11 results match your criteria: "RTI-University of North Carolina Evidence-based Practice Center[Affiliation]"
Characteristics of High-Need, High-Cost Patients : A "Best-Fit" Framework Synthesis.
Ann Intern Med
December 2022
RTI-University of North Carolina Evidence-based Practice Center and RTI International, Research Triangle Park, North Carolina (N.D.B., R.A.).
Background: Accurately identifying high-need, high-cost (HNHC) patients to reduce their preventable or modifiable health care use for their chronic conditions is a priority and a challenge for U.S. policymakers, health care delivery systems, and payers.
View Article and Find Full Text PDFInterventions to Improve Outcomes for High-Need, High-Cost Patients: A Systematic Review and Meta-Analysis.
J Gen Intern Med
January 2023
RTI-University of North Carolina Evidence-Based Practice Center, Research Triangle Park, NC, USA.
Background: Chronic disease patients who are the greatest users of healthcare services are often referred to as high-need, high-cost (HNHC). Payers, providers, and policymakers in the United States are interested in identifying interventions that can modify or reduce preventable healthcare use among these patients, without adversely impacting their quality of care and health. We systematically reviewed the evidence on the effectiveness of complex interventions designed to change the healthcare of HNHC patients, modifying cost and utilization, as well as clinical/functional, and social risk factor outcomes.
View Article and Find Full Text PDFEnd-user understanding of qualitative comparative analysis used within evidence synthesis: A mixed-methods study.
Res Synth Methods
March 2023
RTI-University of North Carolina Evidence Based Practice Center, Research Triangle Park, Durham, North Carolina, USA.
Article Synopsis
- - The study aimed to find effective ways to communicate qualitative comparative analysis (QCA) results in systematic reviews by understanding how end-users interpret these findings.
- - Researchers used interviews with 11 users followed by an experiment with 254 participants to evaluate comprehension of QCA results presented in text, table, and figure formats.
- - Results showed that while users appreciated QCA, complicated jargon posed challenges; presentation in figure format led to better subjective comprehension than tables or text, particularly for understanding specific QCA results.
Unpacking complex interventions that manage care for high-need, high-cost patients: a realist review.
BMJ Open
June 2022
RTI-University of North Carolina Evidence-Based Practice Center, RTI International, Research Triangle Park, North Carolina, USA.
Objective: Payers, providers and policymakers in the USA are interested in developing interventions that reduce preventable or modifiable healthcare use among high-need, high-cost (HNHC) patients. This study seeks to describe how and why complex interventions for HNHC patients lead to more appropriate use of healthcare services.
Design: A realist review which develops programme theories from causal explanations generated and articulated through the creation of context-mechanism-outcome configurations.
Minimally invasive sacroiliac joint fusion for chronic sacroiliac joint pain: a systematic review.
Spine J
August 2022
RTI-University of North Carolina Evidence-Based Practice Center, 3040 East Cornwallis Road, Research Triangle Park, NC 27709-2194, USA.
Background Context: Sacroiliac (SI) joint pain causes significant disability and impairment to quality of life (QOL). Minimally invasive SI joint fusion is increasingly used to relieve chronic SI joint pain among patients who do not respond to nonsurgical treatment.
Purpose: To systematically review the existing literature to assess the effectiveness and safety of minimally invasive SI joint fusion.
Single-reviewer abstract screening missed 13 percent of relevant studies: a crowd-based, randomized controlled trial.
J Clin Epidemiol
May 2020
Section of Medical Statistics, Medical University of Vienna, Vienna, Austria.
Objectives: To determine the accuracy of single-reviewer screening in correctly classifying abstracts as relevant or irrelevant for literature reviews.
Study Design And Setting: We conducted a crowd-based, parallel-group randomized controlled trial. Using the Cochrane Crowd platform, we randomly assigned eligible participants to 100 abstracts each of a pharmacological or a public health topic.
Pharmacological and non-pharmacological treatments for major depressive disorder: review of systematic reviews.
BMJ Open
June 2017
RTI-University of North Carolina Evidence-based Practice Center, RTI International, North Carolina, USA.
Article Synopsis
- This study reviews over 140 treatment options for major depressive disorder (MDD) and assesses the reliability of the available evidence for patients and clinicians.
- The research gathered data from various systematic reviews, focusing on randomized controlled trials published between 2011 and 2017.
- Findings indicate that while second-generation antidepressants show strong efficacy, most non-pharmacological treatments lack sufficient evidence, with only cognitive behavioral therapy being moderately supported as an effective alternative.