of outcome (Medical care) --- Outcome evaluation (Medical care) --- Outcome measures (Medical care) --- Outcomes assessment (Medical care) --- Outcomes measurement (Medical care) --- Outcomes research (Medical care) --- Patient outcome assessment --- AIDS-associated retrovirus --- AIDS virus --- ARV (Viruses) --- HTLV-III (Viruses) --- HTLV-III-LAV (Viruses) --- Human immunodeficiency viruses --- Human T-cell leukemia virus III --- Human T-cell lymphotropic virus III --- Human T-lymphotropic virus III --- IDAV (Viruses) --- Immunodeficiency-associated virus --- LAV (Viruses) --- LAV-HTLV-III (Viruses) --- Lymphadenopathy-associated virus --- T-lymphotrophic virus III, Human --- Medical care --- HTLV (Viruses) --- Virus-induced immunosuppression --- Evaluation
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This book will present contributions by economists, systems developers, safety, health services, occupational and environmental health, and biomedical researchers in the fields of regulatory development, safety, quality assurance, health outcomes, occupational health, and biomedicine. The contributing research will explore the synergy of new science-based risk regulatory approaches, industry focus on manufacturing efficiencies and information technology and biogenetic innovations, and consumers demand for improved safety and quality of products, services, quality assurance, and transparency of information.The book investigates the impact of information technology, biogenetic, and pharmacological innovation on individuals quality of life, safety, individual and system health care utilization, occupational and environmental health and formulary decision making, and costs. It contains analyses of clinical and health outcomes resulting from innovative biopharmaceutical entities and delivery systems in the treatment of chronic conditions. It emphasises effective quality, regulatory system, and consistent science-based decision-making practices from private and public organizations and demonstrates regulatory issues affecting innovation and efficiency.
Technological innovations --- Human capital --- Outcome assessment (Medical care) --- Information technology --- Assessment of outcome (Medical care) --- Outcome evaluation (Medical care) --- Outcome measures (Medical care) --- Outcomes assessment (Medical care) --- Outcomes measurement (Medical care) --- Outcomes research (Medical care) --- Patient outcome assessment --- Medical care --- Human assets --- Human beings --- Human resources --- Capital --- Labor supply --- Social aspects --- Evaluation --- Economic value --- E-books --- Social aspects. --- Technological innovations. --- Business & Economics --- Personal & public health. --- Occupational --- Personnel management. --- Economics --- General. --- Development --- Business Development. --- industrial health & safety. --- Corporations --- Employment management --- Human resource management --- Human resources management --- Manpower utilization --- Personnel administration --- Management --- Public administration --- Employees --- Employment practices liability insurance --- Supervision of employees --- Personnel management
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This paper examines the key aspects of the practices of school-based management in Indonesia, and its effect on education quality. Using a conceptual framework of an accountability system of public service delivery, the paper explores the relations among Indonesian parents, school committees, schools, and government education supervisory bodies from three tenets: participation and voice; autonomy; and accountability. Using the data from a nationally representative survey of about 400 public primary schools in Indonesia, the paper finds that the level of parental participation and voice in school management is extremely low in Indonesia. While the role of school committees is still limited to community relations, school facilities, and other administrative areas of school management, school principals, together with teachers, are much more empowered to assert professional control of the schools. The accountability system has remained weak in Indonesia's school system, which is reflected by inadequate information flow to parents, as well as seemingly low parental awareness of the need to hold schools accountable. The accountability arrangement of the Indonesian school system currently puts more emphasis on top-down supervision and monitoring by government supervisory bodies. The findings show that although the scope of school-based management in Indonesia is limited, it has begun to help schools make the right decisions on allocation of resources and hiring additional (non-civil servant) teachers, and to create an enabling environment of learning, including increasing teacher attendance rates. These aspects are found to have significantly positive effects on student learning outcomes.
Accountability --- Decentralization --- Disability --- Education --- Education For All --- Learning outcome --- Primary Education --- School committee --- School financing --- School-based management --- Teaching and Learning --- Tertiary Education
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This paper reports the labor market effects of the Jamaica Early Childhood Stimulation intervention at age 31. The study is a small-sample randomized early childhood education stimulation intervention targeting stunted children living in the poor neighborhoods of Kingston, Jamaica. Implemented in 1987-89, treatment consisted of a two-year, home-based intervention designed to improve nutrition and the quality of mother-child interactions to foster cognitive, language, and psycho-social skills. The original sample was 127 stunted children between ages 9 and 24 months. The study was able to track and interview 75 percent of the original sample 30 years after the intervention, both still living in Jamaica and migrated abroad. The findings reveal large and statistically significant effects on income and schooling; the treatment group had 43 percent higher hourly wages and 37 percent higher earnings than the control group. This is a substantial increase over the treatment effect estimated for age 22, when a 25 percent increase in earnings was observed.
Early Child and Children's Health --- Early Childhood Development --- Education --- Education Stimulation --- Health, Nutrition and Population --- Labor Market Outcome --- Labor Markets --- Nutrition --- Poverty Reduction --- Services and Transfers To Poor --- Social Protections and Assistance --- Stunting
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Secondary education --- Developing countries --- Competency-based education. --- Education, Secondary --- Educational change. --- Competency training --- OBE (Education) --- Outcome-based education --- Outcomes-based education --- Performance-based education --- Education --- Change, Educational --- Education change --- Education reform --- Educational reform --- Reform, Education --- School reform --- Educational planning --- Educational innovations --- Children --- High school education --- High school students --- Secondary schools --- Teenagers --- High schools --- Economic aspects. --- Education (Secondary)
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