9780833029188

Preface

iii

Acknowledgments

xiii

Introduction

(7)

Background

(2)

Purpose of this Manual

(1)

An Overview of the Method

(3)

Comparison with Other Group Judgement Methods

(2)

Selecting a Topic

(2)

Review and Synthesis of the Literature

(4)

Purpose

(1)

Search Methodology

(1)

Selection and Classification of Articles

(1)

Synthesising the Evidence

(1)

Resources Required

(1)

Developing the List of Indications and Definitions

(9)

Characteristics of the List of Indications

(1)

Structure of the List of Indications

(4)

Modifying the List of Indications (Before the Panel Meeting)

(1)

Definitions of Terms

(3)

The Expert Panel

(7)

Panel Composition

(1)

Panel Nominations

(1)

How Many Members?

(1)

Motivation to Participate

(1)

Contacts with Panellists

(5)

The Rating Process: Appropriateness and Necessity

(16)

Introduction

(1)

Rating Appropriateness: First Round

(2)

Rating Appropriateness: Second Round

(2)

Documents Required

(4)

Automating the Rating Process

(1)

Other Materials and Resources for the Panel Meeting

(3)

Panel Observers

(1)

Rating Necessity: Third Round

(3)

Chairing an Expert Panel

(10)

The Moderator

(1)

Preparing for the Meeting

(3)

At the Meeting

(2)

Modifying the List of Indications (During the Panel Meeting)

(2)

Guiding the Discussion

(3)

Classifying Appropriateness

(8)

Introduction

(1)

Operational Definitions of Levels of Appropriateness

(1)

Operational Definitions of Levels of Disagreement

(3)

A New Approach to Measuring Disagreement

(1)

Development of the ``IPRAS''

(4)

Software Tools for Data Processing and Analysis

(4)

Introduction

(1)

RAND, Santa Monica, California

(1)

Erasmus University, Rotterdam

(1)

Carlos III Health Institute, Madrid

(1)

Institute of Social and Preventive Medicine, University of Lausanne

(2)

Applying Appropriateness Criteria Retrospectively to Measure Overuse

(16)

Introduction

(2)

Study Objectives

(1)

Construction of the Sampling Frame

(2)

Preliminary Organisation of Field Work

(3)

Draft Data Collection Form and Instruction Manual

(1)

Data Analysis Plan

(1)

Data Processing Program

(1)

Pilot Study

(2)

Final Sample Design and Selection

(1)

Final Field Work Organisation

(1)

Final Data Collection Form and Instruction Manual

(1)

Field Work

(1)

Data Processing

(1)

Data Analysis

(1)

Conclusions/Publications

(2)

Applying Necessity Criteria to Measure Underuse

(4)

Introduction

(1)

Necessity Criteria

(1)

Defining the Target Population

(1)

Funding

(1)

Conclusions

(1)

Applying Appropriateness Criteria Prospectively to Assist in Decision-Making

(9)

Problems with Retrospective Studies

(1)

Obstacles to Prospective Use

(1)

An Algorithmic Approach

(1)

A WWW-Based Approach

(3)

A CD-ROM Approach

(3)

Methodological Issues

(6)

Reliability and Validity

(1)

Resolving Inconsistencies

(2)

Obsolescence

100

(1)

Rigidity

100

(1)

Dissemination

101

(2)

REFERENCES

103

(6)

ANNEXES

Members of the European Union BIOMED Concerted Action on ``A Method to Integrate Scientific and Clinical Knowledge to Achieve the Appropriate Utilisation of Major Medical and Surgical Procedures''

107

(2)

List of Acronyms

109

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Rand Ucla Appropriateness Meth

0833029185

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