The 8th Habit: From Effectiveness to Greatness Parent Effectiveness Training : The Proven Program for Raising Responsible Children Leader Effectiveness Training L.E.T.: The Proven People Skills for Today's Leaders Tomorrow Leadership and the One Minute Manager : Increasing Effectiveness Through Situational Leadership Don't Oil the Squeaky Wheel: And 19 Other Contrarian Ways to Improve Your Leadership Effectiveness Performance Management: Changing Behavior that Drives Organizational Effectiveness Competing by Design: The Power of Organizational Architecture Virtual Teams That Work: Creating Conditions for Virtual Team Effectiveness Cost-Effectiveness in Health and Medicine

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• Cost effectiveness of an outpatient multidisciplinary pulmonary rehabilitation programme.
• BACKGROUNDPulmonary rehabilitation programmes improve the health of patients disabled by lung disease but their cost effectiveness is unproved. ...
• Keywords: pulmonary rehabilitation programme;  cost effectiveness;  cost/utility analysis .
• 11 14 15 However, we are not aware of any study that has directly addressed the overall cost effectiveness of adding a rehabilitation programme to the standard care of these patients. ...
• An incremental cost/utility analysis was undertaken to assess the cost effectiveness of the programme. ...
• The resulting plot has been described as a "cost effectiveness plane". ...
• Whether or not an intervention is deemed cost effective by a health purchaser depends on two thingsfirstly, its absolute cost effectiveness ratio and, secondly, the most expensive cost effectiveness ratio that a decision maker would consider to be a reasonable investment. Thus, if the highest or ceiling cost effectiveness ratio which a policy maker is willing to accept for a new treatment is known, the proportion of bootstrap estimates falling at or below this ratio will represent the probability that the intervention will prove cost effective by the policy maker's definition. If this process is repeated for a range of possible ceiling cost effectiveness ratios, a "cost effectiveness acceptability curve" can be constructed with the proportion of estimates falling below a given cost effectiveness ratio plotted against that ceiling cost per QALY. ...
• The result of carrying out 1000 bootstrap replications of the incremental costs and utility is shown on the cost effectiveness plane in fig 1. ...
• Figure 1   1000 Bootstrap re-samples of the difference in cost and QALYs produced between pulmonary rehabilitation and standard care plotted on a cost effectiveness plane. ...
• These data were used to construct a cost effectiveness acceptability curve showing the proportion of cost/utility simulations with a ratio less than any given ceiling ratio that might be regarded by a decision maker as cost effective. ...
• Figure 2   Cost effectiveness acceptability curve: probability that cost per QALY gained is cost effective as a function of the decision maker's ceiling cost effectiveness ratio. ...
• This paper presents a comprehensive cost effectiveness analysis of the addition of multidisciplinary pulmonary rehabilitation to standard care for patients with chronic disabling lung disease, primarily COPD. ...
• However, the bootstrapping technique of sensitivity analysis takes account of variability in the outcomes measured and, even in worst case type scenarios, revealed that the programme fell within bounds considered to show reasonable cost effectiveness. ...
• Others have reported the cost of providing a predominantly inpatient rehabilitation programme with measurement of effectiveness in terms of disease specific health status. 15 However, as far as we are aware, ours is the first cost effectiveness analysis of pulmonary rehabilitation to be carried out using QALYs as an outcome and taking into account overall health service costs. Our findings can therefore be used to compare the cost effectiveness of investment in pulmonary rehabilitation with the cost effectiveness of other interventions in other conditions and hence inform health policy decisions. ...

