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Book
ePro : electronic solutions for patient-reported data
Authors: ---
ISBN: 1315580144 1317141911 1317141903 1282857673 9786612857676 1409412423 9780566087714 0566087715 9781317141914 9781317141907 9781282857674 6612857676 9781409412427 Year: 2010 Publisher: Farnham, Surrey, England ; Burlington, VT : Gower,

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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.


Book
Is Investment in Preprimary Education Too Low? : Lessons from (Quasi) Experimental Evidence across Countries
Authors: --- --- ---
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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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.


Book
Distributional Impact Analysis : Toolkit and Illustrations of Impacts Beyond the Average Treatment Effect
Authors: --- --- ---
Year: 2017 Publisher: Washington, D.C. : The World Bank,

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Abstract

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.


Book
Improving healthcare quality in Europe : characteristics, effectiveness and implementation of different strategies
Author:
Year: 2019 Publisher: Paris : OECD Publishing,

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Abstract

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.

Medical care output and productivity
Authors: --- ---
ISBN: 1281223263 9786611223267 0226132307 9780226132303 0226132269 9780226132266 Year: 2001 Publisher: Chicago, IL University of Chicago Press

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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.

Keywords

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.


Book
Investing in communities achieves results : findings from an evaluation of community responses to HIV and AIDS
Authors: ---
ISBN: 1283941554 0821397613 0821397419 Year: 2013 Publisher: Washington DC : World Bank,

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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


Book
Value of innovation
Authors: --- ---
ISBN: 9781849505512 1849505519 0762313463 9786612735899 9780762313464 Year: 2009 Publisher: Bingley Emerald Group Publishing Limited

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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.


Book
School-Based Management, School Decision-Making and Education Outcomes in Indonesian Primary Schools
Author:
Year: 2011 Publisher: Washington, D.C., The World Bank,

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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.


Book
Effect of the Jamaica Early Childhood Stimulation Intervention on Labor Market Outcomes at Age 31
Authors: --- --- --- --- --- et al.
Year: 2021 Publisher: Washington, D.C. : The World Bank,

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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.

Expanding opportunities and building competencies for young people : a new agenda for secondary education.
Authors: ---
ISBN: 0821361708 0821361694 9786610156696 1280156694 Year: 2005 Publisher: Washington, DC : World Bank,

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