Search results for "OUTCOME"
showing 10 items of 5148 documents
The challenges of GxE research : A rejoinder
2017
Multi-Criteria Decision Making support system for pancreatic islet transplantation
2011
Pancreatic islet transplantation consists of replacing insulin-producing cells to restore normal glycemia in diabetic patients. This is a minimal invasive procedure that has been proved successful. Unfortunately unpredictability of islet transplant outcome remains a frustrating and costly issue limiting the clinical implementation of this procedure. Multiple variables are involved in the procedure and assessment is subjective to individual operators. The aim of this study was to generate a system expressing the probability of transplant success in relation to four classes of identified variables (donor, organ, isolation and recipient). We have proposed the utilization of Multi-Criteria Deci…
Effects of hospital facilities on patient outcomes after cancer surgery
2022
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal,…
Influenze tra processo ed esiti: alleanza, coesione e cambiamento in un gruppo terapeutico a lungo termine
2012
Questo lavoro esplora, in un gruppo terapeutico con pazienti gravi, due tra le variabili di processo più indagate nelle terapie di gruppo, l’alleanza terapeutica e la coesione, analizzandone le associazioni con gli esiti del trattamento in termini di sintomi e difese. E’ stato esaminato un gruppo a lungo termine, semi-aperto, a cadenza settimanale. L’osservazione si è svolta per un periodo di 18 mesi, per un totale di 50 sedute. Sono stati monitorati 11 soggetti che riportavano diverse diagnosi nell’Asse I e II del DSM IV. TR Gli strumenti di esito usati sono stati l’SCL-90: Symptom Check List; l’ OQ-45: Outcome Question-naire 45.2; e il DSQ: Defense Style Questionnaire. Mentre per rilevare…
Five insights from the Global Burden of Disease Study 2019
2020
The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD …
The contribution of "spontaneous" health care networks to improving outcomes: Opportunities and challenges from the perspective of planning and contr…
2019
The article aims to explore how Planning Control systems may support network-oriented policy-making in the health care sector. This work examines the case of ISMETT (Mediterranean Institute for high specialized transplants and therapies), a Sicilian hospital established in 1998 to provide high specialized and complex transplants and therapies. ISMETT pertains to several networks and it has a long-time experience in establishing and governing such inter-organizational relationships. The analysis of the case illustrates how health care networks may contribute to improve health and generate social and economic outcomes for the community.
Time to ferry heart failure onto new shores: The need to effectively customize long-term therapy
2011
DEBATE: Do interventions based on behavioral theory work in the real world?
2019
Background: Behavioral scientists suggest that for behavior change interventions to work effectively, and deliver population-level health outcomes, they must be underpinned by behavioral theory. However, despite implementation of such interventions, population levels of both health outcomes and linked behaviors have remained relatively static. We debate the extent to which interventions based on behavioral theory work in the real world to address population health outcomes. Discussion: Hagger argues there is substantive evidence supporting the efficacy and effectiveness of interventions based on behavioral theory in promoting population-level health behavior change in the ‘real world’. Howe…
Political Patronage in a Small Italian Local Government: An Outcome-Based DPM Approach on Fiduciary Practices
Corruption is “the abuse of public office for personal gain” (World Bank, 1997: 8). Although this definition captures a broad notion of corrupt behaviour, many forms of corruption actually occur in small municipalities each reflecting context-specific features and dynamics. Their impacts are rather evident, but their cause-effects relationships are not always clear, so that tangled issues may ineluctably arise without an apparent explanation. As such, a systemic focus is needed in order to gain an insightful understanding of particular configurations of malfeasance at local level in the attempt to hinder them in the future. The aim of this research project is to explore the dynamic relation…
Modelling competences and anticipating the future competence needs in the forest sector
2018
This explorative study examined practices of competence modelling in the forest sector organisations and how organisations anticipate changes in competence needs in the future. Semi-structured in-depth interviews (n=10) were conducted amongst forest sector experts in Finland and data was analysed by thematic analysis. The findings showed that the practices of modelling competences were diverse, most frequently used ones being superior-subordinate review discussions and quantitative competence surveys. In addition to these formal systems, informal modelling, especially on the team level and in smaller companies was also frequent. Organisations used competence modelling for several human reso…