• Systematic review of the effectiveness of stage based interventions to promote smoking cessation .
• Objective To evaluate the effectiveness of interventions using a stage based approach in bringing about positive changes in smoking behaviour. ...
• Conclusions Limited evidence exists for the effectiveness of stage based interventions in changing smoking behaviour. ...
• The model also recognises 10 processes of change, the theory being that the effectiveness of the different processes of change will vary according to the patient's stage, although this has not always been supported in empirical studies. ...
• Despite the widespread use of stage based models, evidence on the effectiveness of this approach may be limited. ...
• Eligible for inclusion were randomised controlled trials evaluating the effectiveness of stage based interventions in influencing smoking behaviour—such as actual behaviour change or movement through different stages. ...
• Extracted data included smoking behaviour, movement through stages, adverse effects, and cost effectiveness. ...
• Effectiveness.
• w2 Secondly, when the effectiveness of more than one stage based intervention was examined and the direction of the effects of these interventions differed—for example, two stage based interventions (interactive expert system and expert system plus counsellor calls) showed statistically significant effects in comparison with the no intervention control group, favouring the stage based interventions, whereas the third stage based intervention (expert system plus stimulus control computer) showed no statistically significant effects at six and 12 months and statistically significant effects favouring the no intervention control group at 18 months. ... w21 In each case, whether multiple outcomes, multiple interventions, or multiple assessments, there was no clear evidence on the effectiveness of the interventions, and we therefore classified them as inconclusive. ...
• Differences in effectiveness between studies.
• Table 3 Summary table of issues related to effectiveness of interventions aimed at smoking cessation.
• Cost effectiveness.
• w2 In another 1999 study, in which pharmacists provided tailored advice on smoking cessation, the incremental cost effectiveness ratio for the intervention was estimated at £300. ...
• Despite the widespread and uncritical use of stage based interventions in smoking cessation, we found only limited evidence for their effectiveness. ... Similarly, participants' degree of exposure to the intervention did not seem to be related to the effectiveness of the intervention either. ...

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• Cost-effectiveness of MR Imaging and Core-Needle Biopsy in the Preoperative Work-up of Suspicious Breast Lesions1 .
• Incremental cost-effectiveness ratios showed that preoperative testing was cost-effective, but the choice between MR imaging and CNB was highly dependent on the accuracy of each test and to patient preferences. ...
• 1214 • Cost-effectiveness, 00. ...
• Cost-Effectiveness Analysis in Radiology.

•  Dendrite's First Source ApproachDendrite strives to be the first source for expert promotional and sales effectiveness solutions. ...

• Screening for hepatocellular carcinoma: survival benefit and cost-effectiveness .
• This review examines the usefulness of screening programs from the perspectives of survival benefit and of cost-effectiveness. ...
• Articles were searched through Medline for screening, HCC, treatment and cost-effectiveness. ...
• Key words: -fetoprotein, cost-effectiveness, hepatocellular carcinoma, survival, ultrasonography.
• Screening for HCC basically fulfils nearly all the above criteria, with the exception of cost-effectiveness, which is still under debate. ...
• Once again, randomized controlled trials to compare the cost-effectiveness of semi-annual and annual screening are the only way of resolving the issue. ...
• Cost-effectiveness of screening.
• Whether screening can be implemented in particular countries depends ultimately on the decision of the health care providers after analyzing the cost-effectiveness of the screening programs. ... in Switzerland 35 , the cost-effectiveness ratios are in the range of $48 000–$284 000 for each additional life-year gained, a much higher figure than in our study. ... The cost-effectiveness ratios then become $26 000–$55 000 for each additional life-year gained. ... The authors conclude that it is not cost-effective to screen for HCC, although they concede that the cost-effectiveness of screening for HCC may depend on the prevalence of disease and the resources of the particular country. ... Community-based screening will increase the chance of curative treatment but cost-effectiveness will be altered. Finally, cost-effectiveness may be improved by restricting the screening programs to older patients. ... The issue of cost-effectiveness should be calculated depending on the local prevalence of HCC and the chance of receiving treatment in different age groups in order to identify the group of patients with the highest benefits and lowest cost. ...
• The cost-effectiveness should increase for countries with a high prevalence of HCC, especially if the screening is limited to well defined groups of patients, such as patients with chronic hepatitis B and C over the age of 40–50 years. ...
• Surveillance programme of cirrhotic patients for early diagnosis and treatment of hepatocellular carcinoma: a cost effectiveness analysis. ...

