Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

4 results

  • OP35 Integrated Knowledge Translation In Policy Development

  • Glenna Laing, Rume Djebah, Judy Hoff, Robert Shaffer, Sheila Rutledge Harding, Carmen Moga, Stefanie Kletke, Ann Scott
  • Journal:
    International Journal of Technology Assessment in Health Care / Volume 34 / Issue S1 / 2018
    Published online by Cambridge University Press:
    03 January 2019, p. 14
    • Article
      • You have access
    • PDF
    • Export citation
  • Introduction:

    Immune globulin (IG) is a publicly funded blood product with high utilization rates and rapidly rising costs. Inappropriate use of IG, particularly in dose and treatment duration, is observed in about 10 percent of cases, and the national guidelines for IG treatment are outdated. To develop a utilization management policy for IG, the Alberta, Manitoba and Saskatchewan Ministries of Health collaborated with health technology assessment (HTA) researchers and clinicians to develop evidence-based guideline recommendations for IG treatment to inform an authorization policy for IG utilization in the provinces.

    Methods:

    A multidisciplinary committee comprising HTA researchers and 22 physicians from seven medical specialties adapted recommendations from 43 “seed” guidelines into one locally contextualized IG guideline. HTA methods and rapid review products were used extensively to update gaps in the evidence base. The guideline recommendation document was used to develop a provincial IG utilization management policy. The challenges of achieving a methodologically rigorous guideline development process will be discussed.

    Results:

    The guideline contained over 60 recommendations for IG use in different medical specialties. The health ministries used the guideline recommendations to develop an IG authorization policy. The clinician-sanctioned review criteria were used to construct a conditional reimbursement system for generating outcome data from controlled off-label IG use for conditions where evidence gaps existed, and were built into policies for benchmarking compliance.

    Conclusions:

    Three provinces successfully collaborated to develop an IG utilization management policy. The unique approach involved a credible and transparent process that incorporated key review elements for compliance benchmarking and reimbursement, promoted clinician buy-in, and created a cadre of clinical champions willing to assist in policy development and implementation. The proactive, rather than retroactive, incorporation of clinician-sanctioned benchmarking and review criteria into policy will help bridge the know-do gap and foster a stronger, more direct link between health policy and evidence.

  • Chapter 2 - Risk and Adversity in Developmental Psychopathology

  • from Part I - The “Environmental” Variable
  • Edited by Linda Mayes, Yale University, Connecticut, Michael Lewis
  • Book:
    The Cambridge Handbook of Environment in Human Development
    Published online:
    05 October 2012
    Print publication:
    27 August 2012, pp 35-57

  • Summary

    The study of risk in individual development played an instrumental role in the origin of contemporary developmental psychopathology and the emergence of resilience studies. This chapter provides an overview of progress and ongoing issues encountered in the developmental study of risk and adversity. It addresses different approaches for examining effects of risk and adversity on development. The chapter first discusses risk factors and cumulative risk indices, emphasizing environmental and sociodemographic status variables. It then focuses on stressful life events and efforts to measure ongoing adversity exposure. The chapter also examines major issues in defining, measuring, and investigating developmental risk and adversity, while highlighting important new research directions. Better standardization of risk and adversity measures allow researchers to investigate how the effects of specific levels of risk and adversity and processes underlying those effects vary across different contexts and population.

  • 1 - How Families Matter in Child Development: Reflections from Research on Risk and Resilience

  • Edited by Alison Clarke-Stewart, University of California, Irvine, Judy Dunn, Institute of Psychiatry, London
  • Book:
    Families Count
    Published online:
    05 June 2012
    Print publication:
    13 March 2006, pp 5-25

  • Summary

    Throughout the history of child development, the family has played a ubiquitous role in theory, research, practice, and policy aimed at understanding and improving child welfare and development. From grand theories to heated controversies, family processes and roles have been invoked in numerous ways in developmental science over the past century to explain or debate whether and how families matter (Collins, Maccoby, Steinberg, Hetherington et al., 2000; Maccoby, 1992). Psychoanalytic theory (Freud, 1933/1964; Munroe, 1955), attachment theory (e.g., Bowlby, 1969, Carlson & Sroufe, 1995; Sroufe & Waters, 1977), ecological and developmental systems theory (e.g., Bronfenbrenner, 1979, Ford & Lerner, 1992; Sameroff, 2000), family systems theory (Davies & Cicchetti, 2004; Fiese, 2000; Fiese & Spagnola, in press), social learning and social cognitive theory (Bandura, 1977, 2001; Gewirtz, 1969), coercion theory (e.g., Patterson, 1982), parenting styles theory (Baumrind, 1967, 1973), and a variety of other influential frameworks have emphasized the family in diverse ways. Theories about the origins of competence and about the origins of psychopathology also have focused on family roles and processes (Cummings, Davies, & Campbell, 2000; Fiese, Wilder, & Bickham, 2000; Masten & Coatsworth, 1995; Masten, Burt, & Coatsworth, in press).