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13 papers found.
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Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative

Objective More than half the world's population lives in rural areas; however, we have limited evidence about how to strengthen rural healthcare services. We sought to determine the impact of a systems-based approach to improving rural care, the Ethiopian Millennium Rural Initiative, on key healthcare services indicators.

A hospital-randomized controlled trial of a formal quality improvement educational program in rural and small community Texas hospitals: one year results

Objective To investigate the effectiveness of a quality improvement educational program in rural hospitals. Design Hospital-randomized controlled trial. Setting/Participants A total of 47 rural and small community hospitals in Texas that had previously received a web-based benchmarking and case-review tool. Intervention The 47 hospitals were randomized either to receive formal...

Proton Versus Intensity-Modulated Radiotherapy for Prostate Cancer: Patterns of Care and Early Toxicity

please e-mail: . Proton Versus intensity-Modulated r adiotherapy for Prostate c ancer: Patterns of c are and early t oxicity James B. Yu Pamela R. Soulos Jeph Herrin Laura D. Cramer Arnold L

Medical School Experiences Associated with Change in Implicit Racial Bias Among 3547 Students: A Medical Student CHANGES Study Report

BACKGROUND Physician implicit (unconscious, automatic) bias has been shown to contribute to racial disparities in medical care. The impact of medical education on implicit racial bias is unknown. OBJECTIVE To examine the association between change in student implicit racial bias towards African Americans and student reports on their experiences with 1) formal curricula related to...

The Effect of Alternative Summary Statistics for Communicating Risk Reduction on Decisions about Taking Statins: A Randomized Trial

Carling and colleagues carry out a trial evaluating different methods of communicating information to people regarding the risks and benefits of taking statins. They suggest that natural frequencies are likely to be the most appropriate summary statistic for presenting the effects of treatment.

The Effect of Alternative Graphical Displays Used to Present the Benefits of Antibiotics for Sore Throat on Decisions about Whether to Seek Treatment: A Randomized Trial

In a randomized trial, Cheryl Carling and colleagues evaluate how people respond to different statistical presentations regarding the consequences of taking antibiotic treatment for sore throat.

Identifying county characteristics associated with resident well-being: A population based study

Contributions Conceptualization: Brita Roy, Carley Riley, Jeph Herrin, Erica S. Spatz, Elizabeth Y. Rula, Harlan M. Krumholz. Data curation: Brita Roy, Jeph Herrin, Kenneth P. Kell, Elizabeth Y. Rula. Formal ... analysis: Jeph Herrin. Funding acquisition: Brita Roy, Harlan M. Krumholz. Investigation: Carley Riley. Methodology: Brita Roy, Carley Riley, Jeph Herrin, Erica S. Spatz, Kenneth P. Kell, Elizabeth Y

Population well-being and electoral shifts

Contributions Conceptualization: Jeph Herrin, Dan Witters, Brita Roy, Carley Riley, Harlan M. Krumholz. Data curation: Dan Witters. Formal analysis: Jeph Herrin, Diana Liu. Methodology: Jeph Herrin, Dan ... Witters. Writing ± original draft: Jeph Herrin. Writing ± review & editing: Dan Witters, Brita Roy, Carley Riley, Harlan M. Krumholz. 5 / 6 1. Monat SM . Deaths of Despair and Support for Trump in the

How Should the Impact of Different Presentations of Treatment Effects on Patient Choice Be Evaluated? A Pilot Randomized Trial

Background Different presentations of treatment effects can affect decisions. However, previous studies have not evaluated which presentations best help people make decisions that are consistent with their own values. We undertook a pilot study to compare different methods for doing this. Methods and Findings We conducted an Internet-based randomized trial comparing summary...

The Effect of How Outcomes Are Framed on Decisions about Whether to Take Antihypertensive Medication: A Randomized Trial

Background We conducted an Internet-based randomized trial comparing three valence framing presentations of the benefits of antihypertensive medication in preventing cardiovascular disease (CVD) for people with newly diagnosed hypertension to determine which framing presentation resulted in choices most consistent with participants' values. Methods and Findings In this second in...

Effectiveness of the Chest Pain Choice decision aid in emergency department patients with low-risk chest pain: study protocol for a multicenter randomized trial

Background Chest pain is the second most common reason patients visit emergency departments (EDs) and often results in very low-risk patients being admitted for prolonged observation and advanced cardiac testing. Shared decision-making, including educating patients regarding their 45-day risk for acute coronary syndrome (ACS) and management options, might safely decrease...

Effectiveness of the head CT choice decision aid in parents of children with minor head trauma: study protocol for a multicenter randomized trial

Background Blunt head trauma is a common cause of death and disability in children worldwide. Cranial computed tomography (CT), the reference standard for the diagnosis of traumatic brain injury (TBI), exposes children to ionizing radiation which has been linked to the development of brain tumors, leukemia, and other cancers. We describe the methods used to develop and test the...

Translating comparative effectiveness of depression medications into practice by comparing the depression medication choice decision aid to usual care: study protocol for a randomized controlled trial

Background Comparative effectiveness research (CER) documents important differences in antidepressants in terms of efficacy, safety, cost, and burden to the patient. Decision aids can adapt this evidence to help patients participate in making informed choices. In turn, antidepressant therapy will more likely reflect patients’ values and context, leading to improved adherence and...