• Ken Shirriff -> AIDS theories -> Condoms -> Condom effectiveness .
• Condom effectiveness.
• AIDS NEWS SERVICE Michael Howe, MSLS, Editor AIDS Information Center VA Medical Center, San Francisco (415) 221-4810 ext 3305 September 2, 1994 Safer Sex: Information for Counselors (Part VI) REFERENCES - CONDOM EFFECTIVENESS AU - Thompson JL. ... SO - Am J Public Health 1993 Oct;83(10):1409-13 AU - Weller SC TI - A meta-analysis of condom effectiveness in reducing sexually transmitted HIV. ... This paper reviews evidence on condom effectiveness in reducing the risk of heterosexually transmitted human HIV. ... TI - Effectiveness of latex condoms as a barrier to human immunodeficiency virus-sized particles under conditions of simulated use see comments AB - Condoms were tested in an in vitro system simulating key physical conditions that can influence viral particle leakage through condoms during actual coitus. ... Worst-case condom barrier effectiveness (fluid transfer prevention), however, is shown to be at least 10(4) times better than not using a condom at all, suggesting that condom use substantially reduces but does not eliminate the risk of HIV transmission. ... There have been NO studies that demonstrate spermicides' effectiveness against HIV during sexual intercourse in humans. Spermicides' effectiveness against other STDs may be influenced by the amount used, where it is put, and how much of the vagina it covers. ... Spermicides' effectiveness against sexually transmitted infections depends on a vagina and cervix being thoroughly covered with spermicide. ... Many studies of condom effectiveness have counted how often women whose partners used condoms for birth control have gotten pregnant. ... Within the FDA, the Center for Devices and Radiological Health is responsible for assuring the safety and effectiveness of condoms as medical devices. ... Since 1987, FDA has strongly recommended that the labeling on latex condoms provide information regarding their effectiveness in preventing pregnancy and protecting users from STDs.

• Finding information on clinical effectiveness .
• Clinicians will need to be able to access information on clinical effectiveness in order to improve the quality of care and to stay well informed on developments in specialist areas. ...
• Information alone is often not sufficient to encourage changes in practice A national dissemination strategy for important research messages combined with local support mechanisms may increase the uptake of changes in practice All healthcare decision makers need to know how to filter research for quality and how to appraise evidence from research Extensive information on clinical effectiveness is already available, and computer based systems are being developed that will present clinicians with evidence based information when they need it Good library and information support provided to doctors has been proved to make a positive impact on clinical decision making .
• Systematic reviews evaluate primary evidence and the effectiveness of particular interventions. ... The publications and databases in the box present evidence on effectiveness, often in a summarised form suitable for the busy clinician or policymaker. ...
• UK newsletter alerting readers to key evidence about effectiveness in health care. ...
• Effectiveness Matters .
• Summaries of published research on a single topic which emphasise presenting clear messages on effectiveness. ...
• Reviews of new drugs compiled for general practitioners, with discussion of effectiveness, safety, appropriateness, acceptability, and cost. ...
• However, research based answers to many questions of effectiveness are not yet available in such time saving, value added forms. ... There are tools to help searchers identify the types of studies that are more likely to provide high quality information on clinical effectiveness, such as systematic reviews or randomised controlled trials. ...
• Clinical effectiveness from guidelines to cost-effective practice. ...

• Cost effectiveness of screening for Chlamydia trachomatis: a review of published studies .
• The purpose of this review was to critically appraise, and summarise studies of the cost effectiveness of screening for C trachomatis. ...
• Keywords were C trachomatis, screening, cost effectiveness. ...
• Keywords: screening; Chlamydia trachomatis; cost effectiveness; pelvic inflammatory disease.
• A population based dynamic approach for estimating the cost effectiveness of screening for Chlamydia trachomatis.

• Cost-Effectiveness Analysis of an Intranasal Influenza Vaccine for the Prevention of Influenza in Healthy Children .
• This study determined the potential cost-effectiveness (CE) of an intranasal influenza vaccine among healthy children. ...
• cost-effectiveness, influenza, vaccine, children. ...

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